Solatorio, Baby Girl G.

HRN: 22-77-25  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
03/23/2023
AMPICILLIN 500MG (VIAL)
03/23/2023
03/30/2023
IV
145mg
Q12
Potentially Septic Newborn Secondary To Maternal Urinary Tract Infection
Waiting Final Action 
03/23/2023
GENTAMICIN 40MG/ML, 2ML (AMP)
03/23/2023
03/30/2023
IV
15mg
OD
Potentially Septic Newborn Secondary To Maternal Urinary Tract 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: