Transporte, Baby Boy .

HRN: 28-28-24  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
01/16/2026
AMPICILLIN 250MG (VIAL)
01/16/2026
01/23/2026
IV
197mg
Q12
PSNB
Checking Initial Appropriateness 
01/16/2026
GENTAMICIN 40MG/ML, 2ML (AMP)
01/16/2026
01/23/2026
IV
20mg
Q24
PSNB
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: