Ortega, Baby Boy .

HRN: 26-68-00  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
02/10/2025
AMPICILLIN 500MG (VIAL)
02/10/2025
02/17/2025
INTRAVENOUS
170 Mg IVTT
Q12H
PSNB
Waiting Final Action 
02/10/2025
GENTAMICIN 40MG/ML, 2ML (AMP)
02/10/2025
02/17/2025
INTRAVENOUS
17 Mg IVTT
Q24H
PSNB
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: