Cariño, Bb Girl .

HRN: 22-65-34  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
03/26/2023
AMPICILLIN 1GM (VIAL)
03/26/2023
04/02/2023
IV
160mg
Q12H
Neonatal Sepsis
Waiting Final Action 
03/26/2023
GENTAMICIN 40MG/ML, 2ML (AMP)
03/26/2023
04/02/2023
IV
15mg
Q24H
Neonatal Sepsis
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: