Mag-abo, Baby Boy .

HRN: 23-07-56  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
06/01/2023
AMPICILLIN 250MG (VIAL)
06/01/2023
06/08/2023
IV
105mg
Q12
Potentially Septic Newborn
Waiting Final Action 
06/01/2023
GENTAMICIN 40MG/ML, 2ML (AMP)
06/01/2023
06/08/2023
IV
10mg
Q24h
Potentially Septic Newborn (Thickly Msaf)
Waiting Final Action 

AMS Audit Form


Start Date: End Date:

Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: