Dela Peña, Ma. Cassandra .

HRN: 29-34-10  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
07/26/2026
CEFUROXIME 500MG (TAB)
07/26/2026
08/02/2026
PO
500mg
BID
Thickly MSAF
Remove - Pending Acceptance
07/26/2026
METRONIDAZOLE 500MG (TAB)
07/26/2026
08/02/2026
PO
500mg
TID
Thickly MSAF
Remove - Pending Acceptance
07/27/2026
CEFUROXIME 1.5GM (VIAL)
07/27/2026
07/28/2026
IV
1.5gms
Q8hrs X 3 Doses
S/P NSVD With 3rd Degree Perineal Laceration; Thickly MSAF
Remove - Pending Acceptance

AMS Audit Form


Start Date: End Date:

Indication:

              

Type of Infection:

                             

           

Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: