Beto, Baby Boy .

HRN: 21-72-05  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
08/06/2022
AMPICILLIN 250MG (VIAL)
08/06/2022
08/13/2022
IVT
160mg
Q12
Potentially Setpic Newborn Sec. To Maternal UTI
Waiting Final Action 
08/06/2022
GENTAMICIN 40MG/ML, 2ML (AMP)
08/06/2022
08/13/2022
IVT
16mg
Q24
PSNB SEC TO MATERNAL UTI
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: