Javier, Baby Boy .

HRN: 23-66-64  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
09/15/2023
AMPICILLIN 250MG (VIAL)
09/15/2023
09/22/2023
IV
135 Mg
Every 12 Hours
T/C Aspiration Pneumonia
Waiting Final Action 
09/15/2023
AMIKACIN 250MG/ML, 2ML (VIAL/AMP)
09/15/2023
09/22/2023
IV
40 Mg
Every 24 Hours
T/C Aspiration Pneumonia
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: