Ole, Baby Girl A.

HRN: 24-67-47  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
03/16/2024
AMPICILLIN 250MG (VIAL)
03/16/2024
03/23/2024
IV
175 Mg
Q12
PSNB
Waiting Final Action 
03/16/2024
GENTAMICIN 40MG/ML, 2ML (AMP)
03/16/2024
03/23/2024
IV
18 Mg
Q24
PSNB
Waiting Final Action 
03/16/2024
ERYTHROMYCIN 0.5%, 3.5G EYE OINTMENT (TUBE)
03/16/2024
03/23/2024
TOPICAL
0.5%
Now
Crede’s Prophylaxis
Waiting Final Action 

AMS Audit Form


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Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: