Montemor, Baby Boy .

HRN: 23-45-95  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
09/20/2023
AMPICILLIN 250MG (VIAL)
09/20/2023
09/27/2023
IV
180mg
Q12
Pcap C
Waiting Final Action 
09/20/2023
GENTAMICIN 40MG/ML, 2ML (AMP)
09/20/2023
09/27/2023
IV
18mg
Q24h
Potential Septic Newborn
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: