Usmani, Sahabi .

HRN: 21-22-79  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
08/30/2024
AMPICILLIN 500MG (VIAL)
08/30/2024
09/05/2024
IV
470 Mg
Q6H
Pcap C
Waiting Final Action 
08/31/2024
CEFUROXIME 1.5GM (VIAL)
08/31/2024
09/06/2024
IV
315mg
Q8
PCAP-C
Waiting Final Action 
08/31/2024
ERYTHROMYCIN 0.5%, 3.5G EYE OINTMENT (TUBE)
08/31/2024
09/06/2024
EYE OINTMENT
1 Squint
QID
Eye Infection
Waiting Final Action 

AMS Audit Form


Start Date: End Date:

Indication:

              

Type of Infection:

                             

           

Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: