Seti, Baby Boy .

HRN: 29-45-16  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
08/09/2026
AMPICILLIN 500MG (VIAL)
08/09/2026
08/15/2026
IV
200mg
Q12
Neonatal Pneumonia
Remove - Pending Acceptance
08/09/2026
AMIKACIN 250MG/ML, 2ML (VIAL/AMP)
08/09/2026
08/15/2026
IV
40mg
Q24
Neonatal 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: