Marmojada, Baby Girl .

HRN: 29-12-24  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
06/06/2026
AMPICILLIN 500MG (VIAL)
06/06/2026
06/13/2026
IVT
145mg
Q12
PSNB (Maternal UTI)
Remove - Pending Acceptance
06/06/2026
AMIKACIN 250MG/ML, 2ML (VIAL/AMP)
06/06/2026
06/13/2026
IVT
44mg
Q24
PSNB (Maternal UTI)
Remove - Pending Acceptance

AMS Audit Form


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Compliance to guidelines:



Initial appropriateness:



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Final appropriateness:



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Overall appropriateness: