Ruste, Baby Boy .

HRN: 29-25-32  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
07/02/2026
AMPICILLIN 250MG (VIAL)
07/02/2026
07/09/2026
IVTT
190mg
Q12h
PSNB (thickly MSAF)
Remove - Pending Acceptance
07/02/2026
AMIKACIN 250MG/ML, 2ML (VIAL/AMP)
07/02/2026
07/09/2026
IVTT
57mg
Q24h
PSNB(thickly MSAF)
Remove - Pending Acceptance
07/02/2026
ERYTHROMYCIN 0.5%, 3.5G EYE OINTMENT (TUBE)
07/02/2026
07/09/2026
TOPICAL
0.5%
One Time
Opthalmic Neonatorum
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: