Dequilla, Jadel .

HRN: 01-48-39  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
06/04/2026
CEFUROXIME 500MG (TAB)
06/04/2026
06/11/2026
PO
500
Bid
TC UTI
Checking Final Appropriateness 
06/05/2026
CEFAZOLIN 1GM (VIAL)
06/05/2026
06/12/2026
IV
2 Grams
PTOR
Stat CS
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: