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  • Instrumen Steril CSSD Maternal

    Uploaded by

    ponekrsuunmuh
    3 views3 pages
    The document lists the contents of various medical instrument sets used for childbirth (partus set) and IUD insertion. Each set contains a standard list of instruments including forceps, scissors, needle holders and others. The document records the number of each instrument, and includes tables to track the sterilization/cleaning dates and staff involved at various stages of the process.

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    The document lists the contents of various medical instrument sets used for childbirth (partus set) and IUD insertion. Each set contains a standard list of instruments including forceps, scissors, needle holders and others. The document records the number of each instrument, and includes tables to track the sterilization/cleaning dates and staff involved at various stages of the process.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    3 views3 pages

    Instrumen Steril CSSD Maternal

    Uploaded by

    ponekrsuunmuh
    The document lists the contents of various medical instrument sets used for childbirth (partus set) and IUD insertion. Each set contains a standard list of instruments including forceps, scissors, needle holders and others. The document records the number of each instrument, and includes tables to track the sterilization/cleaning dates and staff involved at various stages of the process.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    of 3

    PARTUS SET

    No Istrumen Kode Jumlah Materna


    CSSD CSSD Maternal
    l
    Tgl/Jam: Tgl/Jam: Tgl/Jam:

    Petugas: Petugas: Petugas: Petugas:


    Steril/Tdk steril
    Petugas: Petugas: Petugas: Petugas:
    1 Bak instrumen sedang 1
    2 Tutup bak instrumen 1
    3 Pinset anatomis 1
    4 Pinset sirurgis 1
    5 Gunting epis 1
    6 Gunting tali pusat 1
    7 Setengah kocher 1
    8 Klem 1
    9 Needle holder 1
    10 Cucing 1
    Total 10
    TTD Petugas

    PARTUS SET
    No Istrumen Kode Jumlah Materna
    CSSD CSSD Maternal
    l
    Tgl/Jam: Tgl/Jam: Tgl/Jam:

    Petugas: Petugas: Petugas: Petugas:


    Steril/Tdk steril
    Petugas: Petugas: Petugas: Petugas:
    1 Bak instrumen sedang 1
    2 Tutup bak instrumen 1
    3 Pinset anatomis 1
    4 Pinset sirurgis 1
    5 Gunting epis 1
    6 Gunting tali pusat 1
    7 Setengah kocher 1
    8 Klem 1
    9 Needle holder 1
    10 Cucing 1
    Total 10
    TTD Petugas

    PARTUS SET
    No Istrumen Kode Jumlah Materna
    CSSD CSSD Maternal
    l
    Tgl/Jam: Tgl/Jam: Tgl/Jam:

    Petugas: Petugas: Petugas: Petugas:


    Steril/Tdk steril
    Petugas: Petugas: Petugas: Petugas:
    1 Bak instrumen sedang 1
    2 Tutup bak instrumen 1
    3 Pinset anatomis 1
    4 Pinset sirurgis 1
    5 Gunting epis 1
    6 Gunting tali pusat 1
    7 Setengah kocher 1
    8 Klem 1
    9 Needle holder 1
    10 Cucing 1
    Total 10
    TTD Petugas

    PARTUS SET
    No Istrumen Kode Jumlah Maternal CSSD CSSD Maternal
    Tgl/Jam: Tgl/Jam: Tgl/Jam:

    Petugas: Petugas: Petugas: Petugas:


    Steril/Tdk steril
    Petugas: Petugas: Petugas: Petugas:
    1 Bak instrumen
    sedang 1
    2 Tutup bak instrumen 1
    3 Pinset anatomis 1
    4 Pinset sirurgis 1
    5 Gunting epis 1
    6 Gunting tali pusat 1
    7 Setengah kocher 1
    8 Klem 1
    9 Needle holder 1
    10 Cucing 1
    Total 10
    TTD Petugas

    INSTRUMEN PARTUS
    No Istrumen Kode Jumlah Maternal CSSD CSSD Maternal
    Tgl/Jam: Tgl/Jam: Tgl/Jam:

    Petugas: Petugas: Petugas: Petugas:


    Steril/Tdk steril
    Petugas: Petugas: Petugas: Petugas:
    1 Delee (penghisap lendir) 1
    Total 1
    TTD Petugas

    INSTRUMEN PARTUS
    No Istrumen Kode Jumlah Maternal CSSD CSSD Maternal
    Tgl/Jam: Tgl/Jam: Tgl/Jam:

    Petugas: Petugas: Petugas: Petugas:


    Steril/Tdk steril
    Petugas: Petugas: Petugas: Petugas:
    1 Delee (penghisap lendir) 1
    Total 1
    TTD Petugas

    INSTRUMEN PARTUS
    No Istrumen Kode Jumlah Maternal CSSD CSSD Maternal
    Tgl/Jam: Tgl/Jam: Tgl/Jam:

    Petugas: Petugas: Petugas: Petugas:


    Steril/Tdk steril
    Petugas: Petugas: Petugas: Petugas:
    1 Delee (penghisap lendir) 1
    Total 1
    TTD Petugas

    INSTRUMEN PARTUS
    No Istrumen Kode Jumlah Maternal CSSD CSSD Maternal
    Tgl/Jam: Tgl/Jam: Tgl/Jam:

    Petugas: Petugas: Petugas: Petugas:


    Steril/Tdk steril
    Petugas: Petugas: Petugas: Petugas:
    1 Delee (penghisap lendir) 1
    Total 1
    TTD Petugas

    INSTRUMEN PARTUS
    No Istrumen Kode Jumlah Maternal CSSD CSSD Maternal
    Tgl/Jam: Tgl/Jam: Tgl/Jam:

    Petugas: Petugas: Petugas: Petugas:


    Steril/Tdk steril
    Petugas: Petugas: Petugas: Petugas:
    1 Delee (penghisap lendir) 1
    Total 1
    TTD Petugas

    INSTRUMEN PARTUS
    No Istrumen Kode Jumlah Maternal CSSD CSSD Maternal
    Tgl/Jam: Tgl/Jam: Tgl/Jam:

    Petugas: Petugas: Petugas: Petugas:


    Steril/Tdk steril
    Petugas: Petugas: Petugas: Petugas:
    1 Delee (penghisap lendir) 1
    Total 1
    TTD Petugas

    INSTRUMEN PARTUS
    No Istrumen Kode Jumlah Maternal CSSD CSSD Maternal
    Tgl/Jam: Tgl/Jam: Tgl/Jam:

    Petugas: Petugas: Petugas: Petugas:


    Steril/Tdk steril
    Petugas: Petugas: Petugas: Petugas:
    1 Delee (penghisap lendir) 1
    Total 1
    TTD Petugas
    IUD SET
    No Istrumen Kode Jumlah Materna
    CSSD CSSD Maternal
    l
    Tgl/Jam: Tgl/Jam: Tgl/Jam:

    Petugas: Petugas: Petugas: Petugas:


    Steril/Tdk steril
    Petugas: Petugas: Petugas: Petugas:
    1 Bak instrumen besar 1
    2 Tutup bak instrumen 1
    3 Spekulum cocor bebek bsr 1
    4 Spekulum cocor bebek sdg 1
    5 Spekulum cocor bebek kcl 1
    6 Gunting panjang 1
    7 Sonde Uterus 1
    8 Tenakulum 1
    9 Ring Tang 1
    10 Pengait IUD 1
    11 Cucing 1
    Total 11
    TTD Petugas

    IUD SET
    No Istrumen Kode Jumlah Materna
    CSSD CSSD Maternal
    l
    Tgl/Jam: Tgl/Jam: Tgl/Jam:

    Petugas: Petugas: Petugas: Petugas:


    Steril/Tdk steril
    Petugas: Petugas: Petugas: Petugas:
    1 Bak instrumen besar 1
    2 Tutup bak instrumen 1
    3 Spekulum cocor bebek bsr 1
    4 Spekulum cocor bebek sdg 1
    5 Spekulum cocor bebek kcl 1
    6 Gunting panjang 1
    7 Sonde Uterus 1
    8 Tenakulum 1
    9 Ring Tang 1
    10 Pengait IUD 1
    11 Cucing 1
    Total 11
    TTD Petugas

    IUD SET
    No Istrumen Kode Jumlah Materna
    CSSD CSSD Maternal
    l
    Tgl/Jam: Tgl/Jam: Tgl/Jam:

    Petugas: Petugas: Petugas: Petugas:


    Steril/Tdk steril
    Petugas: Petugas: Petugas: Petugas:
    1 Bak instrumen besar 1
    2 Tutup bak instrumen 1
    3 Spekulum cocor bebek bsr 1
    4 Spekulum cocor bebek sdg 1
    5 Spekulum cocor bebek kcl 1
    6 Gunting panjang 1
    7 Sonde Uterus 1
    8 Tenakulum 1
    9 Ring Tang 1
    10 Pengait IUD 1
    11 Cucing 1
    Total 11
    TTD Petugas

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