Danio, Baby Girl .

HRN: 29-25-89  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
07/11/2026
AMPICILLIN 1GM (VIAL)
07/11/2026
07/18/2026
IV
150mg
Q12H
T/C Neonatal Sepsis
Checking Initial Appropriateness 
07/11/2026
GENTAMICIN 40MG/ML, 2ML (AMP)
07/11/2026
07/18/2026
IV
15mg
Q24H
T/C Neonatal 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: