Palangpangan, Baby Girl -.

HRN: 27-50-22  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
07/18/2025
AMPICILLIN 250MG (VIAL)
07/18/2025
07/25/2025
IV
95mg
Q12H
T/C Sepsis
Waiting Final Action 
07/18/2025
AMIKACIN 250MG/ML, 2ML (VIAL/AMP)
07/18/2025
07/25/2025
IV
28mg
Q24H
T/C Sepsis
Waiting Final Action 
08/03/2025
CEFTAZIDIME 1GM (VIAL)
08/03/2025
08/10/2025
IV
50mg
Q8hours
Sepsis
Checking Initial Appropriateness 

AMS Audit Form


Start Date: End Date:

Indication:

              

Type of Infection:

                             

           

Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: