Quirit, Baby Girl B.

HRN: 28-80-60  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
04/08/2026
ERYTHROMYCIN 0.5%, 3.5G EYE OINTMENT (TUBE)
04/08/2026
04/15/2026
TOPICAL
3.5g
OD
PROPHYLAXIS
Remove - Pending Acceptance
04/08/2026
ERYTHROMYCIN 0.5%, 3.5G EYE OINTMENT (TUBE)
04/08/2026
04/15/2026
TOPICAL
3.5g
OD
PROPHYLAXIS
Remove - Pending Acceptance
04/08/2026
AMPICILLIN 250MG (VIAL)
04/08/2026
04/15/2026
IV
55mg
Q12
NEONATAL SEPSIS
Remove - Pending Acceptance
04/08/2026
GENTAMICIN 40MG/ML, 2ML (AMP)
04/08/2026
04/15/2026
IV
6mg
Q36h
Neonatal Sepsis
Remove - Pending Acceptance

AMS Audit Form


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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: