Ponio, Baby Girl .

HRN: 21-99-23  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
10/10/2022
AMPICILLIN 250MG (VIAL)
10/10/2022
10/16/2022
IVT
135mg
Q12
Potentially Septic Newborn
Waiting Final Action 
10/10/2022
GENTAMICIN 40MG/ML, 2ML (AMP)
10/10/2022
10/16/2022
IVT
13.5mg
Q24
Potentially Septic Newborn
Waiting Final Action 
10/12/2022
MUPIROCIN 2%, 15G (TUBE)
10/12/2022
10/18/2022
TOPICAL
Thinly
Bid
Skin Infection
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: