Macadatar, Bailin .

HRN: 04-50-15  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
06/25/2026
CEFAZOLIN 1GM (VIAL)
06/25/2026
06/25/2026
IV
1g
PTOR
Pre Op Prophylaxis
Checking Initial Appropriateness 
06/26/2026
CEFUROXIME 500MG (TAB)
06/26/2026
07/02/2026
ORAL
500mg
BID
Sp D&C
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: