Rubio, Baby Girl .

HRN: 25-84-46  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
09/11/2024
AMPICILLIN 1GM (VIAL)
09/11/2024
09/18/2024
IV
140mg
Q12h
PSNB
Waiting Final Action 
09/11/2024
AMIKACIN 250MG/ML, 2ML (VIAL/AMP)
09/11/2024
09/18/2024
IV
33mg
IV
PSNB
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: