Fernandez, Baby Girl .

HRN: 23-83-96  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
10/15/2023
ERYTHROMYCIN 0.5%, 3.5G EYE OINTMENT (TUBE)
10/15/2023
10/15/2023
TOPICAL OU
Thinly
Once
Routine Newborn Care
Waiting Final Action 
10/17/2023
AMPICILLIN 500MG (VIAL)
10/17/2023
10/24/2023
IV
150mg
Q12H
PSNB
Waiting Final Action 
10/17/2023
GENTAMICIN 40MG/ML, 2ML (AMP)
10/17/2023
10/24/2023
IV
15mg
Q24H
PSNB
Waiting Final Action 
10/19/2023
CEFTAZIDIME 1GM (VIAL)
10/19/2023
10/25/2023
IV
100mg
Q8
Omphalitis
Waiting Final Action 
10/19/2023
CEFTAZIDIME 1GM (VIAL)
10/19/2023
10/25/2023
IV
100mg
Q8
Omphalitis
Waiting Final Action 

AMS Audit Form


Start Date: End Date:

 Indication:

              

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 Compliance to guidelines:



 Initial appropriateness:



 If inappropriate:

           

 Final appropriateness:



 If inappropriate:

              

 Overall appropriateness: