Dinawanao, Baby Boy .

HRN: 28-79-32  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
04/03/2026
AMPICILLIN 1GM (VIAL)
04/03/2026
04/09/2026
IV
100mg
Q12H
Possibly Septic Newborn (PROM X 18hrs); Neonate Affected By Maternal Factors (UTI)
Remove - Pending Acceptance
04/03/2026
GENTAMICIN 40MG/ML, 2ML (AMP)
04/03/2026
04/09/2026
IV
10mg
Q24
Possibly Septic Newborn (PROM X 18hrs); Neonate Affected By Maternal Factors (UTI)
Remove - Pending Acceptance

AMS Audit Form


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Compliance to guidelines:



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Final appropriateness:



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