Palado, Baby Boy -.

HRN: 25-92-23  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
09/22/2024
AMPICILLIN 250MG (VIAL)
09/22/2024
09/29/2024
IV
125mg
Q12H
Neonatal Sepsis
Waiting Final Action 
09/22/2024
AMIKACIN 250MG/ML, 2ML (VIAL/AMP)
09/22/2024
09/29/2024
IV
38mg
Q24H
Neonatal Sepsis
Waiting Final Action 
09/26/2024
MUPIROCIN 2%, 15G (TUBE)
09/26/2024
10/02/2024
APPLY ON SKIN
Thin Layer
BID
IV Site Infection
Waiting Final Action 

AMS Audit Form


Start Date: End Date:

Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: