Arceno, Mariebeth .

HRN: 29-22-18  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
06/23/2026
BENZYL PENICILLIN 1MU (VIAL)
06/23/2026
06/30/2026
IV
600,000
Q6
TC PSGN
Checking Initial Appropriateness 
06/24/2026
CEFALEXIN 250MG/5ML, 60ML SUSPENSION (BOT)
06/24/2026
07/01/2026
PO
PO
BID
UTI
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: