Suganob, Baby Girl .

HRN: 27-70-28  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
08/27/2025
AMPICILLIN 250MG (VIAL)
08/26/2025
09/02/2025
IV
135mg
Q12H
Meconium Aspiration Syndrome
Checking Initial Appropriateness 
08/27/2025
GENTAMICIN 40MG/ML, 2ML (AMP)
08/26/2025
09/02/2025
IV
13.5mg
OD
Meconium Aspiration Syndrome
Checking Initial Appropriateness 

AMS Audit Form


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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: