Bernardo, Baby Girl .

HRN: 26-94-13  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
04/08/2025
AMPICILLIN 250MG (VIAL)
04/08/2025
04/14/2025
IV
100mg
Q12
Newborn Affected By Maternal Status
Waiting Final Action 
04/08/2025
AMIKACIN 250MG/ML, 2ML (VIAL/AMP)
04/08/2025
04/14/2025
IV
30mg
Q24
Newborn Affected By Maternal Status
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: