Mendoza, Baby Girl .

HRN: 22-39-55  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
02/01/2023
AMPICILLIN 250MG (VIAL)
02/01/2023
02/07/2023
IV
100mg
Q12
RDS, Prematurity
Waiting Final Action 
02/01/2023
GENTAMICIN 40MG/ML, 2ML (AMP)
02/01/2023
02/07/2023
IV
10mg
Q36h
Rds, Prematurity
Waiting Final Action 
02/12/2023
MUPIROCIN 2%, 15G (TUBE)
02/12/2023
02/18/2023
TOPICAL
As Needed
BID
Infected Umbilical Stump
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: