Melendres, Baby Girl .

HRN: 23-05-07  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
05/16/2023
AMPICILLIN 1GM (VIAL)
05/16/2023
05/22/2023
IVTT
180mg
Q12
Potentially Septic Newborn
Waiting Final Action 
05/16/2023
GENTAMICIN 40MG/ML, 2ML (AMP)
05/16/2023
05/22/2023
IVTT
18mg
Q24h
Potentially Septic Newborn
Waiting Final Action 

AMS Audit Form


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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: