Ojoylan, Baby Boy .

HRN: 25-67-01  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
08/08/2024
AMPICILLIN 250MG (VIAL)
08/08/2024
08/15/2024
IV
135
Q12
PSNb
Waiting Final Action 
08/08/2024
GENTAMICIN 40MG/ML, 2ML (AMP)
08/08/2024
08/15/2024
IV
13.5
Q24
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: