Orlanes, Baby Boy .

HRN: 22-24-04  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
11/21/2022
AMPICILLIN 250MG (VIAL)
11/21/2022
11/28/2022
IV
140 Mg
Q12
PROM X 41 Hrs
Waiting Final Action 
11/21/2022
AMIKACIN 250MG/ML, 2ML (VIAL/AMP)
11/21/2022
11/28/2022
IV
39 Mg
Q24
PSNB PROM X 41 HRS
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: