Alibasa, Sharief Al-rahman .

HRN: 26-75-93  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
06/16/2025
CEFUROXIME 750MG (VIAL)
06/16/2025
06/23/2025
IV
375mg
Q8
PCAP C
Checking Initial Appropriateness 
06/18/2025
SODIUM FUSIDATE 20MG/G, 15G OINTMENT
06/18/2025
06/20/2025
TOPICAL
As Needed
BID
IV Phlebitis
Checking Initial Appropriateness 

AMS Audit Form


Start Date: End Date:

Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: