Fernandez, Baby Girl .

HRN: 21-34-60  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
05/12/2022
AMPICILLIN 250MG (VIAL)
05/12/2022
05/18/2022
IVT
75
Q12
PSNB
Waiting Final Action 
05/12/2022
GENTAMICIN 40MG/ML, 2ML (AMP)
05/12/2022
05/18/2022
IVT
7.5
Od
Psnb
Waiting Final Action 
05/14/2022
CEFTAZIDIME 1GM (VIAL)
05/14/2022
05/20/2022
IVT
75mg
Q12hrs
Neonatal Sepsis
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: