Bangquiao, Baby Boy .

HRN: 21-34-62  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
05/12/2022
AMPICILLIN 250MG (VIAL)
05/12/2022
05/18/2022
IVTT
100mg
Q12
Tc Neonatal Asphyxia
Waiting Final Action 
05/12/2022
GENTAMICIN 40MG/ML, 2ML (AMP)
05/12/2022
05/18/2022
IVTT
10mg
OD
Tc Neonatal Asphyxia
Waiting Final Action 
05/14/2022
CEFTAZIDIME 1GM (VIAL)
05/14/2022
05/20/2022
IVT
100mg
Q12hrs
Neonatal Sepsis
Waiting Final Action 
05/22/2022
CEFTAZIDIME 1GM (VIAL)
05/22/2022
05/25/2022
IVT
100 Mg
12 Hrs
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: