Caputol, Baby Girl .

HRN: 26-13-36  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
11/04/2024
AMPICILLIN 250MG (VIAL)
11/04/2024
11/10/2024
IV
200mg
Q12hours
PSNB Sec To PROM X 20 Hours
Waiting Final Action 
11/04/2024
GENTAMICIN 40MG/ML, 2ML (AMP)
11/04/2024
11/10/2024
IV
11mg
Q24hours
PSNB Sec To PROM X 20hours
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: