Bala, Chearesh .

HRN: 28-91-20  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
06/05/2026
CEFAZOLIN 1GM (VIAL)
06/05/2026
06/05/2026
IV
2grams
Ptor
Stat CS
Checking Initial Appropriateness 
06/06/2026
CEFAZOLIN 1GM (VIAL)
06/05/2026
06/06/2026
IV
1gram
Skin Test Prior To OR
Stat CS
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: