Miral, Baby Boy .

HRN: 23-45-13  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
07/31/2023
AMPICILLIN 250MG (VIAL)
07/31/2023
08/07/2023
IVTT
150mg
Q12
PSNB
Waiting Final Action 
07/31/2023
GENTAMICIN 40MG/ML, 2ML (AMP)
07/31/2023
08/07/2023
IVTT
15mg
Q24
PSNB
Waiting Final Action 
07/31/2023
ERYTHROMYCIN 0.5%, 3.5G EYE OINTMENT (TUBE)
07/31/2023
07/31/2023
OU
1
Single Dose
PSNB
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: