Insek, Baby Girl .

HRN: 22-57-08  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
02/03/2023
AMPICILLIN 250MG (VIAL)
02/03/2023
02/10/2023
IV
180mg
Q12hrs
Neonatal Sepsis
Waiting Final Action 
02/03/2023
GENTAMICIN 40MG/ML, 2ML (AMP)
02/03/2023
02/10/2023
IV
18mg
Q24hrs
Neonatal Sepsis
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: