Ceballos, Baby Girl .

HRN: 22-12-79  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
11/02/2022
AMPICILLIN 500MG (VIAL)
11/02/2022
11/09/2022
IVT
180mg
Q12
Hemorrhagic Disease Of The Newborn; PSNB
Waiting Final Action 
11/02/2022
GENTAMICIN 40MG/ML, 2ML (AMP)
11/02/2022
11/08/2022
IVT
18mg
Q24
Hemorrhagic Disease Of The Newborn; PSNB
Waiting Final Action 

AMS Audit Form


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Compliance to guidelines:



Initial appropriateness:



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Final appropriateness:



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Overall appropriateness: