Makig-angay, Eliana Xoey S.

HRN: 29-04-59  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
06/07/2026
AMPICILLIN 1GM (VIAL)
06/07/2026
06/14/2026
IV
150
Q12
Neonatal Sepsis
Remove - Pending Acceptance
06/07/2026
GENTAMICIN 40MG/ML, 2ML (AMP)
06/07/2026
06/14/2026
IV
15mg
Q24
Neonatal Sepsis
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: