Damas, Baby Girl .

HRN: 26-14-97  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
01/12/2025
AMPICILLIN 1GM (VIAL)
01/12/2025
01/19/2025
IV
200mg
Q12h
PSNB
Waiting Final Action 
01/12/2025
GENTAMICIN 40MG/ML, 2ML (AMP)
01/12/2025
01/19/2025
IV
20mg
Q24h
PSNB
Waiting Final Action 
01/12/2025
ERYTHROMYCIN 0.5%, 3.5G EYE OINTMENT (TUBE)
01/12/2025
01/19/2025
OPHTHALMIC
Pea Size
OD
Prophylaxis
Waiting Final Action 

AMS Audit Form


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Compliance to guidelines:



Initial appropriateness:



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Final appropriateness:



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Overall appropriateness: