Abadies, Jad Zaniyah Zakiyah M.

HRN: 21-63-17  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
07/23/2022
AMPICILLIN 1GM (VIAL)
07/23/2022
07/30/2022
IV
300
Q12
Neonatal Sepsis
Waiting Final Action 
07/23/2022
AMIKACIN 250MG/ML, 2ML (VIAL/AMP)
07/23/2022
07/30/2022
IV
30mg
Q24h
Neonatal Sepsis
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: