Cece, Baby Girl .

HRN: 24-36-65  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
01/12/2024
ERYTHROMYCIN 0.5%, 3.5G EYE OINTMENT (TUBE)
01/12/2024
01/12/2024
TOPICAL
0.5%
OD
Eye Prophylaxis
Checking Final Appropriateness 

AMS Audit Form


Start Date: End Date:

Indication:

              

Type of Infection:

                             

           

Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: