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CEKLIST ITEM ISOLASI

NO NAMA BARANG JUM LOKASI AWAL LOKASI AKHIR KET


1 Infus stand 4 Obs&male room
1 Oxygen room
2 Oxigen 3mm+ troli 1 rechal
1 Treadmill room
3 Urinal 4 storage
1 Isolation room
4 Spygmomanometer
1 Emergency room
1 Examination room
5 Forehead thermometer
1
1 Emergency room
6 Monitor philips
1 Emergency room

JUM
NO NAMA BARANG LOKASI AWAL LOKASI AKHIR KET
Permit Ready
1 Intubasi set 2 1 Respon bag 2
2 OPA :
 MERAH 1
Respon bag 2
 KUNING 1 4
 HIJAU 1
3 NPA
4 Nasal cannul 10
5 NRM 1 5
6 Nebulizer set
BPM
Nebulizer machine
Suction machine 1 1 Emergency room
Tabung oksigen 6mm
Regulator oksigen
LSP 1 1 Tredmill room
MCV 100
Pulse oxymeter 1 1 Emergency room
Iv cannula : Respon bag 2
 18 2
 20 2
 22 2
Iv set :
 Alcohol swab
 Hipafix
 Gunting
Cairan :
 NaCl 500 cc 1
 RL 1 Respon bag 2
 D5%
 Ringer Asering
Pen light 1 1 Respon bag 2
Reflex hammer 1 1 Emergency room
Dresing set 1 1 Respon bag 2
Foley kateter :
 16
 18
Urine bag
Syringe :
 3cc 2
 5cc 1
 10cc 1
Xylocain gel

NGT :
 16
 18
Selang suction no 12 1 1 Respon bag 2
ETT :
 7.0 1 1
 8.5 1 1 Respon bag 2
 6.0 1 1
 7.5 1 1
Connector oksigen 1 1 Respon bag 2
Simple Mask 1 1 Respon bag 2
Stetoscop 1 2 Respon bag 2
Minor sheet 1 1 Respon bag 2
Tensi digital 1 2
Syering pump 2 2 storage
Infus pump 1 1 Emergency room
Obat-obatan :
 Epinephrin
 Artophine
 Amiodaron

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