Laraga, Lennox .

HRN: 20-78-61  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
05/09/2026
CEFUROXIME 1.5GM (VIAL)
05/09/2026
05/16/2026
IV
440mg
Q8h
Pcap B
Checking Initial Appropriateness 
05/12/2026
CEFTRIAXONE 1G (VIAL)
05/12/2026
05/19/2026
IV
660mg
Q12H
PCAPB, UTI
Checking Initial Appropriateness 

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: