Sta. Maria, Baby Girl .

HRN: 23-45-03  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
07/28/2023
AMPICILLIN 250MG (VIAL)
07/28/2023
08/04/2023
IV
160mg
BID
PSNB
Waiting Final Action 
07/27/2023
GENTAMICIN 40MG/ML, 2ML (AMP)
07/28/2023
08/04/2023
IV
15mg
OD
PSNB
Waiting Final Action 
09/02/2023
CEFUROXIME 750MG (VIAL)
09/02/2023
09/08/2023
IV
130
Q8
Pcap-c
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: