Maulana, Baby Boy .

HRN: 22-39-49  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
01/27/2023
AMIKACIN 250MG/ML, 2ML (VIAL/AMP)
01/27/2023
02/02/2023
IV
45mg
Q24
Thickly MSAF
Waiting Final Action 
01/27/2023
AMPICILLIN 500MG (VIAL)
01/27/2023
02/02/2023
IV
150mg
Q12
Thickly MSAF
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: