Go, Bb Girl .

HRN: 24-84-86  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
10/02/2025
AMPICILLIN 250MG (VIAL)
10/02/2025
10/09/2025
IV DRIP
120mg
Q12h
Neonatal Pneumonia
Waiting Final Action 
10/02/2025
GENTAMICIN 40MG/ML, 2ML (AMP)
10/02/2025
10/09/2025
IV DRIP
12mg
Q24h
Neonatal Pneumonia
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: