Nanding, Siraj C.

HRN: 21-82-45  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
08/31/2025
AMPICILLIN 1GM (VIAL)
08/31/2025
09/06/2025
IVT
900mg
Q6
URTI
Checking Initial Appropriateness 
09/01/2025
CEFUROXIME 750MG (VIAL)
09/01/2025
09/08/2025
IV
750mg
Every 8hours
Pneumonia
Checking Initial Appropriateness 

AMS Audit Form


Start Date: End Date:

Indication:

              

Type of Infection:

                             

           

Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: