Jumawan, Baby Girl .

HRN: 26-69-56  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
02/22/2025
AMPICILLIN 500MG (VIAL)
02/22/2025
02/28/2025
IVT
135mg
Q12
Sepsis
Waiting Final Action 
02/22/2025
AMIKACIN 250MG/ML, 2ML (VIAL/AMP)
02/22/2025
02/28/2025
IVT
40mg
OD
Sepsis
Waiting Final Action 
02/27/2025
CEFOTAXIME 500MG (VIAL)
02/27/2025
03/06/2025
IV
135mg
Q8H
Neonatal Sepsis
Waiting Final Action 

AMS Audit Form


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Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: