Desabelle, Bb Girl .

HRN: 26-69-94  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
03/03/2025
AMPICILLIN 250MG (VIAL)
03/03/2025
03/10/2025
IV
75mg
Q12H
PSNB
Waiting Final Action 
03/03/2025
GENTAMICIN 40MG/ML, 2ML (AMP)
03/03/2025
03/10/2025
IV
8mg
Q24h
PSNB
Waiting Final Action 
03/06/2025
CEFOTAXIME 500MG (VIAL)
03/06/2025
03/13/2025
IV
75mg
Q12h
Neonata Sepsis
Waiting Final Action 
03/07/2025
PIPERACILLIN + TAZOBACTAM 2.25G (VIAL)
03/07/2025
03/14/2025
INTRAVENOUS
120 Mg IVTT
Every 12 Hours
Neonatal Sepsis
Waiting Final Action 

AMS Audit Form


Start Date: End Date:

Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: