Dag-uman, Baby Boy .

HRN: 29-25-12  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
06/30/2026
MUPIROCIN 2%, 15G (TUBE)
06/30/2026
07/07/2026
TOPICAL
15g
TID
Phlebitis
Checking Initial Appropriateness 
07/03/2026
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
07/03/2026
07/10/2026
IV
1mL
Q8h
Neonatal Sepsis (K. Pneumoniae)
Checking Initial Appropriateness 
07/04/2026
PIPERACILLIN + TAZOBACTAM 2.25G (VIAL)
07/04/2026
07/11/2026
IV
1.5cc
Q8h
Neonatal Sepsis (Klebsiella Pneumoniae)
Checking Initial Appropriateness 

AMS Audit Form


Start Date: End Date:

Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: