Pangasian, Bby Girl .

HRN: 23-11-63  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
05/26/2023
AMPICILLIN 250MG (VIAL)
05/26/2023
06/02/2023
IVTT
85mg
Q12
Psnb
Waiting Final Action 
05/26/2023
AMIKACIN 250MG/ML, 2ML (VIAL/AMP)
05/26/2023
06/02/2023
IVTT
25mg
Q24
PSNB
Waiting Final Action 
05/28/2023
CEFTAZIDIME 1GM (VIAL)
05/28/2023
06/04/2023
IVTT
43mg
IVTT
Neonatal Pneumonia
Waiting Final Action 
05/30/2023
PIPERACILLIN + TAZOBACTAM 2.25G (VIAL)
05/30/2023
06/05/2023
IV
170mg
Q12Hrs
Tc Neonatal Pneumonia
Waiting Final Action 
05/30/2023
FLUCONAZOLE 2MG/ML, 100ML (VIAL)
05/30/2023
06/05/2023
IV
20mg As LD Then 10mg As MD
Q12Hrs
Tc Neonatal Pneumonia
Waiting Final Action 

AMS Audit Form


Start Date: End Date:

Indication:

              

Type of Infection:

                             

           

Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: