Delos Reyes, Baby Boy .

HRN: 22-39-21  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
01/02/2023
AMPICILLIN 250MG (VIAL)
01/02/2023
01/08/2023
IVT
140mg
Q12
Psnb
Waiting Final Action 
01/02/2023
GENTAMICIN 40MG/ML, 2ML (AMP)
01/02/2023
01/08/2023
IVT
14mg
Od
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: