Fernan, Baby Girl .

HRN: 26-86-55  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
03/30/2025
AMPICILLIN 1GM (VIAL)
03/30/2025
04/06/2025
IV
130mg
BID
Potentially Septic Newborn
Waiting Final Action 
03/30/2025
AMIKACIN 250MG/ML, 2ML (VIAL/AMP)
03/30/2025
04/06/2025
IVTT
39mg
OD
Potentially Septic Newborn
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: