Rubio, Baby Girl .

HRN: 25-92-69  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
09/25/2024
AMPICILLIN 250MG (VIAL)
09/25/2024
10/02/2024
IVTT
150mg
Q12h
PSNB
Waiting Final Action 
09/25/2024
AMIKACIN 250MG/ML, 2ML (VIAL/AMP)
09/25/2024
10/02/2024
IVTT
45mg
Q24h
PSNB
Waiting Final Action 

AMS Audit Form


Start Date: End Date:

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: