Lariba, Janeth .

HRN: 00-39-54  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
08/16/2026
CEFUROXIME 1.5GM (VIAL)
08/17/2026
08/17/2026
IV
1.5 Gm
On Call To OR
Elective Open Cholecystectomy
Remove - Pending Acceptance
08/17/2026
CEFUROXIME 1.5GM (VIAL)
08/17/2026
08/23/2026
IV
1.5G
Q8
CHOLECYSTOLITHIASIS
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: