Boqueda, Baby Boy .

HRN: 24-37-56  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
01/06/2024
AMPICILLIN 250MG (VIAL)
01/06/2024
01/12/2024
IVT
200mg
Q12hrs
Neonatal Pneumonia
Checking Final Appropriateness 
01/06/2024
AMIKACIN 250MG/ML, 2ML (VIAL/AMP)
01/06/2024
01/12/2024
IVT
38mg
Q23hra
Neonatal Pneumonia
Checking Final Appropriateness 
01/06/2024
ERYTHROMYCIN 0.5%, 3.5G EYE OINTMENT (TUBE)
01/06/2024
01/06/2024
TOPICAL
Small Amount
Once
Newborn Care
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: