ALKES IGD

BULAN :
No. NAMA BARANG
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30

Acran Inj.
Alkohol 70%
Arm Sling S
Arm Sing M
Arm Sling L
Bd. Neoflon 26G
Betadine
Bisolvon
Buscopan Inj.
Bactigras
Colar Neck S
Colar Neck M
Colar Neck L
Chromic Catgut (75cm)
Chromic Gut 2-0 (90 cm)
Chromic Catgut 3-0 (70 cm)
Cortidex 10 mg (camidexon)
Cotton Bud Steril
Dr. Shella (150 cm)
Dextrose 5% 500ml
Diazepam Inj. (Valisanbe)
Detol Soap
D40% 25ml
Ethyl Cl
ETT
Epineprine / Adrenaline
Fenestrated Drape (duk bolong)
Fentanyl
Folley Catheter no.14
Folley Catheter no.16

JUMLAH
1
1
1
1
1
2
1
1
1
3
1
1
1
1
1
1
1
1
2
2
5
1
1
1
9
2
3
1
1
1

Expired

10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25

31

Gamex no.6

26 27 28

29

30 31

No. NAMA BARANG

32 Gamex no.6,5
33 Gamex no.8
34 Hipafix
35 Infus Set Mikro
36 Infus Set Makro

JUMLAH
2
2
1
1
2

37 Infus Blood Set

38 Infus Set Intrafix
39 KaEN 1B 500ml
40 Ketorolac Inj. (Torasic)
41 KaEN 3B 500ml
42 Leokocrepe
43 Lidocain Inj.
44 Lakmus
45 Masker One Med
46 Mash Med
47 Meptin
48 Miloz
49 Micropore 0,5 inci
50 Micropore 1 inci
51 Micropore 1,5 inci
52 Minyak Kayu Putih
53 Needle no. 23 G
54 Needle no. 26 G
55 NaCl 0,9% 25 ml
56 NaCl 0,9% 500 ml
57 Nasal Canule Adult
58 Nasal Canule Pediatric
59 Nasal Canule Infant
60 NGT no. 18
61 NGT no 12
62 NGT no. 3.5
63 NPA
64 O2 Conector
65 O2 NRM Adut
66 O2 Mask Pediatric
67 OPA
68 Pisau cukur

1
1
2
1
2
1
4
1
1
1
2
1
1
1
1
2
2
3
3
3
1
1
1
1
1
1
5
1
1
1
8
3

69 Prolen 3/0

Expired

9 10 11 12 13 14 15

16

17

18 19 20 21

22 23 24 25 26 27

28 29

30 31

No.

NAMA BARANG

70

JUMLAH

Prolen 3/0

71

Prolen 4/0

72

Prolen 5/0

73

Prolen 6/0

74

Pulmicort

75

Ring AS 500 ml/Asering

76

RL 500 ml

77

Sensi Glove S

78

Sensi Glove XS

79

Sensi Glove M

80

Sensi Glove L

81

Selang Suction

82

Silkam 3.0

83

Silkam 4.0

84

Spalk Kayu

85

Spuit 1cc

86

Spuit 3cc

87

Spuit 5cc

88

Spuit 10cc

89

Spuit 20cc

90

Suction Catheter

91

Sulfat Atropine 0,25

92

Tegaderm 1623

93

Three Way Tube(Buntut)

94

Three Way D-R

95

Tongue Spatle

96

Transport Swab

97

Thrombopop

98

Vomceran Inj.

99

Urine Bag

100 Urine Collector Pediatric

101 Ventolin

Expired

10 11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

102 Vasofix no. 18 G

26

27

28

29

30

31

No.

NAMA BARANG

JUMLAH

103 Vasofix no. 20 G

104 Vasofix no. 24 G

105 Wing Needle 23 G

106 Wing Needle 27 G

107 Water For Inj. 25 ml

108 Under Pad

109 USG Gel

Expired

Paraf/pemeriksa

Wadir Medis

(Dr. Cut Badriah SpA)

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

Mengetahui
Penanggung Jawab IGD

(Dr. Denty Rahayu)

26

27

28

29

30

31

INVENTARIS IGD
BULAN :
No. NAMA BARANG
1
AC
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26

Bantal
Kursi Dokter
Kursi Pasien
Kalkulator
Kursi Roda
Kursi Tunggu
Kabel Roll
Kursi Tindakan
Lemari Putih
Lemari Alat Abu-abu
Lemari Timbangan
Mading IGD
Meja Dokter
Pembolong Kertas
Perlak
Remot AC
Stempel IGD
Stempel Dokter IGD
Selimut
Senter Putih
Senter Kuning
Steples
Tempat Sampah
Trolly Emergency
Trolly Alkes

JUMLAH
3
3
2
1
1
1
1
1
1
1
1
1
1
1
1
3
2
1
3
3
1
2
1
6
1
1

10

11 12 13

14

15

16

17

18

19 20 21 22 23 24 25 26 27 28 29

30 31

No.
27
28
29
30
31

NAMA BARANG
Trolly Bedah
Tangga Pasien
Telephone
Tempat Sabun
Tempat Tidur Pasien

JUMLAH
1
3
1
1
3

32 Tempat Tissue
33 Timbangan Dewasa
34 Timbangan Bayi

10

11

12

13

14

15

16

17

18

19 20 21 22

23

2
1
1

Paraf/pemeriksa
Mengetahui
Wadir Medis

(Dr. Cut Badriah SpA)

Penanggung Jawab IGD

(Dr. Denty Rahayu)

24

25

26 27 28

29

30

31

ALKES AMBULANCE
BULAN :
No.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

33

NAMA BARANG
Alkhol Sweab
Canul O2 Adult
Canul O2 Pediatric
Bengkok
Infus Dext. 5% 500ml
Infus Dext. 10% 500ml
Infus R+D
Face Mask Breathing
Face Mask Non Breathing
Infus Intrafix B-Braun
Kassa Steril
Kantong Pastik
Emergency Lamp
Masker
Micropore 0,5 inci
Micropore 1 inci
Micropore 2 inci
Infus NACL 0,9% 500ml
Neoflon no. 24
Neoflon no. 26
Oksigen Humidifier
Infus Ring-AS 500ml
Infus RL 500ml
Alat Suction
Stetoskop
Sensi Glove
Suction Cateter 10G
Tegaderm 1623
Tissue
Tensimeter (Kompas)
Tempat Sampah Kecil
Underpad

Vasofix no. 20 (Venflon)

33.5 Vasofix no. 22 (Venflon)
35 Vasofix 24

JUMLAH
1
1
1
1
1
1
1
1
1
1
1
2
1
1
1
1
1
1
1
1
1
1
2
1
1
1
1
1
1
1
1
1
1
1
1

10

11

12

13

14

15

16

17

18

19

20

21

22

23

Mengetahui
Wadir Medis

(Dr. Cut Badriah SpA)

Penanggung Jawab IGD

(Dr. Denty Rahayu)

24

25

26

27

28

29

30

31

INVENTARIS ALAT MEDIS IGD

BULAN :
No.

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27

NAMA BARANG
Aff Hecting Set
Amubag Adult
Amubag Pediatric
Amubag Infant
Bisturi
Bengkok
Box Emergency
Cocor Bebek
Defibrilator
Duk Seril
Emergency Lamp
Filter
Gunting Kertas
Gunting Perban
Gunting Benang
Gunting Jaringan
Gunting Mayo
Gunting Panjang
Gunting Aff Hecting
GDS (Easy Touch)
Gigi 3
Hecting Set
Infus Pump Terumo
ISO Volume 47'12 s/d '13
Jarum Hecting Otot
Jam Dinding
Kaki Gyn

JUMLAH 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
2
1
1
1
4
3
1
4
1
4
1
4
1
1
1
3
1
2
1
1
1
3
1
1
12
2
4

28
29

Korentang
Kom

1
2

31

No.

30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48

NAMA BARANG
Klem Arteri

JUMLAH
6

Laringoskop Set Adult

1
2
1

Manset Tensi
Minor Set
Monitor
Magill Forcep
NPA
Nailfudder
Nebulaizer
Nearbaken/Bengkok

Oksigen Humidifier
Pulse Oxymetri
Partus Set
Pinset Anatomis
Pinset Serurgi
Skapel
Selang Suction
Stetoskop Bayi
Stetoskop Dewasa

1
2
5
3
1
2
2
1
1
5
4
2
1
1
1

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

No.

49
50
51
52
53
54
55
56
57
58
59
60

NAMA BARANG
Sonde Uterus
Suction Mandela
Sungkup Amubag Adult
Sungkup Amubag anak no.2

Sirkumsisi Set
Tampon Tang
Tenakulum
Termometer
Tiang Infus
Tensi Meter
Tabung Oksigen
Torniquet
Paraf / pemeriksa

JUMLAH
1

10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27

1
2
2
1
1
1
2
2
1
1
2

Mengetahui
Wadir Medis

(Dr. Cut Badriah SpA)

Penanggung Jawab IGD

(Dr. Denty Rahayu)

28 29 30 31