Pugoy, Baby Boy .

HRN: 24-25-46  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
12/24/2023
AMPICILLIN 500MG (VIAL)
12/24/2023
12/31/2023
IVTT
170mg
Q12
PSNB
Waiting Final Action 
12/24/2023
GENTAMICIN 40MG/ML, 2ML (AMP)
12/24/2023
12/31/2023
IVTT
20mg
Q24
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: