Lindo, Baby Girl .

HRN: 11-23-90  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
11/23/2022
AMPICILLIN 1GM (VIAL)
11/23/2022
11/30/2022
IV
125
Q12
T/C Sepsis Neonatorum ; Prematurity
Waiting Final Action 
11/23/2022
GENTAMICIN 40MG/ML, 2ML (AMP)
11/23/2022
11/30/2022
IV
6 Mg
Q24
T/C Sepsis Neonatorum, Prematurity
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: