Retcha, Baby Boy .

HRN: 26-58-32  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
02/17/2025
AMPICILLIN 250MG (VIAL)
02/17/2025
03/01/2025
IV
68mg
Q12h
PSNB
Waiting Final Action 
02/17/2025
AMIKACIN 250MG/ML, 2ML (VIAL/AMP)
02/17/2025
02/23/2025
IV
20mg
OD
PSNB
Waiting Final Action 
02/20/2025
CEFOTAXIME 500MG (VIAL)
02/20/2025
02/26/2025
IV
65mg
Q12
Prematurity
Waiting Final Action 
02/22/2025
FLUCONAZOLE 50MG (CAP)
02/22/2025
02/28/2025
ORAL
20 Mg
Loading Dose
Prematurity
Waiting Final Action 
02/22/2025
FLUCONAZOLE 50MG (CAP)
02/22/2025
02/28/2025
ORAL
16 Mg
Q48H
Prematurity
Waiting Final Action 
02/25/2025
AMPICILLIN 250MG (VIAL)
02/25/2025
03/04/2025
IV
100mg
Q12h
Prematurity
Waiting Final Action 
02/25/2025
CEFOTAXIME 500MG (VIAL)
02/25/2025
03/07/2025
IV
65mg
Q8h
Prematurity
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: