Abbas, Baby Girl P.

HRN: 25-57-64  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
07/31/2024
AMPICILLIN 250MG (VIAL)
07/31/2024
08/07/2024
IV
145 Mg
Q 12
PSNB
Waiting Final Action 
07/31/2024
AMIKACIN 250MG/ML, 2ML (VIAL/AMP)
07/31/2024
08/07/2024
IV
45mg
Q 24
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:



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Overall appropriateness: