Sañana, Baby Girl .

HRN: 22-18-72  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
11/15/2022
AMPICILLIN 250MG (VIAL)
11/15/2022
11/21/2022
IVT
180mg
Q12
PSNB Sec To Thickly MSAF
Waiting Final Action 
11/15/2022
GENTAMICIN 40MG/ML, 2ML (AMP)
11/15/2022
11/21/2022
IVT
18mg
Q24
PSNB Sec To 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: