Estor, Baby Boy -.

HRN: 23-05-65  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
06/21/2023
AMPICILLIN 1GM (VIAL)
06/21/2023
06/28/2023
IVTT
95mg
Q24
PSNB
Waiting Final Action 
06/21/2023
GENTAMICIN 40MG/ML, 2ML (AMP)
06/21/2023
06/28/2023
IVTT
10MG
Q24
PSNB
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: