Lasam, Baby Boy .

HRN: 25-74-23  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
08/22/2024
ERYTHROMYCIN 0.5%, 3.5G EYE OINTMENT (TUBE)
08/22/2024
08/22/2024
APPLY ON EYE
One Layer
Once
Ophthalmia Neonatorum
Waiting Final Action 
08/24/2024
AMPICILLIN 250MG (VIAL)
08/24/2024
08/30/2024
IV
115mg
Q12h
PSNB
Waiting Final Action 
08/24/2024
AMIKACIN 250MG/ML, 2ML (VIAL/AMP)
08/24/2024
08/30/2024
IV
34mg
OD
PSNB
Waiting Final Action 

AMS Audit Form


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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: