Salibay, Baby Girl .

HRN: 26-64-12  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
02/06/2025
AMPICILLIN 500MG (VIAL)
02/06/2025
02/13/2025
INTRAVENOUS
35 Mg
Every 12 Hours
PSNB
Waiting Final Action 
02/06/2025
AMIKACIN 250MG/ML, 2ML (VIAL/AMP)
02/06/2025
02/13/2025
INTRAVENOUS
8 Mg
Every 36 Hours
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: