Gulpin, Baby Girl .

HRN: 28-66-04  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
03/03/2026
AMPICILLIN 1GM (VIAL)
03/03/2026
03/10/2026
IV
115mg
Q12h
PSNB
Remove - Pending Acceptance
03/03/2026
GENTAMICIN 40MG/ML, 2ML (AMP)
03/03/2026
03/10/2026
IV
11mg
Q24h
PSNB
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: