Bayamban, Baby Boy .

HRN: 26-94-60  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
04/12/2025
AMPICILLIN 500MG (VIAL)
04/12/2025
04/19/2025
INTRAVENOUS
168 Mg IVTT
Q24H
PSNB
Waiting Final Action 
04/12/2025
AMIKACIN 250MG/ML, 2ML (VIAL/AMP)
04/12/2025
04/19/2025
INTRAVENOUS
50 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: