Magansing, Baby Girl .

HRN: 21-94-48  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
09/15/2022
AMPICILLIN 250MG (VIAL)
09/15/2022
09/22/2022
IVT
125mg
Q12
PsNB Sec PROm X 24hrs
Waiting Final Action 
09/15/2022
GENTAMICIN 40MG/ML, 2ML (AMP)
09/15/2022
09/22/2022
IVT
12.5mg
Q24
PSNB Sec. PROM X 24hrs
Waiting Final Action 

AMS Audit Form


Start Date: End Date:

Indication:

              

Type of Infection:

                             

           

Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: