Benitez, Baby Boy .

HRN: 24-90-75  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
05/07/2024
AMPICILLIN 1GM (VIAL)
05/07/2024
05/13/2024
IV
90mg
Q12
PROM
Waiting Final Action 
05/07/2024
GENTAMICIN 40MG/ML, 2ML (AMP)
05/07/2024
05/13/2024
IV
9mg
Q24
PROM
Waiting Final Action 
05/15/2024
CEFOTAXIME 500MG (VIAL)
05/15/2024
05/22/2024
IV
70
Q12
PSNB
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: