Matchuca, Baby Boy C.

HRN: 24-86-62  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
06/06/2024
AMPICILLIN 1GM (VIAL)
06/06/2024
06/13/2024
INTRAVENOUS
175 Mg
Every 12 Hours
Thickly Meconium Stained Amniotic Fluid
Waiting Final Action 
06/06/2024
AMIKACIN 250MG/ML, 2ML (VIAL/AMP)
06/06/2024
06/13/2024
INTRAVENOUS
37.5 Mg
Every 24 Hours
Thickly Meconium Stained Amniotic Fluid
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: