TOOLS AND MEDICINE

PENGAWASAN PERALATAN DAN

PROJECT /SITE
DATE OF INSPECTION
Category
Emergency

Peralatan Umum

Peralatan Bedah

Consumable

Status

Product ID

MP
MP
MP
MP
MP
MP
MP
MP
MP
MV
MP
MP
MP
MP
MP
3 MV, 2 MP

E-MDC-01
E-MDC-02
E-MDC-03
E-MDC-04
E-MDC-05
E-MDC-06
E-MDC-07
E-MDC-08
E-MDC-09
E-MDC-10
E-MDC-11
E-MDC-12
E-MDC-13
E-MDC-14
PU-MDC-01
PU-MDC-02
PU-MDC-03
PU-MDC-04
PU-MDC-05
PU-MDC-06
PU-MDC-07
PU-MDC-08
PU-MDC-09
PB-MDC-01
PB-MDC-02
PB-MDC-03
PB-MDC-04
PB-MDC-05
C-MDC-01
C-MDC-02
C-MDC-03
C-MDC-04
C-MDC-05
C-MDC-06
C-MDC-07
C-MDC-08
C-MDC-09
C-MDC-10

MV
2 MV, 1 MP
MP
MP
MV
MV
MP
MP
MP
MP
MP
MP

MP
MP
MP
MP
MP

: KARANGW
:

Sarana & Prasarana

MV
MP
MP
MP
MV
MP
MP
MP
MV
MP
MP
MP
MP
MP
MV
MV
MP
MP
MP
MP
MP
MP
MP
MP

C-MDC-11
C-MDC-12
C-MDC-13
C-MDC-14
C-MDC-15
C-MDC-16
C-MDC-17
C-MDC-18
C-MDC-19
C-MDC-20
C-MDC-21
C-MDC-22
C-MDC-23
C-MDC-24
C-MDC-25
C-MDC-26
SP-MDC-01
SP-MDC-02
SP-MDC-03
SP-MDC-04
SP-MDC-05
SP-MDC-06
SP-MDC-07
SP-MDC-08
SP-MDC-09
SP-MDC-10
SP-MDC-11
SP-MDC-12
SP-MDC-13
SP-MDC-14
SP-MDC-15

TOOLS AND MEDICINE EQUIPMENT CONTROL

PENGAWASAN PERALATAN DAN PERLENGAKPAN PENGOBATAN

ECT /SITE
OF INSPECTION

: KARANGWUNI
:
Name

Collar Nect
Spalk Besar
Spalk Sedang
Spalk Kecil
Nassal kanul
Ambu bag Set
Arm sling
Three way
Mayo
Pocket Mask
Strecher
Humidifire (Tabung O2) Besar
Humidifire (Tabung O2) Sedang
Humidifire (Tabung O2) Kecil
Palu medis
Tensi
Pengukur tinggi Badan
Timbangan Berat Badan
Stetoskop
alat Cek gula darah
Bengkok
Snellen Chart (tes tajam penglihatan )
Buku Ishihara (tes buta warna)
Set Bedah Minor
Needle Hecting dalam
Needle Hecting luar
Benang Hecting Silk
Benang Hecting Catgut
Kapas Pembalut
elastis verban kecil (2 inchi)
elastis verban sedang (4 inchi)
elastis verban besar (6 inchi)
Spuit 3cc
Spuit 5cc
Spuit 10cc
Abocath 22 G
Abocath 24 G
Larutan Nacl 25 ml

Unit
2
1
2
3
6
1
1
2
3
1
1
1
1
1
1
5
0
1
3
1
2
1
1
1 Set
7
5
1
3
1 roll
0
0
0
39
0
3
5
1
2

Quantitiy/
100 POB
2
4
4
4
6
1
2
2
3
1
2
1
1
1
1
2
2
3
2
1
2
1
1
2 set
9
8
4
4
1 roll
2
2
2
45
10
3
2
0
5

Larutan aquades steril 1 liter

Larutan Infus RL 500ml
Larutan Revanol
Larutan H202
Lidocain
Needle 23 G
Needle 24 G
Lomatul
Kassa steril
Roll Verban
Duk steril
Larutan alkohol 70% 1 liter
Hypavix
Stick Wooden Tongue
Y-rins 120
Hansaplast
AC samsung
Tong sampah
Meja
Kursi
Dispenser
Galon Aqua
Rak Buku
Bed Tempat tidur
Sterilisator (Autoclaf)
Tiang infus
Tandu
Alat Cek Asam Urat
Alat Cek Kolesterol
Tandu
Defibrilator
Sesuai yang tertulis di Kontrak

1
1
1
1
6
1
2
8
0
3
0
1
1
1
1 box
1
1
0 1 BOX
1
2
2
2
1
1
1
1
0
0
0
0
0
0
0

2
2
1
1
10
20
20
10
box
10
2
1
5
box
3
1
2
2
2
1
1
1
1
1
1
1
1
1
1
1

Doc No: DRUGS/_/_

Revisi No :

OBATAN

Expired date

Remark

Nov-11

No refile
No refile
No refile
Kondisi rusak 2 buah
kondisi hilang

perlu pakai berbagai ukuran

Perlu pakai bebagai ukuran
Feb-16
Apr-18
kosong
kosong
kosong
Oct-16
kosong
Jul-15
Feb-15
Sep-14
May-16

Expired

Mar-18
May-17

Aug-16
Jan-19
Sep-14
Jun-18
Sep-17

dipakai 2
dipakai 1
dipakai 2
kosong
kosong

Oct-17
Kosong
Sep-15
kosong

Apr-17