Sabelo, Mary Joy .

HRN: 28-90-95  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
04/28/2026
CEFAZOLIN 1GM (VIAL)
04/28/2026
04/29/2026
IV
2g
2g One Dose
Prohpylaxis
Checking Initial Appropriateness 
04/28/2026
CEFAZOLIN 1GM (VIAL)
04/28/2026
04/30/2026
IV
2g
Q8 X 3 Doses
S/p Cs
Checking Initial Appropriateness 
04/29/2026
CEFUROXIME 500MG (TAB)
04/29/2026
05/05/2026
PO
500 Mg
BID
Sp 1 LTCS
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: