Sanchez, Bb Boy .

HRN: 26-80-41  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
03/09/2025
AMPICILLIN 250MG (VIAL)
03/09/2025
03/16/2025
IV
95mg
Q12
PSNB, Prematurity
Waiting Final Action 
03/09/2025
GENTAMICIN 40MG/ML, 2ML (AMP)
03/09/2025
03/16/2025
IV
10mg
Q24h
PSNB, Prematurity
Waiting Final Action 
03/12/2025
CEFTAZIDIME 1GM (VIAL)
03/12/2025
03/19/2025
IV
95mg
Q12h
PSNB
Waiting Final Action 
03/12/2025
AMIKACIN 250MG/ML, 2ML (VIAL/AMP)
03/12/2025
03/19/2025
IV
28mg
OD
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: