Aslani, Eva .

HRN: 29-17-87  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
06/21/2026
AMPICILLIN 500MG (VIAL)
06/21/2026
06/27/2026
IV
350mg
Q6
Aspiration Pneumonia
Checking Initial Appropriateness 
06/21/2026
BENZYL PENICILLIN 1MU (VIAL)
06/21/2026
06/27/2026
IV
350,000 U
Q6
Aspiration Pneumonia
Checking Initial Appropriateness 
06/24/2026
AZITHROMYCIN 200MG/5ML, 15ML SUSPENSION (SUSP)
06/24/2026
06/30/2026
PO
1.7mL
OD
Aspiration Pneumonia
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: