Balondo, Baby Boy L.

HRN: 22-57-25  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
02/03/2023
AMPICILLIN 500MG (VIAL)
02/03/2023
02/10/2023
IV
150mg
Q12 Hours
Meconium Aspiration Syndrome
Waiting Final Action 
02/03/2023
GENTAMICIN 40MG/ML, 2ML (AMP)
02/03/2023
02/10/2023
IV
15mg
OD
Meconium Aspiration Syndrome
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: