Evedientes, Bb Girl .

HRN: 28-59-93  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
03/01/2026
AMPICILLIN 250MG (VIAL)
03/01/2026
03/08/2026
IVTT
135mg
Q12h
Neonatal Aspiration Pneumoni
Remove - Pending Acceptance
03/01/2026
GENTAMICIN 40MG/ML, 2ML (AMP)
03/01/2026
03/08/2026
IVTT
14mg
Q24h
Neonatal Aspiration Pneumonia
Remove - Pending Acceptance

AMS Audit Form


Start Date: End Date:

Indication:

              

Type of Infection:

                             

           

Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: