Cabico, Fel Ezekiel E.

HRN: 22-71-69  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
03/17/2023
AMPICILLIN 250MG (VIAL)
03/17/2023
03/23/2023
IVT
65mg
Q12h
Potentially Septic Newborn
Waiting Final Action 
03/17/2023
AMIKACIN 250MG/ML, 2ML (VIAL/AMP)
03/17/2023
03/23/2023
IVTT
16mg
Q36h
Potentially Septic Newborn
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: