Padillos, Baby Boy .

HRN: 26-80-75  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
03/15/2025
AMPICILLIN 250MG (VIAL)
03/15/2025
03/22/2025
INTRAVENOUS
80 Mg IVTT
Every 12 Hours
PSNB
Waiting Final Action 
03/15/2025
GENTAMICIN 40MG/ML, 2ML (AMP)
03/15/2025
03/22/2025
INTRAVENOUS
8 Mg IVTT
Every 24 Hours
PSNB
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: