PEMERINTAH KABUPATEN DEMAK

DINAS KESEHATAN
PUSKESMAS GAJAH II
Jl.Cangkring – Tompe,Ds.Tambirejo,Kec.Gajah,Telp.08112743360
e-mail: gjh.puskesmas@yahoo.com

JADWAL PEMELIHARAAN PERALATAN MEDIS

No Daftar Alat Harian Mingguan Bulanan

1. Sterilisator V
2. Bak Instrumen Besar V
3. Waskom Stainles V
4. Pencabut Gigi Dewasa Set V
5. Penambal Gigi dewasa Set V
6. Examination Table V
7. Examination Lamp V
a. Sphygmamometer Air Raksa
8. Desk Model V
b. Sphygmamometer Air Raksa
9. Stand Type V
10. Stethoscope Duplex V
11. a. Thermometer Air Raksa V
12. b. Thermometer Digital V
13. a. Timbangan Injak (dewasa) V
b. Timbangan + Pengukur Tinggi
14. Badan V
15. c. Timbangan Bayi Mecanical V
16. Kursi Roda V
17. Pocket Doppler V
18. Portable Doppler V
a. Emergency Resuscitator/
19. Ambubag Dewasa V
b. Emergency Resuscitator/
20. Ambubag Anak V
c. Sungkup Muka Sederhana Sekali
21. (Face Mask) pakai
d. Sungkup Muka Non Sekali
22. Rebreathing pakai
a. Neck Collar/ Hard Cervical
23. Collar V
 b. Neck Collar/ Soft Cervical Collar
24. V
25. Oksigen Set 1M³:
~ Tabung
V
~ Trolly
V
~ Regulator V
26. Oksigen Set 6M³: V
-  Tabung V
-  Trolly V
-  Regulator V
Ultrasound Nebulizer
27. V
28. Minor Surgery Set: V

29. Towel Forceps 11 cm ( Duck klem) V

Knife handle No.3 (scalpel
30. /gagang bisturi/gagang mess) V
Knife handle No.4 (scalpel
31. /gagang bisturi/gagang mess) V
Surgical scissors 18 cm straight,
32. bl/bl (Mayo) V
Surgical scissors 18 cm curved,
33. bl/bl (Mayo) V
Surgical scissors 14 cm curved
34. sh/bl V
Dressing Forceps 14 cm (Pinset
35. Anatomis) V
Dressing Forceps 20 cm (Pinset
36. Anatomis) V
Tissue fcps 14 cm 1 x 2 teeth
37. (pinset chirugist/backhaus) V
Tissue fcps 20 cm 1 x 2 teeth
38. (pinset chirugist/backhaus) V
Disecting forceps 12.5 cm
39. V
Haemostatic fcps 12.5 cm str,
40. (Mosquito) V
Haemostatic fcps 12.5 cm cvd,
41. (Mosquito) V
Haemostatic fcps 12.5 cm str,
42. w/teeth (Mosquito)
 Haemostatic fcps 12.5 cm cvd,
43. w/teeth (Mosquito) V
Haemostatic fcps 14 cm str, full
44. serr (Pean) V
Haemostatic fcps 14 cm cvd, full
45. serr (Pean) V
Haemostatic fcps 16 cm str, full
46. serr (Pean) V
Haemostatic fcps 14 cm str, with
47. teeth (Kocher) V
Haemostatic fcps 14 cm cvd, with
48. teeth (Kocher) V
Abdominal Retractor 20 cm
49. (Spatel Perut) V
Retractor double ended
50. V
Needle Holder 14 cm, Mayo
51. hegar, fine (ringan halus) V
52. Pulse Oksimeter V
53. INCUBATOR V
Meja Gynecolog v/VERLOS BED
54. (Stainless Steel) V
Pompa Vacum
55. V
56. Lampu UV V
a. Laryngoscope Anak
57. V
b. Laryngoscope Dewasa
58. V
59. c. Diagnostic Set V
60. d. Ophtalmoscope V
61. e. Othoscope Set V
62. Head Lamp V
63. Emergency Stretcher

Sterilsator Kering
64. V
a. Emergency Trolly
65. V
b. Instrument Trolly with Drawer
66. V
67. c. Medicine Trolly V
68. d. Stand Bowl Single V
69. a. Instrument Cabinet V
70. b. Medicine Cabinet V
71. c. Arcip Cabinet V
72. Mayor Surgery Set: V
Knife handle No.3 (scalpel
73. /gagang bisturi/gagang mess) V
Knife handle No.4 (scalpel
74. /gagang bisturi/gagang mess) V
Dressing Forceps 14 cm (Pinset
75. Anatomis) V
Dressing Forceps 20 cm (Pinset
76. Anatomis) V
Tissue fcps 14 cm 1 x 2 teeth
77. (pinset chirugist/backhaus) V
Tissue fcps 20 cm 1 x 2 teeth
78. (pinset chirugist/backhaus) V
Tissue fcps 16 cm 4 x 5 teeth (bab
79. cock / elise claim) V
Sponge hdg fcps 25 cm, cvd, plain
80. (korentang) / Foerster V
Sponge hdg fcps 25 cm, str, serr
81. (penser klem) / foerster V
82. Towel Forceps 11 cm ( Duck klem) V
Artery Clamp Str, 6.5 cm (pengapit
83. urat nadi) V
Artery Clamp Cvd, 6.5 cm
84. (pengapit urat nadi) V
Surgical scissors 14 cm straight
85. sh/sh V
Stitch scissors 14 cm (gunting up
86. hecting / gunting benang) V
Surgical scissors 18 cm straight,
87. bl/bl (Mayo) V
Surgical scissors 18 cm curved,
88. bl/bl (Mayo) V
Surgical scissors 22 cm curved
89. (Metzenbaum) / J225 V
Bandage scissors 18 cm (gunting
90. verband) V
Haemostatic fcps 12.5 cm str,
91. (Mosquito) V
Haemostatic fcps 12.5 cm cvd,
92. (Mosquito) V
Haemostatic fcps 14 cm str, full
93. serr (Pean) V
Haemostatic fcps 14 cm cvd, full
94. serr (Pean) V
 Haemostatic fcps 16 cm str, full
95. serr (Pean) V
Haemostatic fcps 14 cm str, with
96. teeth (Kocher) V
Haemostatic fcps 14 cm cvd, with
97. teeth (Kocher) V
Episiotomy scissors 18 cm,
98. angular V
99. Bivalve Vaginal Specula - Small V
100. Bivalve Vaginal Specula - Medium V
101. Bivalve Vaginal Specula - Large V
Uterine sounds, graduated full
102. length 28 cm, sonde V
103. Retractor double ended V
104. Retractor double ended V
Needle Holder 14 cm, Mayo
105. hegar, heavy (berat halus) V
Needle Holder 18 cm, Mayo
106. hegar, heavy (berat halus) V
107. Minor Surgery Set:
108. Towel Forceps 11 cm ( Duck klem) V
Knife handle No.3 (scalpel Sekali
109. /gagang bisturi/gagang mess) pakai
Knife handle No.4 (scalpel
110. /gagang bisturi/gagang mess) V
Surgical scissors 18 cm straight,
111. bl/bl (Mayo) V
Surgical scissors 18 cm curved,
112. bl/bl (Mayo) V
Surgical scissors 14 cm curved
113. sh/bl V
Dressing Forceps 14 cm (Pinset
114. Anatomis) V
Dressing Forceps 20 cm (Pinset
115. Anatomis) V
Tissue fcps 14 cm 1 x 2 teeth
116. (pinset chirugist/backhaus) V
Tissue fcps 20 cm 1 x 2 teeth
117. (pinset chirugist/backhaus) V
Tissue fcps 14 cm 4 x 5 teeth (bab
118. cock / alise claim) V
119. Disecting forceps 12.5 cm
Haemostatic fcps 12.5 cm str,
120. (Mosquito) V
Haemostatic fcps 12.5 cm cvd,
121. (Mosquito) V
122. Haemostatic fcps 12.5 cm str, V
 w/teeth (Mosquito)
Haemostatic fcps 12.5 cm cvd,
123. w/teeth (Mosquito) V
Haemostatic fcps 14 cm str, full
124. serr (Pean) V
Haemostatic fcps 14 cm cvd, full
125. serr (Pean) V
Haemostatic fcps 16 cm str, full
126. serr (Pean) V
Haemostatic fcps 14 cm str, with
127. teeth (Kocher) V
Haemostatic fcps 14 cm cvd, with
128. teeth (Kocher) V
Abdominal Retractor 20 cm
129. (Spatel Perut) V
130. Retractor double ended V
131. Retractor double ended V
Needle Holder 14 cm, Mayo
132. hegar, heavy (berat halus) V
Needle Holder 14 cm, Mayo
133. hegar, fine (ringan halus) V
134. Partus Set: V
135. Stetoscope V
136. Tensimeter V
Tissue fcps 14 cm 1 x 2 teeth
137. (pinset chirugist/backhaus) V
Dressing Forceps 14 cm (Pinset
138. Anatomis) V
Episiotomy scissors 18 cm,
139. angular V
Surgical scissors 14 cm curved
140. bl/bl (gunting benang) V
Umbilical Scissors 14 cm, curved (
141. gunting tali pusat) V
Bandage scissors 18 cm (gunting
142. verband) V
Haemostatic fcps 14 cm str, with
143. teeth (Kocher) V
Haemostatic fcps 14 cm str, full
144. serr (Pean) V
Haemostatic fcps 14 cm cvd, full
145. serr (Pean) V
Uterine sounds, graduated full
146. length 28 cm, sondeV V
Needle Holder 18 cm, Mayo
147. hegar, heavy (berat halus) V
148. Mucus Extractor V
149. Tas bidan V
150. Nierbeken 23 cm V
151. Catheter Metal Wanita V
152. Timbangan Gantung 7 Kg V
153. Iodine Cup V
154. Vacum Set: V
155. Bandage Scissors 14 cm V
156. Bandage Scissors 18 cm V
157. Surgical Scissors, str sh/sh 14 cm V
158. Umblicial Scissors 14cm V
159. Iris Scissors 11 cm, Str V
160. Iris Scissors 11 cm, Cvd V
161. Pean Artery Forceps, Str, 14 cm V
162. Pean Artery Forceps, Cvd, 14 cm V
163. Sponge Holding Forceps 25 cm str V
164. Stitch Scissors 14 cm V
Haemostatic Forceps 14 cm
165. Cvd,Mosquito V
Haemostatic Forceps 14 cm
166. Str,Mosquito V
167. Dressing Forceps 20 cm V
168. Dressing Forceps 14 cm V
169. Vacum Electrik V
170. Kuret Set: V
171. Bivalve Vaginal Specula - Small V
172. Bivalve Vaginal Specula - Medium V
173. Bivalve Vaginal Specula - Large V
174. Vagina Clamp 24 cm cvd, angled V
Uterine sounds, graduated full
175. length 28 cm, sonde
Tissue fcps, gynecology 20 cm 3 x
176. 4 teeth
Uterine Vulsellum neck fcps 25 cm
177. (kogel tang/portio/schroder) V
Uterine Vulsellum fcps 25 cm
178. curved, 2 x 3 teeth (kgl tang) V
Uterus Polypus fcps 25 cm str
179. (korentang/tampon tang) V
180. Uterus Polypus fcps 25 cm cvd V
 (korentang/tampon tang)
Uterus Curette No.1 Sharp, 28 cm
181. (sendok cur/jar.placenta) V
Uterus Curette No.2 Sharp, 28 cm
182. (sendok cur/jar.placenta) V
Uterus Curette No.3 Sharp, 28 cm
183. (sendok cur/jar.placenta) V
Uterus Curette No.4 Sharp, 28 cm
184. (sendok cur/jar.placenta) V
Uterus Curette No.5 Sharp, 28 cm
185. (sendok cur/jar.placenta) V
Uterus Curette No.6 Sharp, 28 cm
186. (sendok cur/jar.placenta) V
Uterus Curette No.1 Blunt, 28 cm
187. (sendok cur/jar.placenta) V
Uterus Curette No.2 Blunt, 28 cm
188. (sendok cur/jar.placenta) V
Uterus Curette No.3 Blunt, 28 cm
189. (sendok cur/jar.placenta) V
Uterus Curette No.4 Blunt, 28 cm
190. (sendok cur/jar.placenta) V
Uterus Curette No.5 Blunt, 28 cm
191. (sendok cur/jar.placenta) V
Uterus Curette No.6 Blunt, 28 cm
192. (sendok cur/jar.placenta) V
Sponge hdg fcps 25 cm, str, serr
193. (penser klem) / foerster V
Sponge hdg fcps 25 cm, cvd, plain
194. (korentang) / Foerster V
195. Sectiosesarian Set: V
Knife handle No.3 (scalpel
196. /gagang bisturi/gagang mess) V
Knife handle No.4 (scalpel SEKALI
197. /gagang bisturi/gagang mess) PAKAI
Dressing Forceps 14 cm (Pinset
198. Anatomis) V
Dressing Forceps 20 cm (Pinset
199. Anatomis) V
Surgical scissors 22 cm Curved,
200. bl/bl (Mayo) V
Surgical scissors 20 cm curved
201. (Metzenbaum )(gun.jaringan)/J205 V
Surgical scissors 22 cm curved
202. (Metzenbaum) / J225 V
Tissue fcps 14 cm 1 x 2 teeth
203. (pinset chirugist/backhaus) V
Tissue fcps 20 cm 1 x 2 teeth
204. (pinset chirugist/backhaus) V
 Haemostatic fcps 14 cm str, full
205. serr (Pean) V
Haemostatic fcps 14 cm cvd, full
206. serr (Pean) V

207. Towel Forceps 14 cm ( Duck klem) V

Needle Holder 18 cm, Mayo
208. hegar, heavy (berat halus) V
Needle Holder 14 cm, Mayo
209. hegar, fine (ringan halus) V
Sponge hdg fcps 25 cm, cvd, plain
210. (korentang) / Foerster V
Sponge hdg fcps 25 cm, str, serr
211. (penser klem) / foerster V
Abdominal Retractor 20 cm
212. (Spatel Perut) V
213. Vagina Clamp 24 cm cvd, angled V
Uterus Polypus fcps 25 cm w.teeth
214. (tampon tang/bozemann) V
Uterine Vulsellum fcps 25 cm
215. straight, 2 x 3 teeth (kgl tang) V
Uterus Polypus fcps 25 cm str
216. (korentang/tampon tang) V
Uterus Polypus fcps 25 cm cvd
217. (korentang/tampon tang) V
218. a. Bak Instrument V
219. b. Bak Instrument V
220. a. Bengkok V
221. b. Bengkok V
222. a. Kom V
223. b. Kom V
224. a. Wascom V
225. b. Wascom V
226. Pispot / Stick Pan V
227. Bed pan + tutup V
228. Urinal (male/female) V
229. Tromol Kassa V
230. Tromol Kassa V
Torniquet
231. V
SEKALI
Sarung Tangan no. 7,5
232. PAKAI
 Schort / Apron
233. V
a. Gerusan Obat / Mortar & Pestle
234. V
235. b. Gerusan Obat / Mortar & Pestle V
236. Muccus Extractor V
Tempat tidur pasien dan
kelengkapannya ( Termasuk Bed
237. Side) V

238. ~ Tempat Tidur Pasien 3 crank V

239. ~ Pagar Pengaman V
~ Tiang Infus
240. V
241. ~ Mattras / Kasur V
~ Bed Side Cabinet
242. V
BABY COOT / BABY BASKET
243.
244. CHILDREN BED V
245. BED SCREEN 3 PARTS

INFUSE STAND
246. V
247. Food trolly V
248. Dressing Trolly V
Refrigenerator Vaksin V
249.
250. USG V
251. Penggilingan puyer obat V
252. Infuse Pump V
253. Pasien Monitir V
254. Vien Viewer V
255. Meja resusitase V
256. Meja Periksa V
257. Meja Gynecolog V
258. Lampu Tindakan Holagen V
259. Tiang Infus V
260. Brancar Ambulance V
261. Pulse Oksimeter V
262. Tensi Model Mobile V
263. Ari Timer
264. Loundry Trolly V
265. Linen Trolly V
266. Timbangan Dewasa V
267. Stetoscope V
268. Timbangan Bayi V
269. Doppler Soun V
270. Ambubag V
271. Emergency Kit V
272. Kursi Roda V
273. Regulator Oksigen V
274. Statura Meter
275. Stetoscope V
276. Tensimeter V
277. Tempat Tidur Pasien V
278. Timbangan badan V
279. Ginbed V
280. Micropipet (5-10) V
281. Micropipet (100-1000) V
282. Haemocytometer V
283. Tabung serologi V
284. Photometer V
285. EZR Analyzer V
286. Urin Analyzer V
287. Rak Pipet V
288. Centryfuge V
289. Vaksin Carier
290. Rotator V

KEPALA PUSKESMAS GAJAH II

KABUPATEN DEMAK,

dr.LUTFI HAKIM
Pembina
NIP 196512 200212 1 004

PEMERINTAH KABUPATEN DEMAK

DINAS KESEHATAN
PUSKESMAS GAJAH II
Jl.Cangkring – Tompe,Ds.Tambirejo,Kec.Gajah,Telp.08112743360
e-mail: gjh.puskesmas@yahoo.com

JADWAL PERALATAN NON MEDIS

No Daftar Alat Harian Mingguan Bulanan
1 Mobil Pusling V
2 Ambulance V
4 Lemari V
5 Meja V
6 Meja Komputer V
7 Kursi Plastik V
8 Rak Siku Besi V
9 Kursi kerja V
10 Etalase V
11 AC V
12 Meja kerja V
13 Alamari Excel Susun 4 V

14 Tabung Gas LPJ 12 Kg V

Kompor Gas Rinai Regulator Dan
15 selang V
16 Kulkas V
17 Mesin Cuci V
18 Gorden V
19 Kipas Angin V
20 Laptop V

21 Printer V

22 Komputer V
Komputer Notebook HP Pavilion
23 G4 V

24 Printer Canon Pixma ip 2770 V

Modem ZTE AC-30
25 V

26 Printer Samsung MI 1670 V

27 Printer Canon MF 3010 V

28 Kursi Lipat V
29 PC Komputer V
30 Filling Cabinet V
31 Notebook V
32 Pemadam PROTECT V
34 Almari Besi V
35 Kursi Panjang V
3 TV LCD V
37 UPS V
38 Almari Es V
39 Etalase V
40 Tabung Gas LPG V
41 Brankas V
42 Kursi Rapat V
43 Neon Box V
44 Mesin Absen Wajah Finger Plus V
45 Almari Besi V
46 Meja kerja V
47 Komputer PC V
48 Lampu PJU V
49 Backgroun & Rak Status Pasien V
50 Televisi V
51 Mouse V
52 Modem V
53 Korden Anti Air V
53 Almari Besi V
55 Waiting Chair V
56 Filling Cabinet V
58 Speaker V
59 Corong TOA V
60 AKI V
61 Hardisk External V
62 Korsi Stoll V
63 Tempat Sampah Out door V
64 Alat Mesin Pel V
65 Wheelbyn V
66 Scanner V
67 Lemari Obat 2 Pintu V
68 Alat Antrian Pasien V
69 Papan Visual V
70 Loker 6 Pintu V
71 Korden Anti Air V
72 Portabel Soun Sistem V
73 Vaksin Carier V
74 Bangku Tunggu V
75 Genset V
76 Kulkas V
ALAT STUDIO DAN
77 KOMUNIKASI
Layar Proyektor V
Audio Mixer V
LCD Proyektor V
Pesawat Telpon V
78 ALAT KEAMANAN
CCTV V
 Gedung PUSTU Karangrejo V
Rehab RD Pusk.Bonang I V

Gedung PKM Bonang I V

Rehabilitasi Pustu Ds Sumberejo
Kec. Bonang +
V
Biaya Perencanaan &
Pengawasan
Rehabilitasi Puskesmas Bonang
1 ( Rawat Jalan ) +
V
Biaya Perencanaan &
Pengawasan
Bangunan Pagar V
79 INSTALASI
instalsi telepon V
Instalasi Listrik V
Lampu PJU V
Instalasi PDAM V
80 Jaringan
Internet V

KEPALA PUSKESMAS GAJAH II

KABUPATEN DEMAK,

dr.LUTFI HAKIM
Pembina
NIP 196512 200212 1 004