Madera, Baby Girl Ii -.

HRN: 22-65-26  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
03/21/2023
AMIKACIN 250MG/ML, 2ML (VIAL/AMP)
03/21/2023
03/28/2023
IV
25mg
Q24
Poor APGAR Score, PSNB, Premature
Waiting Final Action 
03/21/2023
AMPICILLIN 250MG (VIAL)
03/21/2023
03/28/2023
IV
100mg
Q12
Poor APGAR Score, PSNB, Premature
Waiting Final Action 
03/28/2023
CEFTAZIDIME 1GM (VIAL)
03/28/2023
04/03/2023
IV
54mg
Q12
Prematurity, Shift Of Antibiotics
Waiting Final Action 

AMS Audit Form


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Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: