Cristoria, Baby Girl .

HRN: 22-33-91  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
12/20/2022
AMPICILLIN 250MG (VIAL)
12/20/2022
12/27/2022
IV
130mg
Q12
Potentially Septic Newborn (Thickly Msaf)
Waiting Final Action 
12/20/2022
GENTAMICIN 40MG/ML, 2ML (AMP)
12/20/2022
12/27/2022
IV
13mg
Q24h
Potentially Septic Newborn (Thickly Msaf)
Waiting Final Action 
12/21/2022
CEFTAZIDIME 1GM (VIAL)
12/21/2022
12/28/2022
IV
130mg
Q12
Meconium Aspiration Syndrome
Waiting Final Action 
12/25/2022
FLUCONAZOLE 2MG/ML, 100ML (VIAL)
12/25/2022
01/01/2023
IV
50mg LD, 31mg MD
Q48hrs
Sepsis, HIE, T/c Cerebral Palsy
Waiting Final Action 
01/03/2023
CIPROFLOXACIN 500MG (TAB)
01/03/2023
01/09/2023
PO
25mg Pptab
Q12
Meconium Aspiration; PSNB
Waiting Final Action 
01/05/2023
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
01/05/2023
01/11/2023
IVT
1 Cc Of 1 Vial Diluted In 20cc Sterile Water
Q8
Meconium Aspiration; PSNB
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: