Villarta, Baby Boy -.

HRN: 22-19-12  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
11/12/2022
AMPICILLIN 250MG (VIAL)
11/12/2022
11/19/2022
IV
130mg
Q12h
PSNB, Thinly MSAF, ER Delivery
Waiting Final Action 
11/12/2022
GENTAMICIN 40MG/ML, 2ML (AMP)
11/12/2022
11/19/2022
IV
13mg
OD
PSNB, Thinly MSAF, ER Delivery
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: