Agan, Bay Boy .

HRN: 29-00-56  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
05/22/2026
ERYTHROMYCIN 0.5%, 3.5G EYE OINTMENT (TUBE)
05/22/2026
05/29/2026
TOPICAL
3.5gms
OD
Eye Prophylaxis
Checking Initial Appropriateness 

AMS Audit Form


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Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: