Gaas, Baby Girl -.

HRN: 22-39-09  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
12/27/2022
AMPICILLIN 250MG (VIAL)
12/27/2022
01/03/2023
IVT
170 Mg
12 Hrs
Neonatal Pneumonia
Waiting Final Action 
12/27/2022
AMIKACIN 250MG/ML, 2ML (VIAL/AMP)
12/27/2022
01/03/2023
IVT
33 Mg
24 Hrs
Neonatal Pneumonia
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: