Dela Cruz, Amariah .

HRN: 26-86-12  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
02/24/2026
CEFUROXIME 1.5GM (VIAL)
02/24/2026
03/02/2026
IV
410mg
Q8
PCAP C
Remove - Pending Acceptance
02/28/2026
CLARITHROMYCIN 125MG/5ML, 60ML SUSPENSION (BOT)
02/28/2026
03/07/2026
PO
3.5mL
BID
PCAP-C
Checking Initial Appropriateness 

AMS Audit Form


Start Date: End Date:

Indication:

              

Type of Infection:

                             

           

Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: