Abison, Baby Boy .

HRN: 22-11-97  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
10/28/2022
ERYTHROMYCIN 0.5%, 3.5G EYE OINTMENT (TUBE)
10/28/2022
10/28/2022
TOPICAL
Apply On Both Eyes
1 Dose
Eye Prophylaxis
Waiting Final Action 
10/28/2022
AMPICILLIN 250MG (VIAL)
10/28/2022
11/04/2022
IVTT
140mg
Q12
Psnb
Waiting Final Action 
10/28/2022
GENTAMICIN 40MG/ML, 2ML (AMP)
10/28/2022
11/04/2022
IVTT
14mg
Q24
Psnb
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: