Asombrado, Christian D.

HRN: 22-50-87  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
01/26/2023
AMPICILLIN 500MG (VIAL)
01/26/2023
02/09/2023
IVTT
250mg
Q12
Neonatal Sepsis
Waiting Final Action 
01/26/2023
AMIKACIN 250MG/ML, 2ML (VIAL/AMP)
01/26/2023
02/02/2023
IVTT
30mg
Q24
Neonatal Sepsis
Waiting Final Action 
01/28/2023
CEFTAZIDIME 1GM (VIAL)
01/28/2023
02/11/2023
IVTT
75mg
Q12
Neonatal 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: