Rodinas, Baby Boy N.

HRN: 21-99-83  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
12/08/2022
AMPICILLIN 250MG (VIAL)
12/08/2022
12/14/2022
IVT
105 Mg
Q12
PSNB
Waiting Final Action 
12/08/2022
GENTAMICIN 40MG/ML, 2ML (AMP)
12/08/2022
12/14/2022
IVT
10.5 Mg
Q24
PSNB
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: