Cabatuan, Baby Girl .

HRN: 22-87-96  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
04/20/2023
AMPICILLIN 250MG (VIAL)
04/20/2023
04/27/2023
IV
200mg
Q12
Potentially Septic Newborn (Thickly Msaf)
Waiting Final Action 
04/20/2023
GENTAMICIN 40MG/ML, 2ML (AMP)
04/20/2023
04/27/2023
IV
20mg
Q24h
Potentially Septic Newborn (Thickly Msaf)
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: