Leges, Baby Boy B.

HRN: 22-29-19  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
12/07/2022
AMPICILLIN 500MG (VIAL)
12/07/2022
12/13/2022
IV
160mg
Q12
PSNB Secondary To Non Institutional Delivery
Waiting Final Action 
12/07/2022
GENTAMICIN 40MG/ML, 2ML (AMP)
12/07/2022
12/13/2022
IV
16mg
Q24
PSNB Secondary To Non Institutional Delivery
Waiting Final Action 
12/07/2022
ERYTHROMYCIN 0.5%, 3.5G EYE OINTMENT (TUBE)
12/07/2022
12/07/2022
TOPICAL
1 Dose
Once
Eye Prophylaxis
Waiting Final Action 

AMS Audit Form


Start Date: End Date:

Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: