Velasco, Marelyn A.

HRN: 21-34-72  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
05/15/2022
AMPICILLIN 1GM (VIAL)
05/15/2022
05/21/2022
IV
100mg
Q12
Neonatal Sepsis
Waiting Final Action 
05/15/2022
GENTAMICIN 40MG/ML, 2ML (AMP)
05/15/2022
05/21/2022
IV
10mg
OD
Neonatal Sepsis

AMS Audit Form


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 Compliance to guidelines:



 Initial appropriateness:



 If inappropriate:

           

 Final appropriateness:



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 Overall appropriateness: