Velasco, Baby Girl -.

HRN: 21-28-26  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
04/23/2022
AMPICILLIN 250MG (VIAL)
04/23/2022
04/29/2022
IVT
85mg
Q12
Poor Suck And Poor Cry, Jaundice
Waiting Final Action 
04/23/2022
GENTAMICIN 40MG/ML, 2ML (AMP)
04/23/2022
04/29/2022
IVT
7mg
OD
Poor Suck And Cry, Jaundice
Waiting Final Action 
04/24/2022
CEFTAZIDIME 1GM (VIAL)
04/24/2022
04/30/2022
IV
51
Q12
Sepsis
04/24/2022
AMIKACIN 250MG/ML, 2ML (VIAL/AMP)
04/24/2022
04/30/2022
IV
26
Q12
Sepsis
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: