Barang, Alexander C.

HRN: 24-59-11  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
02/27/2024
AMPICILLIN 250MG (VIAL)
02/27/2024
03/01/2024
IVTT
200mg
Q12
Neonatal Sepsis
Waiting Final Action 
02/27/2024
AMIKACIN 250MG/ML, 2ML (VIAL/AMP)
02/27/2024
03/01/2024
IVTT
35mg
Q24
Neonatal Sepsis
Waiting Final Action 
03/02/2024
MUPIROCIN 2%, 15G (TUBE)
03/02/2024
03/08/2024
TOPICAL
2%
BID
Infected Umbilical Stump
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: