Bantilan, Baby Boy L.

HRN: 21-34-14  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
05/02/2022
AMPICILLIN 250MG (VIAL)
05/02/2022
05/09/2022
IVTT
135mg
Q12
Neonatal Sepsis
Waiting Final Action 
05/02/2022
GENTAMICIN 40MG/ML, 2ML (AMP)
05/02/2022
05/09/2022
IVTT
13.5mg
OD
Neonatal Sepsis
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: