RUMAH SAKIT GRAHA HERMINE

Komplek Ruko Asih Raya No 6-15 Batu Aji, Batam

Tlpn : (0778)363318, 363127 Fax (0778) 363164 Email : graha_hermine@yahoo.com

Standar Isi Emergency Trolly Ruang Rawat Inap Lt 2

Bulan :
Apoteker supervisor :
URAIAN KELOMPOK OBAT / JUMLAH STOK TERPAKAI SUPERVISI KET
ALAT KESEHATAN DAN TANGGAL APOTEKER

l.LACI I :
1. Adrenalin/epinephrine inj 10 ampul
2. Sulfas Atropin ( SA ) inj 10 ampul
3. Amiodarone inj 5 ampul
4. Deksametason inj 15 ampul
5. Diazepam inj 5 ampul
6. Furosemid inj 5 ampul
7. Ephedrin inj 10 ampul
8. Fargoxin inj 10 ampul
9. Catapres inj 15 ampul
10. Lidocain 2 % 10 ampul
11. Aquabidest 25 ml 2 fls
12. Alkohol Swab 10 pcs
13. D40% 2 fls
14. KCL 7,46% 2 fls
15. Manitol 40% 2 fls
2.LACI II :
1. Disposable syringe 3 ml 5 pcs
2. Disposable syringe 5 ml 5 pcs
3. Disposable syringe 10 ml 5 pcs
4. Disposable syringe 20 ml 2 pcs
5. Disposable syringe 50 ml 2 pcs
6. IV cath dewasa 18,20,22 @ 2 pcs
7. Skin elektroda 6 pcs
8. Hypapix 1 box
9. leukoplast 1 pcs
10. Lubricant Jelly 1 pcs
3.LACI III :
1. Chest tube 1 pcs
2. Blood set 2 pcs
3. Infus set 2 pcs
4. Laringoskop 1 set
5. Sarung tangan steril @ 1 pcs
no.6,5 ,7,7,5
6. Sarung tangan non steril 5 pasang
7. Endotracheal Tube/ ETT @ 1 pcs
no.3,4 ,5;5,5;7 dan 8
 RUMAH SAKIT GRAHA HERMINE
Komplek Ruko Asih Raya No 6-15 Batu Aji, Batam
Tlpn : (0778)363318, 363127 Fax (0778) 363164 Email : graha_hermine@yahoo.com

Standar Isi KIT Emergency

Bulan :
Apoteker supervisor :
URAIAN KELOMPOK OBAT / JUMLAH STOK TERPAKAI SUPERVISI KET
ALAT KESEHATAN DAN TANGGAL APOTEKER

l.LACI I :
1. Adrenalin/epinephrine inj 5 ampul
2. Sulfas Atropin ( SA ) inj 5 ampul
3. Amiodarone inj 3 ampul
4. Deksametason inj 5 ampul
5. Diazepam inj 5 ampul
6. Furosemid inj 5 ampul
7. Ephedrin inj 5 ampul
8. Fargoxin inj 5 ampul
9. Catapres inj 5 ampul
10. Lidocain 2 % 5 ampul
11. Aquabidest 25 ml 2 fls
12. Alkohol Swab 5 pcs
13. D40% 2 fls
14. KCL 7,46% 2 fls
15. Manitol 40% 2 fls
2.LACI II :
11. Disposable syringe 3 ml 2 pcs
12. Disposable syringe 5 ml 2 pcs
13. Disposable syringe 10 ml 2 pcs
14. Disposable syringe 20 ml 2 pcs
15. Disposable syringe 50 ml 1 pcs
16. IV cath dewasa 18,20,22 @ 1 pcs
17. Hypapix 2 pcs
18. leukoplast 1 pcs
3.LACI III :
8. Chest tube 1 pcs
9. Blood set 2 pcs
10. Infus set 2 pcs
11. Sungkup O2 anak, dewasa @ 1 pcs
12. Sarung tangan steril @ 1 pcs
no.6,5 ,7,7,5
13. Sarung tangan non steril 2 pasang
14. Endotracheal Tube/ ETT @ 1 pcs
no.3,4 ,5;5,5;dan 7