Ruben, Baby Girl D.

HRN: 23-73-58  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
09/16/2023
AMPICILLIN 500MG (VIAL)
09/16/2023
09/22/2023
IVT
160mg
Q12
Pneumonia
Waiting Final Action 
09/16/2023
AMIKACIN 250MG/ML, 2ML (VIAL/AMP)
09/16/2023
09/22/2023
IVT
48mg
Q24
Pneumonia
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: