Bazar, Norhasna .

HRN: 23-44-61  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
03/11/2025
CEFAZOLIN 1GM (VIAL)
03/12/2025
03/12/2025
IVT
2GMS
ON CALL TO OR
LTCS
Waiting Final Action 
03/12/2025
CEFUROXIME 1.5GM (VIAL)
03/12/2025
03/13/2025
IV
1.5
Q8 For 6 Doses
Sp LTCS
Waiting Final Action 
03/12/2025
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
03/12/2025
03/12/2025
IV
500
Once
Sp Repeat Cs
Waiting Final Action 
03/12/2025
METRONIDAZOLE 500MG (TAB)
03/12/2025
03/18/2025
500
PO
TID
SP LTCS
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: