Omas, Baby Boy .

HRN: 23-43-33  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
07/31/2023
AMPICILLIN 1GM (VIAL)
07/31/2023
08/06/2023
IVTT
205mg
Q12
Potentially Septic Newborn
Checking Final Appropriateness 
07/31/2023
GENTAMICIN 40MG/ML, 2ML (AMP)
07/31/2023
08/06/2023
IVTT
20mg
Q24h
Potentially Septic Newborn
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: