Nuñez, Baby Boy B.

HRN: 24-19-75  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
12/08/2023
AMIKACIN 250MG/ML, 2ML (VIAL/AMP)
12/08/2023
12/14/2023
IV
37mg
Q24
T/C RDS
Checking Final Appropriateness 
12/08/2023
AMPICILLIN 250MG (VIAL)
12/08/2023
12/14/2023
IV
125mg
Q12
T/C RDS
Checking Final Appropriateness 
12/13/2023
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
12/13/2023
12/20/2023
IV
LD 38 Mg, Maintain At 19mg
Q8
T/c Neonatal 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: