Villaplana, Baby Girl .

HRN: 24-86-19  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
05/08/2024
AMPICILLIN 1GM (VIAL)
05/08/2024
05/14/2024
IV
100mg
Q12
Cord Coil X 1, Oligohydramnios
Waiting Final Action 
05/08/2024
GENTAMICIN 40MG/ML, 2ML (AMP)
05/08/2024
05/14/2024
IV
10mg
Q24
Cord Coil X 1, Oligohydramnios
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: