Salvador, Baby Girl .

HRN: 21-58-48  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
07/11/2022
AMPICILLIN 250MG (VIAL)
07/11/2022
07/18/2022
IV
150mg
Q12
Psnb (thickly Meconium Amniotic Fluid)
Waiting Final Action 
07/11/2022
GENTAMICIN 40MG/ML, 2ML (AMP)
07/11/2022
07/17/2022
IV
15mg
Q24
Psnb (thickly Meconium 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: