Capio, Baby Boy .

HRN: 26-60-98  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
02/11/2025
AMPICILLIN 1GM (VIAL)
02/11/2025
02/17/2025
IV
155 G
Q12
PNSB
Waiting Final Action 
02/11/2025
GENTAMICIN 40MG/ML, 2ML (AMP)
02/11/2025
02/17/2025
IV
15mg
Q24
PNSB
Waiting Final Action 
02/12/2025
AMIKACIN 250MG/ML, 2ML (VIAL/AMP)
02/12/2025
02/19/2025
IV
30mg
Q14
Neonatal Sepsis
Waiting Final Action 
02/12/2025
CEFOTAXIME 500MG (VIAL)
02/12/2025
02/19/2025
IV
150 Mg
Q12
Neonatal Sepsis
Waiting Final Action 
02/16/2025
MUPIROCIN 2%, 15G (TUBE)
02/16/2025
02/22/2025
TOPICAL
1
TID
Phlebitis
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: