Mejos, Baby Girl .

HRN: 25-76-11  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
08/23/2024
AMPICILLIN 250MG (VIAL)
08/23/2024
08/29/2024
IV
155mg
Q12
Aspiration Pneumonia
Waiting Final Action 
08/23/2024
AMIKACIN 250MG/ML, 2ML (VIAL/AMP)
08/23/2024
08/29/2024
IV
46mg
IV
Aspiration Pneumonia
Waiting Final Action 
08/24/2024
MUPIROCIN 2%, 15G (TUBE)
08/24/2024
08/28/2024
APPLY ON SKIN
Thin Layer
TID
Diaper Rash
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: