Silva, Baby Girl L.

HRN: 23-43-17  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
07/27/2023
AMPICILLIN 1GM (VIAL)
07/27/2023
08/02/2023
IVTT
135mg
Q12
Potentially Septic Newborn
Waiting Final Action 
07/27/2023
GENTAMICIN 40MG/ML, 2ML (AMP)
07/27/2023
08/02/2023
IVTT
14mg
Q24h
Potentially Septic Newborn
Waiting Final Action 

AMS Audit Form


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Compliance to guidelines:



Initial appropriateness:



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Final appropriateness:



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Overall appropriateness: