Mabascog, Baby Girl .

HRN: 25-13-30  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
05/17/2024
AMPICILLIN 250MG (VIAL)
05/17/2024
05/24/2024
IVT
150mg
Q12
Thinly MSAF
Waiting Final Action 
05/17/2024
GENTAMICIN 40MG/ML, 2ML (AMP)
05/17/2024
05/24/2024
IVT
15 Mg
Q24
Thinly MSAF
Waiting Final Action 

AMS Audit Form


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Compliance to guidelines:



Initial appropriateness:



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Final appropriateness:



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Overall appropriateness: