Montemor, Baby Girl .

HRN: 21-99-11  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
09/30/2022
AMPICILLIN 250MG (VIAL)
09/30/2022
10/07/2022
IV
165mg
Q12
PSNB
Waiting Final Action 
09/30/2022
GENTAMICIN 40MG/ML, 2ML (AMP)
09/30/2022
10/07/2022
IV
17mg
Q24
PSNB
Waiting Final Action 

AMS Audit Form


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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: