Templado, Baby Boy .

HRN: 23-17-68  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
06/21/2023
AMPICILLIN 1GM (VIAL)
06/21/2023
06/27/2023
IVTT
155mg
Q12
Potentially Septic Newborn
Waiting Final Action 
06/21/2023
AMIKACIN 250MG/ML, 2ML (VIAL/AMP)
06/21/2023
06/27/2023
IVTT
47mg
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: