Villamor, Baby Boy .

HRN: 24-25-28  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
12/19/2023
AMPICILLIN 250MG (VIAL)
12/19/2023
12/26/2023
IV
110mg
BID
PSNB
Waiting Final Action 
12/19/2023
GENTAMICIN 40MG/ML, 2ML (AMP)
12/19/2023
12/26/2023
IV
11mg
OD
PSNB
Waiting Final Action 
12/25/2023
PIPERACILLIN + TAZOBACTAM 2.25G (VIAL)
12/25/2023
12/31/2023
IV
230mg
Q12h
Neonatal Sepsis
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: