Ungue, Baby Girl .

HRN: 28-16-19  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
11/27/2025
FLUCONAZOLE 2MG/ML, 100ML (VIAL)
11/27/2025
12/04/2025
IV
18 Mg Then 9mg
Q 48 Hours
RDS
Checking Final Appropriateness 
11/27/2025
AMPICILLIN 250MG (VIAL)
11/26/2025
12/03/2025
IV
70 Mg
Q 12
RDS
Checking Final Appropriateness 
11/27/2025
GENTAMICIN 40MG/ML, 2ML (AMP)
11/26/2025
12/03/2025
IV
6mg
Q 36 Hours
RDS
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: