Gumahad, Baby Girl .

HRN: 28-92-51  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
05/05/2026
AMPICILLIN 250MG (VIAL)
05/05/2026
05/11/2026
IVT
150mg
Q12H
PSNB (multiple Pustular Skin Lesions)
Remove - Pending Acceptance
05/05/2026
GENTAMICIN 40MG/ML, 2ML (AMP)
05/05/2026
05/11/2026
IVT
15mg
Q24H
PSNB (multiple Pustular Skin Lesions)
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: