Banghulot, Baby Boy .

HRN: 21-63-10  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
07/21/2022
AMPICILLIN 250MG (VIAL)
07/21/2022
07/28/2022
IV
160 Mg
Q12Hrs
MSAF Thinly PSNB
Waiting Final Action 
07/21/2022
AMIKACIN 250MG/ML, 2ML (VIAL/AMP)
07/21/2022
07/28/2022
IV
50 Mg
Q24 Hrs
MSAF Thinly PSNB
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: