Buay, Baby Boy .

HRN: 27-59-34  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
08/05/2025
AMPICILLIN 500MG (VIAL)
08/05/2025
08/12/2025
IVT
120mg
Q12
Neonatal Sepsis
Remove - Pending Acceptance
08/05/2025
AMIKACIN 250MG/ML, 2ML (VIAL/AMP)
08/05/2025
08/11/2025
IVT
24mg
Q24
Neonatal Sepsis
Remove - Pending Acceptance

AMS Audit Form


Start Date: End Date:

Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: