Dayondon, Baby Girl .

HRN: 28-37-29  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
01/04/2026
AMPICILLIN 500MG (VIAL)
01/04/2026
01/11/2026
IVT
150mg
Q12
T/C Neonatal Pneumonia
Checking Final Appropriateness 
01/04/2026
GENTAMICIN 40MG/ML, 2ML (AMP)
01/04/2026
01/10/2026
IVT
14mg
Q24
T/C Neonatal Pneumonia
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: