Samsalani, Jalil .

HRN: 27-74-66  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
09/03/2025
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
09/03/2025
09/10/2025
IV
250mg
Q8
Age
Checking Initial Appropriateness 
09/04/2025
METRONIDAZOLE 125MG/5ML, 60ML (BOT)
09/04/2025
09/11/2025
ORAL
3.5ml
TID
Acute Gastroenteritis With Moderate Dehydration
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: