Lucing, Genie Queen -.

HRN: 20-95-12  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
06/24/2026
CEFUROXIME 500MG (TAB)
06/24/2026
06/30/2026
PO
500mg
BID
SP NSVD
Checking Initial Appropriateness 
06/25/2026
CEFUROXIME 1.5GM (VIAL)
06/25/2026
07/02/2026
IV
1.5 Grams
Q8
SP NSD Twin Delivery
Checking Initial Appropriateness 
06/27/2026
AZITHROMYCIN 500MG TABLET (TAB)
06/27/2026
07/01/2026
ORAL
500mg
OD
T/c CAP
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: