Lago, Baby Girl .

HRN: 21-95-74  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
10/13/2022
OXACILLIN 500MG (VIAL)
10/13/2022
10/19/2022
IVT
63mg
Q6
Omphalitis, Neonatal Sepsis
Waiting Final Action 
10/19/2022
GENTAMICIN 40MG/ML, 2ML (AMP)
10/13/2022
10/19/2022
IVT
13mg
Od
Neonatal Sepsis, Omphalitis
Waiting Final Action 
10/13/2022
MUPIROCIN 2%, 15G (TUBE)
10/13/2022
10/19/2022
TOPICAL
Thinly
BID
Omphalitis, Neonatal Sepsis
Waiting Final Action 
10/14/2022
AMPICILLIN 1GM + SULBACTAM 500MG (VIAL)
10/14/2022
10/20/2022
IVT
130mg
Bid
Omphalitis, Neonatal Sepsis
Waiting Final Action 

AMS Audit Form


Start Date: End Date:

Indication:

              

Type of Infection:

                             

           

Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: