Nawi, Nurhana A.

HRN: 23-49-85  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
04/24/2026
CEFUROXIME 750MG (VIAL)
04/24/2026
05/01/2026
IV
415MG
Q8
PCAP-C
Checking Initial Appropriateness 
04/29/2026
AZITHROMYCIN 200MG/5ML, 15ML SUSPENSION (SUSP)
04/29/2026
05/06/2026
ORAL
3.1ml As Loading Dose Then 1.6ml For 4 Days
OD
PCAP C With HRAD
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: