Alfar, Baby Boy .

HRN: 26-69-67  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
02/24/2025
AMPICILLIN 500MG (VIAL)
02/24/2025
03/02/2025
IV
160
Q12
Psnb
Waiting Final Action 
02/24/2025
AMIKACIN 250MG/ML, 2ML (VIAL/AMP)
02/24/2025
03/02/2025
IV
46
Q24
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: