Jore, Baby Boy .

HRN: 22-41-80  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
01/03/2023
GENTAMICIN 40MG/ML, 2ML (AMP)
01/03/2023
01/10/2023
IV
15mg
Q24hours
Meconium Aspiration Syndrome
Waiting Final Action 
01/03/2023
AMPICILLIN 500MG (VIAL)
01/03/2023
01/10/2023
IV
200mg
Q12hours
Meconium Aspiration Syndrome
Waiting Final Action 
01/03/2023
ERYTHROMYCIN 0.5%, 3.5G EYE OINTMENT (TUBE)
01/03/2023
01/03/2023
TOPICAL
As Needed
One Dose
Newborn Prophylaxis
Waiting Final Action 
01/06/2023
MUPIROCIN 2%, 15G (TUBE)
01/06/2023
01/12/2023
TOPICAL OU
Bid
Bid
Skin Infection
Waiting Final Action 
01/08/2023
CEFOTAXIME 500MG (VIAL)
01/08/2023
01/14/2023
İVT
210
Bid
Psnb
Waiting Final Action 
01/08/2023
AMIKACIN 250MG/ML, 2ML (VIAL/AMP)
01/08/2023
01/14/2023
IVT
42 Mg
Od
Psnb
Waiting Final Action 
01/15/2023
ERYTHROMYCIN 0.5%, 3.5G EYE OINTMENT (TUBE)
01/15/2023
01/22/2023
TOPICAL
Apply On Both Eyes
Q12
Eye Prophylaxis
Waiting Final Action 

AMS Audit Form


Start Date: End Date:

Indication:

              

Type of Infection:

                             

           

Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: