Madeg, Baby Boy .

HRN: 23-05-33  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
03/01/2024
AMPICILLIN 500MG (VIAL)
03/01/2024
03/07/2024
IV
470mg
Q6h
PCAP C
Waiting Final Action 
03/02/2024
METRONIDAZOLE 125MG/5ML, 60ML (BOT)
03/02/2024
03/08/2024
PO
3.5ml
TID
AGE
Waiting Final Action 

AMS Audit Form


Start Date: End Date:

Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: