Candamo, Amor .

HRN: 26-29-48  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
01/12/2025
AMPICILLIN 500MG (VIAL)
01/12/2025
01/18/2025
IVTT
250mg
Q12h
T/c Late Onset Neonatal Sepsis
Waiting Final Action 
01/12/2025
GENTAMICIN 40MG/ML, 2ML (AMP)
01/12/2025
01/18/2025
IVTT
25mg
Q24h
T/c Late Onset 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:



 If inappropriate:

              

Overall appropriateness: