Dequilla, Baby Girl D.

HRN: 70   Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
04/05/2022
AMPICILLIN 250MG (VIAL)
04/05/2022
04/12/2022
IV
125mg
Q12h
PSNB ( Thickly MSAF )
Waiting Final Action 
04/05/2022
GENTAMICIN 40MG/ML, 2ML (AMP)
04/05/2022
04/12/2022
IV
12mg
OD
PSNB ( Thickly MSAF )
Waiting Final Action 

AMS Audit Form


Start Date: End Date:

Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: