Udtog, Bb Girl .

HRN: 23-45-24  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
08/07/2023
AMPICILLIN 250MG (VIAL)
08/07/2023
08/14/2023
IV
65mg
BID
Potentially Septic Patient
Waiting Final Action 
08/07/2023
GENTAMICIN 40MG/ML, 2ML (AMP)
08/07/2023
08/14/2023
IV
6.5mg
OD
Potentially Septic Newborn
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: