Odin, Jamael .

HRN: 29-27-32  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
07/06/2026
CIPROFLOXACIN 500MG (TAB)
07/06/2026
07/12/2026
IV
500 MG
BID
INFECTIOUS DIARRHEA
Checking Initial Appropriateness 
07/06/2026
METRONIDAZOLE 500MG (TAB)
07/06/2026
07/15/2026
PO
500mgtab
TID
Amoebiasis
Checking Initial Appropriateness 
07/08/2026
CIPROFLOXACIN 2MG/ML, 100ML IV
07/08/2026
07/14/2026
IV
500mg
Q8
AGE
Checking Initial Appropriateness 
07/08/2026
CIPROFLOXACIN 500MG (TAB)
07/08/2026
07/14/2026
PO
500mgtab
BID
AGE -Amoebiasis
Checking Initial Appropriateness 
07/08/2026
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
07/08/2026
07/17/2026
IV
500mg
Q8
AGE-amoebiasis
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: