Bayabaya, Baby Girl .

HRN: 29-12-87  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
06/11/2026
AMPICILLIN 500MG (VIAL)
06/11/2026
06/18/2026
IVT
130mg
Q12
T/C Meconium Aspiration Pneumonia
Remove - Pending Acceptance
06/11/2026
AMIKACIN 250MG/ML, 2ML (VIAL/AMP)
06/11/2026
06/18/2026
IVT
39mg
Q24
T/C Meconium 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: