Solis, Baby Girl .

HRN: 28-79-87  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
04/10/2026
AMPICILLIN 250MG (VIAL)
04/10/2026
04/17/2026
IV
140 Mg
Q12
NAMF (Chorioamnionitis); Possibly Septic Newborn
Remove - Pending Acceptance
04/10/2026
GENTAMICIN 40MG/ML, 2ML (AMP)
04/10/2026
04/17/2026
IV
14mg
Q24h
NAMF - Chorioamnionitis; Possibly Septic Newborn
Remove - Pending Acceptance

AMS Audit Form


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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: