Banaybanay, Baby Girl .

HRN: 23-83-55  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
10/09/2023
AMPICILLIN 1GM (VIAL)
10/09/2023
10/15/2023
IVT
130mg
Q12
Psnb
Waiting Final Action 
10/09/2023
GENTAMICIN 40MG/ML, 2ML (AMP)
10/09/2023
10/15/2023
IVT
13mg
Od
Psnb
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: