Ungab, Baby Boy .

HRN: 26-97-85  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
07/13/2025
AMPICILLIN 250MG (VIAL)
07/13/2025
07/19/2025
IV
155 Mg
2 Times A Day
PSNB
Waiting Final Action 
07/13/2025
GENTAMICIN 40MG/ML, 2ML (AMP)
07/13/2025
07/19/2025
IV
16 Mg
Once A Day
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: