Maalom, Rose .

HRN: 28-78-74  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
04/04/2026
AMIKACIN 250MG/ML, 2ML (VIAL/AMP)
04/04/2026
04/04/2026
IV
1 Gram
Ptot
Stat CS
Remove - Pending Acceptance

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: