Wayong, Baby Girl 2 .

HRN: 28-16-81  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
12/05/2025
CEFOTAXIME 500MG (VIAL)
12/05/2025
12/12/2025
IVT
146mg
Q6
T/C Neonatal Pneumonia
Checking Initial Appropriateness 
12/05/2025
GENTAMICIN 40MG/ML, 2ML (AMP)
12/05/2025
12/11/2025
IVT
15mg
Q24
T/C Neonatal Pneumonia
Checking Initial 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: