Carpio, Baby Boy .

HRN: 27-84-68  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
09/30/2025
AMPICILLIN 1GM (VIAL)
09/29/2025
10/06/2025
IV
75MG
Q12
MATERNAL URTI
Waiting Final Action 
09/30/2025
AMIKACIN 250MG/ML, 2ML (VIAL/AMP)
09/29/2025
10/06/2025
IV
18MG
OD
MATERNAL URTI
Waiting Final Action 

AMS Audit Form


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Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: