Pedrano, Baby Boy R.

HRN: 22-33-31  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
12/15/2022
AMPICILLIN 250MG (VIAL)
12/15/2022
12/21/2022
IV
150mg
Q12
Neonate Affected By Maternal Factor (Covid)
Waiting Final Action 
12/15/2022
GENTAMICIN 40MG/ML, 2ML (AMP)
12/15/2022
12/21/2022
IV
15mg
OD
Neonate Affected By Maternal Factor (Covid)
Waiting Final Action 

AMS Audit Form


Start Date: End Date:

Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: