Romero, Baby Girl .

HRN: 21-99-61  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
11/24/2022
AMPICILLIN 500MG (VIAL)
11/24/2022
12/02/2022
IV
175 Mg
Q12
Neonate Affected By Maternal UTI, MSAF Thickly
Waiting Final Action 
11/24/2022
GENTAMICIN 40MG/ML, 2ML (AMP)
11/24/2022
12/02/2022
IV
18 Mg
Q12
Neonate Affected By Maternal UTI; MSAF Thickly
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: