Transporte, Baby Boy -.

HRN: 24-32-69  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
03/20/2024
AMPICILLIN 250MG (VIAL)
03/20/2024
03/27/2024
IV
60mg
Q12H
T/C RDS
Waiting Final Action 
03/20/2024
AMIKACIN 250MG/ML, 2ML (VIAL/AMP)
03/20/2024
03/27/2024
IV
14mg
Q36H
T/C RDS
Waiting Final Action 
03/21/2024
CEFTAZIDIME 1GM (VIAL)
03/21/2024
03/28/2024
IV
35mg
Q12
TC RDS
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: