Alferez, Baby Boy .

HRN: 24-32-34  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
02/20/2024
AMIKACIN 250MG/ML, 2ML (VIAL/AMP)
02/20/2024
02/26/2024
IV
45mg
Q 24
Neonatal Sepsis
Waiting Final Action 
02/20/2024
AMPICILLIN 250MG (VIAL)
02/20/2024
02/26/2024
IV
150mg
Q 12
Neonatal Sepsis
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: