Jailani, Baby Boy .

HRN: 22-75-77  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
03/19/2023
AMPICILLIN 1GM (VIAL)
03/20/2023
03/27/2023
IV
110
Q12H
Neonatal Sepsis
Waiting Final Action 
03/19/2023
GENTAMICIN 40MG/ML, 2ML (AMP)
03/20/2023
03/27/2023
IV
11mg
OD
Neonatal Sepsis
Waiting Final Action 
03/24/2023
MUPIROCIN 2%, 15G (TUBE)
03/24/2023
03/30/2023
TOPICAL
-
TID
Post IV Site Infection
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: