Esmelinda, Marina .

HRN: 15-98-82  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
03/21/2026
CEFUROXIME 500MG (TAB)
03/21/2026
03/27/2026
ORAL
500mg
BID X 7days
UTI
Remove - Pending Acceptance
03/26/2026
CLINDAMYCIN 300MG (CAP)
03/26/2026
04/01/2026
PO
500mg
TID
SP NSVD With Episiotomy
Remove - Pending Acceptance

AMS Audit Form


Start Date: End Date:

Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: