Lopez, Baby Boy .

HRN: 29-04-15  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
06/10/2026
FLUCONAZOLE 50MG (CAP)
06/10/2026
06/17/2026
PO
7mg Pptab
OD
T/C Neonatal Sepsis
Remove - Pending Acceptance
06/10/2026
FLUCONAZOLE 50MG (CAP)
06/10/2026
06/17/2026
PO
7mg Pptab
OD
T/C Neonatal Sepsis
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: