Verallo, Baby Boy .

HRN: 27-76-42  Sex: Male

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
IVT
170mg
Q12H
T/C Neonatal Pneumonia
Remove - Pending Acceptance
09/07/2025
GENTAMICIN 40MG/ML, 2ML (AMP)
09/07/2025
09/16/2025
IVT
17mg
Q24H
T/C Neonatal Pneumonia
Remove - Pending Acceptance
09/08/2025
CEFOTAXIME 500MG (VIAL)
09/08/2025
09/17/2025
IV
170mg
Q12 Hours
Sepsis
Remove - Pending Acceptance

AMS Audit Form


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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: