Panibon, Baby Girl .

HRN: 23-70-41  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
09/10/2023
AMPICILLIN 1GM (VIAL)
09/10/2023
09/16/2023
IVT
165mg
Q12
Neonatal Sepsis
Waiting Final Action 
09/10/2023
AMIKACIN 250MG/ML, 2ML (VIAL/AMP)
09/10/2023
09/16/2023
IVT
49.5
Od
Neonatal Sepsis
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: