Catubig, Baby Boy .

HRN: 24-90-44  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
05/03/2024
AMPICILLIN 250MG (VIAL)
05/03/2024
05/10/2024
IV
145
BID
PSNB
Waiting Final Action 
05/03/2024
GENTAMICIN 40MG/ML, 2ML (AMP)
05/03/2024
05/10/2024
IV
14.5
OD
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: