Taping, Jaysan .

HRN: 12-10-10  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
01/01/2026
CEFUROXIME 500MG (TAB)
01/01/2026
01/07/2026
PO
500 Mg
Bid
TMSAF
Checking Final Appropriateness 
01/01/2026
METRONIDAZOLE 500MG (TAB)
01/01/2026
01/07/2026
PO
500MG
TID
TMSAF
Checking Final Appropriateness 
01/01/2026
CEFUROXIME 1.5GM (VIAL)
01/01/2026
01/07/2026
IV
1.5g
Q8
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: