Mendoza, Baby Boy .

HRN: 28-02-95  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
11/10/2025
AMPICILLIN 500MG (VIAL)
11/10/2025
11/16/2025
IV
140mg
Q12hours
PSNB Sec To PROM X 24hours
Waiting Final Action 
11/10/2025
GENTAMICIN 40MG/ML, 2ML (AMP)
11/10/2025
11/16/2025
IV
14mg
Q24hours
PROM X 24hours
Waiting Final Action 

AMS Audit Form


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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: