Abdul, Moried R.

HRN: 23-43-21  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
12/14/2025
AMPICILLIN 1GM + SULBACTAM 500MG (VIAL)
12/14/2025
12/21/2025
IV
425MG
Q6
URTI
Checking Final Appropriateness 
12/22/2025
CEFUROXIME 1.5GM (VIAL)
12/22/2025
12/29/2025
IV
380mg
Q8H
URTI
Checking Final 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: