Antong, Baby Girl .

HRN: 26-60-62  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
02/05/2025
AMPICILLIN 250MG (VIAL)
02/05/2025
02/12/2025
IVT
150mg
Q12
Sepsis
Waiting Final Action 
02/05/2025
AMIKACIN 250MG/ML, 2ML (VIAL/AMP)
02/05/2025
02/12/2025
IVT
45kg
Od
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: