Dumpic, Baby Girl .

HRN: 22-46-53  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
01/11/2023
AMPICILLIN 250MG (VIAL)
01/11/2023
01/18/2023
IVT
135mg
Q12
T/c Neonatal Pneumonia
Waiting Final Action 
01/11/2023
GENTAMICIN 40MG/ML, 2ML (AMP)
01/11/2023
01/18/2023
IVT
14mg
Q24
T/c Neonatal Pneumonia
Waiting Final Action 
01/12/2023
AMIKACIN 250MG/ML, 2ML (VIAL/AMP)
01/12/2023
01/19/2023
IV
35mg
OD
Meconium Aspiration Syndrome
Waiting Final Action 
01/12/2023
CEFOTAXIME 500MG (VIAL)
01/12/2023
01/19/2023
IV
135mg
Q12hours
Meconium Aspiration Syndrome
Waiting Final Action 
01/12/2023
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
01/12/2023
01/19/2023
IV
40mg As Loading Dose Then 20mg As Maintenance Dose
Q24hours
Meconium Aspiration Syndrome
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: