Sumaylo, Baby Boy .

HRN: 27-84-52  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
09/27/2025
AMIKACIN 250MG/ML, 2ML (VIAL/AMP)
09/27/2025
10/04/2025
IV
55mg
Q 24
PSNB
Remove - Pending Acceptance
09/27/2025
AMPICILLIN 250MG (VIAL)
09/27/2025
10/04/2025
IV
186 Mg
Q 12
Sepsis Neonatorum
Remove - Pending Acceptance

AMS Audit Form


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Compliance to guidelines:



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Final appropriateness:



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