Salinas, Baby Girl .

HRN: 24-32-07  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
01/24/2024
AMPICILLIN 500MG (VIAL)
01/24/2024
01/31/2024
IVT
105mg
Q12
PSNB
Waiting Final Action 
01/24/2024
GENTAMICIN 40MG/ML, 2ML (AMP)
01/24/2024
01/31/2024
IVT
20mg
Q24
PSNB
01/24/2024
GENTAMICIN 40MG/ML, 2ML (AMP)
01/24/2024
01/31/2024
IVT
9mg
Q24
PSNB
Waiting Final Action 

AMS Audit Form


Start Date: End Date:

Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: