Cañete, Baby Girl .

HRN: 27-72-75  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
09/07/2025
AMPICILLIN 1GM (VIAL)
09/07/2025
09/13/2025
IV
145mg
Q12 Hours
NAMF (PROM)
Checking Initial Appropriateness 
09/07/2025
GENTAMICIN 40MG/ML, 2ML (AMP)
09/07/2025
09/13/2025
IV
14.5mg
Q24 Hours
NAMF (PROM)
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: