Candodoy, Baby Girl .

HRN: 27-72-04  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
08/29/2025
AMPICILLIN 500MG (VIAL)
08/29/2025
09/05/2025
IV
150mg
Q12H
Neonatal Sepsis
Checking Initial Appropriateness 
08/29/2025
AMIKACIN 250MG/ML, 2ML (VIAL/AMP)
08/29/2025
09/05/2025
IV
45mg
Q24H
Neonatal Sepsis
Checking Initial Appropriateness 

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: