Manalo, Baby Girl .

HRN: 21-57-17  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
07/15/2022
AMPICILLIN 500MG (VIAL)
07/15/2022
07/21/2022
IVT
140mg
Q12
Meconium Aspiration Syndrome
Waiting Final Action 
07/15/2022
GENTAMICIN 40MG/ML, 2ML (AMP)
07/15/2022
07/21/2022
IVT
14mg
Q24
Meconium Aspiration Syndrome
Waiting Final Action 
07/17/2022
CEFTAZIDIME 1GM (VIAL)
07/17/2022
07/23/2022
IV
140mg
Q12Hrs
MAS
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: