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
Remove - Pending Acceptance
06/21/2026
BENZYL PENICILLIN 1MU (VIAL)
06/21/2026
06/27/2026
IV
350,000 U
Q6
Aspiration Pneumonia
Remove - Pending Acceptance

AMS Audit Form


Start Date: End Date:

Indication:

              

Type of Infection:

                             

           

Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: