Opeña, Baby Girl .

HRN: 28-73-09  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
03/19/2026
AMPICILLIN 500MG (VIAL)
03/19/2026
03/26/2026
IV
140mg
Q12h
Neonatal Sepsis
Checking Initial Appropriateness 
03/19/2026
AMIKACIN 250MG/ML, 2ML (VIAL/AMP)
03/19/2026
03/26/2026
IV
35mg
Q24h
Neonatal Sepsis
Checking Initial Appropriateness 

AMS Audit Form


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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: