Saldivar, Baby Boy .

HRN: 28-09-33  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
11/12/2025
AMPICILLIN 500MG (VIAL)
11/12/2025
11/19/2025
IV
180mg
Q12hours
PSNB Sec To Maternal Fever
Checking Final Appropriateness 
11/12/2025
GENTAMICIN 40MG/ML, 2ML (AMP)
11/12/2025
11/19/2025
IV
18mg
Q24hours
PSNB Sec To Maternal Fever
Checking Final 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: