Sabturani, Baby Girl .

HRN: 26-69-74  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
02/25/2025
AMPICILLIN 250MG (VIAL)
02/25/2025
03/03/2025
IV
90mg
Q12
Prematurity, T/C RDS
Waiting Final Action 
02/25/2025
AMIKACIN 250MG/ML, 2ML (VIAL/AMP)
02/25/2025
03/03/2025
IV
27mg
OD
Prematurity, T/C RDS
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: