Huminig, Ayisha .

HRN: 27-31-84  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
01/28/2026
CEFUROXIME 750MG (VIAL)
01/28/2026
02/04/2026
IV
470mg
Q 8 Hours
T/C Bacterial Infection
Checking Initial Appropriateness 
01/28/2026
MUPIROCIN 2%, 15G (TUBE)
01/28/2026
02/04/2026
TOPICAL
As Needed
BID
T/C Bacterial Infection
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: