Sumpatan, Baby Girl B.

HRN: 23-35-65  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
07/18/2023
CEFOTAXIME 500MG (VIAL)
07/18/2023
07/24/2023
IV
135mg
Q8
Neonatal Sepsis
Checking Final Appropriateness 
07/18/2023
AMPICILLIN 1GM (VIAL)
07/18/2023
07/24/2023
IV
200
Q12
Neonatal Sepsis
Checking Final Appropriateness 

AMS Audit Form


Start Date: End Date:

Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: