Robis, Baby Girl .

HRN: 21-72-90  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
08/18/2022
AMPICILLIN 250MG (VIAL)
08/18/2022
08/25/2022
IV
135 Mg
Q12
Neonatal Sepsis
Waiting Final Action 
08/18/2022
GENTAMICIN 40MG/ML, 2ML (AMP)
08/18/2022
08/25/2022
IV
13.5 Mg
Q24
Neonatal Sepsis
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: