Abella, Princess .

HRN: 29-22-47  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
07/05/2026
AMPICILLIN 1GM (VIAL)
07/05/2026
07/12/2026
IV
2 Grams
Q6
Prom X 3 Hrs
Checking Initial Appropriateness 
07/06/2026
CEFAZOLIN 1GM (VIAL)
07/06/2026
07/06/2026
IVT
1GM
ON CALL TO OR
LTCS
Checking Initial Appropriateness 
07/06/2026
CEFUROXIME 500MG (TAB)
07/06/2026
07/13/2026
PO
500 MG
BID
LTCS
Checking Initial Appropriateness 
07/07/2026
MUPIROCIN 2%, 15G (TUBE)
07/07/2026
07/14/2026
TOPICAL
1 Squint
Od
Ltcs
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: