Alpeche, Baby Boy 2 .

HRN: 29-12-72  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
06/11/2026
AMPICILLIN 500MG (VIAL)
06/11/2026
06/17/2026
IVT
45mg
Q12
Neonatal Sepsis
Remove - Pending Acceptance
06/11/2026
AMIKACIN 250MG/ML, 2ML (VIAL/AMP)
06/11/2026
06/24/2026
IVT
27mg
Q36
Neonatal Sepsis
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: