Daniel, Lady Jean .

HRN: 28-97-57  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
06/23/2026
AMPICILLIN 1GM (VIAL)
06/23/2026
06/24/2026
IV
2 Grams
Q6
PROM
Checking Initial Appropriateness 
06/23/2026
AMPICILLIN 500MG (VIAL)
06/23/2026
06/24/2026
IV
2 Grams
Q6
PROM
Checking Initial Appropriateness 
06/25/2026
CEFAZOLIN 1GM (VIAL)
06/25/2026
06/25/2026
IV
2 Grams
PTOR
OR Prophylaxis
Checking Initial Appropriateness 
06/25/2026
CEFAZOLIN 1GM (VIAL)
06/25/2026
06/27/2026
IV
1 G X 6 Doses
Q8
Sp 1 LTCS
Checking Initial Appropriateness 
06/26/2026
CEFUROXIME 500MG (TAB)
06/26/2026
07/03/2026
ORAL
500mg
BID
S/P LSTCS
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: