Jacaria, Baby Girl M.

HRN: 23-01-60  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
05/11/2023
AMIKACIN 250MG/ML, 2ML (VIAL/AMP)
05/11/2023
05/17/2023
IVT
40mg
Q24
Neonatal Pneumonia
Waiting Final Action 
05/11/2023
AMPICILLIN 250MG (VIAL)
05/11/2023
05/17/2023
IVT
125mg
Q12
Neonatal Pneumonia
Waiting Final Action 

AMS Audit Form


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Compliance to guidelines:



Initial appropriateness:



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Final appropriateness:



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Overall appropriateness: