Sandato, Baby Boy -.

HRN: 22-24-52  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
11/30/2022
AMPICILLIN 1GM (VIAL)
11/30/2022
12/07/2022
IV
205mg
Q12
PSNB
Waiting Final Action 
11/30/2022
GENTAMICIN 40MG/ML, 2ML (AMP)
11/30/2022
12/07/2022
IV
20mg
Q24
PSNB
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: