Mandawa, Aira Jane .

HRN: 14-51-87  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
06/12/2026
CEFUROXIME 1.5GM (VIAL)
06/12/2026
06/19/2026
IV
750mg
Q8h
PCAP
Checking Initial Appropriateness 
06/12/2026
CEFTRIAXONE 1G (VIAL)
06/12/2026
06/19/2026
IV DRIP IN 30 MINS
2g
OD
Acute Bacterial Infection
Checking Initial Appropriateness 
06/13/2026
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
06/13/2026
06/20/2026
IVT
300mg
Q8
Acute Gastroenteritis
Checking Initial Appropriateness 
06/15/2026
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
06/15/2026
06/25/2026
IV DRIP
1.5g
Q6
Sepsis
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: