Dagendel, Baby Boy .

HRN: 22-58-88  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
02/12/2023
AMPICILLIN 500MG (VIAL)
02/12/2023
02/18/2023
IVT
145mg
Q12hrs
T/c Neonatal Sepsis
Waiting Final Action 
02/12/2023
GENTAMICIN 40MG/ML, 2ML (AMP)
02/12/2023
02/18/2023
IVT
14.5
Q24hrs
T/c 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: