Omandam, Baby Boy .

HRN: 23-05-49  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
06/12/2023
AMPICILLIN 250MG (VIAL)
06/12/2023
06/18/2023
IVT
130mg
Q12
Psnb
Waiting Final Action 
06/12/2023
GENTAMICIN 40MG/ML, 2ML (AMP)
06/12/2023
06/18/2023
IVT
13mg
Q24
Psnb
Waiting Final Action 
06/12/2023
ERYTHROMYCIN 0.5%, 3.5G EYE OINTMENT (TUBE)
06/12/2023
06/12/2023
TOPICAL OU
Thinly
Once
Routine Newborn Care
Waiting Final Action 

AMS Audit Form


Start Date: End Date:

Indication:

              

Type of Infection:

                             

           

Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: