Nananjo, Baby Boy .

HRN: 21-83-04  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
08/20/2022
AMPICILLIN 250MG (VIAL)
08/20/2022
08/26/2022
IVT
120mg
Q12
Maternal UTI
Waiting Final Action 
08/20/2022
GENTAMICIN 40MG/ML, 2ML (AMP)
08/20/2022
08/26/2022
IVT
12mg
OD
Maternal UTI
Waiting Final Action 
08/20/2022
ERYTHROMYCIN 0.5%, 3.5G EYE OINTMENT (TUBE)
08/20/2022
08/20/2022
TPOICAL
N/A
OD
Newborn Care
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: