Matabat, Baby Girl .

HRN: 29-38-01  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
07/26/2026
AMIKACIN 250MG/ML, 2ML (VIAL/AMP)
07/26/2026
08/02/2026
IV
42MG
Q24H
T/C NEONATAL SEPSIS
Remove - Pending Acceptance
07/26/2026
AMPICILLIN 250MG (VIAL)
07/26/2026
08/02/2026
IV
140MG
Q12H
T/C 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: