Salbiya, Baby Girl -.

HRN: 27-27-34  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
06/21/2025
AMPICILLIN 250MG (VIAL)
06/21/2025
06/28/2025
IV
125mg
Q12H
PSNB
Remove - Pending Acceptance
06/21/2025
AMIKACIN 250MG/ML, 2ML (VIAL/AMP)
06/21/2025
06/28/2025
IV
12mg
Q24H
PSNB
Remove - Pending Acceptance

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: