Parcotilo, Baby Boy .

HRN: 25-18-99  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
06/15/2024
GENTAMICIN 40MG/ML, 2ML (AMP)
06/15/2024
06/22/2024
IV
15 Mg
Q24
PSNB (in-transit Delivery)
Waiting Final Action 
06/15/2024
AMPICILLIN 250MG (VIAL)
06/15/2024
06/22/2024
IV
150 Mg
Q12
PSNB (in-transit Delivery)
Waiting Final Action 

AMS Audit Form


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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: