Hortillano, Baby Girl 2 .

HRN: 21-45-19  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
06/04/2022
AMPICILLIN 500MG (VIAL)
06/04/2022
06/10/2022
IV
75mg
Q12
Prematurity
Waiting Final Action 
06/04/2022
GENTAMICIN 40MG/ML, 2ML (AMP)
06/04/2022
06/10/2022
IV
7.5mg
OD
Prematurity
Waiting Final Action 
06/10/2022
CEFTAZIDIME 1GM (VIAL)
06/10/2022
06/17/2022
IVT
75mg
Q12H
PSNB
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: