Del Secoro, Baby Girl .

HRN: 23-89-34  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
10/20/2023
AMPICILLIN 1GM (VIAL)
10/20/2023
10/26/2023
IVT
160mg
Q12
Sepsis
Checking Final Appropriateness 
10/20/2023
GENTAMICIN 40MG/ML, 2ML (AMP)
10/20/2023
10/26/2023
IVT
16mg
Q24
Sepsis
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: