Aberquino, Bb Girl .

HRN: 28-10-28  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
11/13/2025
AMPICILLIN 1GM (VIAL)
11/13/2025
11/20/2025
IV
140 Mg
Q12hrs
Sepsis Neonatorum
Checking Final Appropriateness 
11/13/2025
GENTAMICIN 40MG/ML, 2ML (AMP)
11/13/2025
11/20/2025
IV
14 Mg
Q24hrs
Sepsis Neonatorum
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: