Ligutom, Baby Girl .

HRN: 28-59-78  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
02/26/2026
ERYTHROMYCIN 0.5%, 3.5G EYE OINTMENT (TUBE)
02/26/2026
02/26/2026
TOPICAL OINTMENT
As Much Needed
OD
Prophylaxis For Ophthalmia Neonaturom
Remove - Pending Acceptance

AMS Audit Form


Start Date: End Date:

Indication:

              

Type of Infection:

                             

           

Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: