Digman, Baby Boy .

HRN: 23-07-06  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
05/23/2023
AMPICILLIN 250MG (VIAL)
05/23/2023
05/29/2023
IVT
165mg
Q12
Imperforated Anus
Checking Final Appropriateness 
05/23/2023
GENTAMICIN 40MG/ML, 2ML (AMP)
05/23/2023
05/29/2023
IVT
16mg
OD
Imperforated Anus
Checking Final 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: