Ouano, Baby Boy I .

HRN: 27-27-36  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
06/22/2025
AMPICILLIN 250MG (VIAL)
06/22/2025
06/28/2025
IV
120mg
Q12
PSNB
Remove - Pending Acceptance
06/22/2025
AMIKACIN 250MG/ML, 2ML (VIAL/AMP)
06/22/2025
06/28/2025
IV
29mg
OD
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: