Delas Peñas, Baby Boy .

HRN: 29-14-58  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
06/17/2026
CEFOTAXIME 500MG (VIAL)
06/17/2026
06/24/2026
IV
60mg
Q12
PSNB
Checking Initial Appropriateness 
06/17/2026
AMPICILLIN 250MG (VIAL)
06/17/2026
06/24/2026
IV
115mg
Q12
PSNB
Checking Initial Appropriateness 
06/14/2026
PIPERACILLIN + TAZOBACTAM 2.25G (VIAL)
06/19/2026
06/26/2026
IV
110mg
Q12H
PSNB
Checking Initial Appropriateness 
06/21/2026
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
06/21/2026
06/28/2026
IV
17mg
Loading Dose
NEC
Checking Initial Appropriateness 
06/21/2026
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
06/21/2026
06/28/2026
IV
8.5mg
Q12
NEC
Checking Initial Appropriateness 
06/24/2026
AMIKACIN 250MG/ML, 2ML (VIAL/AMP)
06/24/2026
07/01/2026
IV
14 Mg
Q 24 Hours
T/C Sepsis
Checking Initial Appropriateness 
06/28/2026
FLUCONAZOLE 2MG/ML, 100ML (VIAL)
06/28/2026
07/05/2026
IV
7mg
Q24
Sepsis
Checking Initial Appropriateness 
06/28/2026
FLUCONAZOLE 2MG/ML, 100ML (VIAL)
06/28/2026
06/29/2026
IV
13mg Loading Dose
Q24
Sepsis
Checking Initial Appropriateness 

AMS Audit Form


Start Date: End Date:

Indication:

              

Type of Infection:

                             

           

Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: