Lopez, Baby Boyy .

HRN: 23-15-82  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
06/15/2023
AMPICILLIN 500MG (VIAL)
06/15/2023
06/22/2023
IV
180mg
Q12hours
RDS Sec To Prematurity
Waiting Final Action 
06/15/2023
CEFOTAXIME 500MG (VIAL)
06/15/2023
06/22/2023
IV
90mg
Q12hours
RDS Sec To Prematurity
Waiting Final Action 

AMS Audit Form


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Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: