Romeo, Baby Boy .

HRN: 24-67-97  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
03/24/2024
AMPICILLIN 1GM (VIAL)
03/24/2024
03/31/2024
IV
150mg
Q12
PROM
Waiting Final Action 
03/24/2024
AMIKACIN 250MG/ML, 2ML (VIAL/AMP)
03/24/2024
03/31/2024
IV
30mg
OD
PPROM
Waiting Final Action 
03/30/2024
CEFOTAXIME 500MG (VIAL)
03/30/2024
04/25/2024
IV
140mg
Q6
Bacterial Infection
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: