Ongos, Baby Boy .

HRN: 25-98-41  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
10/07/2024
AMPICILLIN 1GM (VIAL)
10/07/2024
10/14/2024
IV
120mg
Q12h
PSNB
Waiting Final Action 
10/07/2024
GENTAMICIN 40MG/ML, 2ML (AMP)
10/07/2024
10/14/2024
IV
12mg
Q24h
PSNB
Waiting Final Action 
10/07/2024
CEFOTAXIME 500MG (VIAL)
10/07/2024
10/14/2024
IV
125mg
Q12h
Bacterial Meningitis
Waiting Final Action 
10/07/2024
AMIKACIN 250MG/ML, 2ML (VIAL/AMP)
10/07/2024
10/14/2024
IV
38
Q24h
Bacterial Meningitis
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: