Duhaylungsod, Baby Girl Ii .

HRN: 22-65-80  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
04/25/2023
AMPICILLIN 250MG (VIAL)
04/25/2023
05/01/2023
IVT
250mg
Q12
PSNB
Waiting Final Action 
04/25/2023
AMIKACIN 250MG/ML, 2ML (VIAL/AMP)
04/25/2023
05/01/2023
IVT
35mg
OD
PSNB
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: