Perocho, Baby Boy .

HRN: 24-76-70  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
04/04/2024
AMPICILLIN 250MG (VIAL)
04/04/2024
04/10/2024
IVT
70 Mg
Q12
Psnb
Waiting Final Action 
04/04/2024
GENTAMICIN 40MG/ML, 2ML (AMP)
04/04/2024
04/10/2024
İVT
7mg
Od
Psnb
Waiting Final Action 
04/26/2024
FLUCONAZOLE 50MG (CAP)
04/26/2024
06/07/2024
PO
7mg
OD 2x A Week For 6wks
PSNB
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: