Pirater, Baby Boy .

HRN: 24-56-13  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
02/11/2024
AMPICILLIN 250MG (VIAL)
02/11/2024
02/18/2024
IVT
110.5mg
Q12h
Omphalitis
Waiting Final Action 
02/11/2024
AMIKACIN 250MG/ML, 2ML (VIAL/AMP)
02/11/2024
02/18/2024
IV
33.15mg
Q24h
Omphalitis
Waiting Final Action 

AMS Audit Form


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Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: