Jama, Baby Boy .

HRN: 21-94-05  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
09/17/2022
AMPICILLIN 250MG (VIAL)
09/17/2022
09/24/2022
IV
75mg
Q8h
Neonatal Pneumonia
Waiting Final Action 
09/17/2022
AMIKACIN 250MG/ML, 2ML (VIAL/AMP)
09/17/2022
09/24/2022
IV
22mg
Q24h
Neonatal Pneumonia
Waiting Final Action 
09/17/2022
FLUCONAZOLE 50MG (CAP)
09/17/2022
09/24/2022
PO
30mg Loading Dose, Then 12mg
Q12
Pnsb
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: