Flores, Micaiah A.

HRN: 27-07-21  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
03/22/2026
CEFUROXIME 750MG (VIAL)
03/22/2026
03/29/2026
IV
240mg
Q8
PCAP-C
Checking Initial Appropriateness 
03/26/2026
CEFTRIAXONE 1G (VIAL)
03/26/2026
04/02/2026
IV
720mg
OD
PCAP, UTI
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: