Madeg, Baby Boy .

HRN: 23-05-33  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
06/02/2023
AMPICILLIN 250MG (VIAL)
06/02/2023
06/08/2023
İVT
150mg
Q12
Psnb
Waiting Final Action 
06/02/2023
GENTAMICIN 40MG/ML, 2ML (AMP)
06/02/2023
06/08/2023
IVT
15mg
Od
Psnb
Waiting Final Action 
06/02/2023
MUPIROCIN 2%, 15G (TUBE)
06/02/2023
06/08/2023
TOPICAL
Bid
Thinly
Skin Infection
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: