Neri, Normie Jane .

HRN: 28-46-32  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
01/22/2026
AMPICILLIN 1GM (VIAL)
01/22/2026
01/29/2026
IV
2g
Q6hrs
PROM - Thinly MSAF
Checking Initial Appropriateness 
01/23/2026
CEFUROXIME 500MG (TAB)
01/23/2026
01/30/2026
PO
500 Mg
BID
UTI
Checking Initial Appropriateness 
01/24/2026
CEFUROXIME 500MG (TAB)
01/24/2026
01/29/2026
PO
500mg
BID
UTI
Checking Initial Appropriateness 

AMS Audit Form


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Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: