Alferez, Baby Girl B.

HRN: 22-55-96  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
02/02/2023
AMPICILLIN 250MG (VIAL)
02/02/2023
02/09/2023
IVF
140
Q12h
PSNB (thickly Meconium Stained)
Waiting Final Action 
02/02/2023
GENTAMICIN 40MG/ML, 2ML (AMP)
02/02/2023
02/09/2023
IV
14mg
Q24hrs
PSNB (thickly Meconium Stained)
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: