Calderon, Baby Girl .

HRN: 27-43-02  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
07/02/2025
AMPICILLIN 500MG (VIAL)
07/02/2025
07/09/2025
IVT
165mg
Q12
Meconium Aspiration Syndrome
Remove - Pending Acceptance
07/02/2025
AMIKACIN 250MG/ML, 2ML (VIAL/AMP)
07/02/2025
07/09/2025
IVT
50mg
Q24
Meconium Aspiration Syndrome
Remove - Pending Acceptance

AMS Audit Form


Start Date: End Date:

Indication:

              

Type of Infection:

                             

           

Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: