Lao, Al-mufti U.

HRN: 27-64-48  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
08/17/2025
OXACILLIN 500MG (VIAL)
08/17/2025
08/24/2025
IV
280mg
Q6H
Staphylococcal Skin Infection
Remove - Pending Acceptance
08/17/2025
MUPIROCIN 2%, 15G (TUBE)
08/17/2025
08/24/2025
TOPICAL
Pea-sized
BID
Staphylococcal Skin Infection
Remove - Pending Acceptance
08/20/2025
CLOXACILLIN 250MG/5ML, 60ML SUSPENSION (BOT)
08/20/2025
08/26/2025
PO
3ml
Q6h
Staphylococcal Skin Infection
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: