Etac, Baby Boy 1 .

HRN: 22-33-46  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
12/12/2022
AMPICILLIN 250MG (VIAL)
12/12/2022
12/19/2022
IV
70mg
Q12
PSNB (Maternal UTI)
Waiting Final Action 
12/12/2022
GENTAMICIN 40MG/ML, 2ML (AMP)
12/12/2022
12/19/2022
IV
7mg
Q24
PSNB (Maternal UTI)
Waiting Final Action 
12/16/2022
CEFTAZIDIME 1GM (VIAL)
12/16/2022
12/22/2022
IV
70mg
Q12h
Neonatal Sepsis
Waiting Final Action 
12/16/2022
FLUCONAZOLE 2MG/ML, 100ML (VIAL)
12/16/2022
12/23/2022
IVT
17 Mg Loading, 8 Mg Maintaining
24 Hrs
Neonatal Sepsis
Waiting Final Action 
12/25/2022
FLUCONAZOLE 50MG (CAP)
12/25/2022
12/27/2022
PO
10mg Pptab
Q24
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: