Sireg, Baby Boy .

HRN: 23-24-08  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
06/28/2023
AMPICILLIN 250MG (VIAL)
06/28/2023
07/04/2023
IVT
250mg
Q12
PSNB (Maternal UTI)
Waiting Final Action 
06/28/2023
AMIKACIN 250MG/ML, 2ML (VIAL/AMP)
06/28/2023
07/04/2023
IVT
35mg
OD
PSNB (Maternal UTI)
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: