Pat Pat, Baby Girl .

HRN: 22-06-73  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
10/18/2022
AMPICILLIN 250MG (VIAL)
10/18/2022
10/25/2022
IV
120mg
Q12
Potential Septic Newborn (prom X 15hours)
Waiting Final Action 
10/18/2022
GENTAMICIN 40MG/ML, 2ML (AMP)
10/18/2022
10/25/2022
IV
12mg
Q24h
Potential Septic Newborn (prom X 15hours)
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: