Omoc-oc, Baby Boy .

HRN: 22-24-07  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
11/22/2022
AMPICILLIN 1GM (VIAL)
11/22/2022
11/29/2022
IVTT
475mg
Q12h
PSNB (MSAF)
Waiting Final Action 
11/22/2022
AMIKACIN 250MG/ML, 2ML (VIAL/AMP)
11/22/2022
11/29/2022
IVTT
45mg
Q24h
PSNB (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: