Roflo, Bb Girl .

HRN: 21-94-40  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
09/14/2022
AMPICILLIN 1GM (VIAL)
09/14/2022
09/20/2022
IVT
180mg
Q12
Psnb
Waiting Final Action 
09/14/2022
GENTAMICIN 40MG/ML, 2ML (AMP)
09/14/2022
09/20/2022
IVT
18mg
Q24
Psnb
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: