Palinta, Baby Boy .

HRN: 22-35-55  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
12/25/2022
AMPICILLIN 250MG (VIAL)
12/25/2022
12/31/2022
IV
105 Mg
Q12h
Neonatal Sepsis NID
Waiting Final Action 
12/25/2022
GENTAMICIN 40MG/ML, 2ML (AMP)
12/25/2022
12/31/2022
IV
11mg
Q24h
Neonatal Sepsis NID
Waiting Final Action 
12/29/2022
MUPIROCIN 2%, 15G (TUBE)
12/29/2022
01/04/2023
TOPICAL
Small Amount
TID
Omphalitis
Waiting Final Action 

AMS Audit Form


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Compliance to guidelines:



Initial appropriateness:



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Final appropriateness:



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Overall appropriateness: