Miro, Bb Girl - Pending .

HRN: 21-34-68  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
05/13/2022
AMPICILLIN 500MG (VIAL)
05/13/2022
05/19/2022
IV
180mg
Q12
PSNB Secondary To PROM
05/13/2022
GENTAMICIN 40MG/ML, 2ML (AMP)
05/13/2022
05/19/2022
IV
18mg
Q24h
PSNB Secondary To PROM
Waiting Final Action 
05/17/2022
GENTAMICIN 40MG/ML, 2ML (AMP)
05/17/2022
05/19/2022
IV
18mg
Q12
Neonatal Sepsis
Waiting Final Action 
05/17/2022
AMPICILLIN 500MG (VIAL)
05/17/2022
05/19/2022
IV
180mg
Q12
Neonatal Sepsis
Waiting Final Action 
05/17/2022
GENTAMICIN 40MG/ML, 2ML (AMP)
05/17/2022
05/19/2022
IV
18mg
Q24
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: