Mañabo, Baby Girl .

HRN: 28-69-36  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
03/14/2026
AMPICILLIN 250MG (VIAL)
03/14/2026
03/20/2026
IV
100mg
Q12hours
PSNB (ER Delivery)
Remove - Pending Acceptance
03/14/2026
AMIKACIN 250MG/ML, 2ML (VIAL/AMP)
03/14/2026
03/20/2026
IV
30mg
Q24hours
PSNB (ER Delivery)
Remove - Pending Acceptance

AMS Audit Form


Start Date: End Date:

Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: