Velez, Baby Boy .

HRN: 29-32-52  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
07/23/2026
AMPICILLIN 250MG (VIAL)
07/23/2026
07/30/2026
IV
160mg
Q12H
T/C Neonatal Sepsis
Remove - Pending Acceptance
07/23/2026
AMPICILLIN 250MG (VIAL)
07/23/2026
07/30/2026
IV
48mg
Q24H
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: