Santiala, Alexa Kate T.

HRN: 22-13-10  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
10/24/2022
AMPICILLIN 500MG (VIAL)
10/24/2022
10/31/2022
IV
145 Mg
Q12
T/C Neonatal Sepsis
Waiting Final Action 
10/24/2022
GENTAMICIN 40MG/ML, 2ML (AMP)
10/24/2022
10/31/2022
IV
15 Mg
Q24
T/C Neonatal Sepsis
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: