Dagohoy, Baby Boy #2 .

HRN: 22-39-81  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
02/14/2023
AMPICILLIN 250MG (VIAL)
02/14/2023
02/21/2023
IV
120mg
Q12
T/c Neonatal Pneumonia
Waiting Final Action 
02/14/2023
GENTAMICIN 40MG/ML, 2ML (AMP)
02/14/2023
02/21/2023
IV
12
Q24h
T/c Neonatal Pneumonia
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: