SereÑo, Baby Boy .

HRN: 27-35-55  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
06/20/2025
AMPICILLIN 250MG (VIAL)
06/20/2025
06/27/2025
IV
130mg
Q12
PSNB
Waiting Final Action 
06/20/2025
GENTAMICIN 40MG/ML, 2ML (AMP)
06/20/2025
06/27/2025
IV
10mg
Q24
PSNB
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: