Tarle, Baby Girl .

HRN: 21-63-66  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
07/30/2022
AMPICILLIN 250MG (VIAL)
07/30/2022
08/05/2022
IV
160 Mg
Q12Hrs
PSNB, PROM X 12 H
Waiting Final Action 
07/30/2022
GENTAMICIN 40MG/ML, 2ML (AMP)
07/30/2022
08/06/2022
IV
16 Mg
Q24 Hrs
PSNB, PROM X 12 H
Waiting Final Action 
02/09/2023
AMPICILLIN 1GM + SULBACTAM 500MG (VIAL)
02/09/2023
02/15/2023
IBT
195
Q6hrs
Pcap C
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: