Abenes, Baby Boy .

HRN: 24-32-13  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
01/26/2024
AMPICILLIN 500MG (VIAL)
01/26/2024
02/01/2024
IV
150mg
Q12
Psnb
Waiting Final Action 
01/26/2024
AMIKACIN 250MG/ML, 2ML (VIAL/AMP)
01/26/2024
02/01/2024
IV
35mg
Q24
Psnb
Waiting Final Action 
01/26/2024
ERYTHROMYCIN 0.5%, 3.5G EYE OINTMENT (TUBE)
01/26/2024
01/26/2024
TOPICAL
1
OD
Ophthalmia Neonatorum
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: