Setit, Baby Boy .

HRN: 26-60-92  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
02/10/2025
AMPICILLIN 1GM (VIAL)
02/10/2025
02/16/2025
IV
170mg
Q12
PSNB (PROM X 24 Hours)
Waiting Final Action 
02/10/2025
AMIKACIN 250MG/ML, 2ML (VIAL/AMP)
02/10/2025
02/16/2025
IV
35 G
Q24
PSNB (PROM X 24 Hours)
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: