Pahayahay, Baby Girl .

HRN: 22-65-46  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
04/01/2023
AMPICILLIN 250MG (VIAL)
04/01/2023
04/07/2023
IV
200mg
Q12hr
Neonatal Sepsis
Waiting Final Action 
04/01/2023
AMIKACIN 250MG/ML, 2ML (VIAL/AMP)
04/01/2023
04/07/2023
IV
40mg
Q24hr
Neonatal Sepsis
Waiting Final Action 

AMS Audit Form


Start Date: End Date:

Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: