Laranjo, Baby Boy .

HRN: 22-76-15  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
03/24/2023
AMPICILLIN 1GM (VIAL)
03/24/2023
03/31/2023
IV
165mg
BID
Empiric
Waiting Final Action 
03/24/2023
AMIKACIN 250MG/ML, 2ML (VIAL/AMP)
03/24/2023
03/31/2023
IV
33mg
OD
Empiric
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: