Millavelez, Bb Girl .

HRN: 26-06-26  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
10/18/2024
ERYTHROMYCIN 0.5%, 3.5G EYE OINTMENT (TUBE)
10/18/2024
10/24/2024
OU
0.5mg
Once
Credes Prophylaxis
Waiting Final Action 
01/02/2025
AMIKACIN 250MG/ML, 2ML (VIAL/AMP)
01/02/2025
01/09/2025
IV
82.5mg
Q24hrs
Pcap C
Rejected 
01/02/2025
AMPICILLIN 500MG (VIAL)
01/02/2025
01/09/2025
IV
275 Mg
Q6h
Pcap C
Rejected 
01/03/2025
AMOXICILLIN 100MG/ML, 10ML DROPS (BOT)
01/03/2025
01/10/2025
IV
0.8
Q12 Hrs
PCAP C
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: