Inventaris Barang di IGD No. 1 2 3 4 5 6 # " 1 11 12 13 14 15 16 1#
Nama Lemari Besi Lemari Pintu Kaca Nakas Locker Besi Locker Plastik (Excel) AC !lit $e%a Ker%a Kursi &en'an ro&a Kursi !lastik o*a +em!at +i&ur Periksa &en'an ,o&a +em!at +i&ur Periksa tan!a ro&a +ian' -n*us Lam!u orot terilisator Kerin' .kuran Kecil Kulkas K te
Jumlah 1 3 1 2 1 " 2 4 3 1 4 1 3 1 1 1 1
Floor Stock Obat & Cairan
No.
Nama Obat
Expired
Cairan Infus
No. 1
1
Asering 500 ml
May-18
2
2
Glukosa 5% 500 ml
May-18
3
3
Glukosa 10% 500 ml
Oct-18
4
4
KA-E 1! 500 ml
A"r-18
5
5
KA-E 3A 500 ml
#ec-1$
KA-E 3! 500 ml
A"r-18
$
$
a&l 0'(% ml
)e"-18
8
*+ 500 ml
,un-1$ Obat Injeksi
1
amol 125 mg su""
,un-1
2
)tesoli 5 mg2'5 ml
o-15
3
)tesoli 10 mg2'5 ml
,an-1
4
ulmicort 0'5 mg2 ml
/e-1$
5
6entolin 2'5 mg2'5 ml
#ec-1$
!io"lacenton 7al
o-1
$
!urna7in 7al
o-1
8
9yrocortisone 2'5% 7al
May-1$
(
O.ytetracycline 3% 7al
May-1
Infus IGD
Nama Obat Amloi"ine 10 mg
Expired /e-18
!etaistine Mesilate mg
A"r-1$
&a"to"ril 12'5 mg
,un-1
:)# 5 mg
,ul-1$
iei"ine 10 mg
Oct-18
aracetamol 500 mg
Aug-1
aracetamol ro" 100mgml
o-1
D"F#"$ %"$"NG "%IS '"("I DI I
No.
Nama
Expired
1
Aocat ;1 ;18' 20' 22' 24' 2G<
,un-1(
2
!isturi o=11
Oct-1
3
&atgut lain 30
May-1
4
E>> o=$
Oct-1$
5
/olley &ateter o=20
,ul-1$
:nus )et Makro
Oct-1$
$
:nus )et Mikro
,ul-1$
8
asal &anule
-
D
Laporan Harian Alkes Habis Pakai IGD Bulan TANGGAL No. 1 2 3 4 5 6 # " 1 11 12 13 14 15 16 1# 1" 1 2 21 22 23 24 25
Nama A00o A00oca cat7 t7 No8 No8 1" A00o A00oca cat7 t7 No8 No8 2 A00o A00oca cat7 t7 No8 No8 22 A00o A00oca cat7 t7 No82 No824 4 A00o A00oca cat7 t7 No8 No8 269 269 Bistu isturri No No8 11 11 E++ No No8 # :oll :olle e Cat Cat7e 7ete terr No8 No8 2 :ee&i ee&in' n' +u0e u0e No8 No8" " -n*u -n*us s et et $akr $akro o -n*u -n*us s et et $ikr $ikro o Nasa Nasall Can Canul ul Bai Bai Nasa Nasall Can Canul ul Anak Anak Nasa Nasall Canul Canul ;eas ;easa a N,$ Ana Anak !u !uit 1cc !u !uit 3cc !u !uit 5cc !ui !uitt 1cc 1cc !ui !uitt 2cc 2cc uct uctio ion n No8 No8 6 uct uctio ion n No8 No8 " uct uctio ion n No8 No8 1 uct uctio ion n No8 No8 12 .ri .rine Ba'
tok Baku
1
2
3
4
5
6 +K KEL.A, +K KEL.A, +K KEL.A, +K KEL.A, +K KEL.A, +K KEL.A, P ! P ! P ! P ! P ! P ! P ! P ! P ! P ! P ! P !
Nama Petugas " Para#
# " 1 +K KEL.A, +K KEL.A, +K KEL.A, +K KEL.A, P ! P ! P ! P ! P ! P ! P ! P !
Laporan Harian Alkes Habis Pakai IGD Bulan No. 1 2 3 4 5 6 # " 1 11 12 13 14 15 16 1# 1" 1 2 21 22 23 24 25
Nama A00o A00oca cat7 t7 No8 No8 1" A00o A00oca cat7 t7 No8 No8 2 A00o A00oca cat7 t7 No8 No8 22 A00o A00oca cat7 t7 No82 No824 4 A00o A00oca cat7 t7 No8 No8 269 269 Bistu isturri No No8 11 11 E++ No No8 # :oll :olle e Cat Cat7e 7ete terr No8 No8 2 :ee&i ee&in' n' +u0e u0e No8 No8" " -n*u -n*us s et et $akr $akro o -n*u -n*us s et et $ikr $ikro o Nasal Nasal Canul Canul Bai Bai Nasal Nasal Canul Canul Anak Anak Nasal Nasal Canul Canul ;eas ;easa a N,$ Ana Anak !ui !uitt 1c 1cc !ui !uitt 3c 3cc !ui !uitt 5c 5cc !ui !uitt 1cc 1cc !ui !uitt 2cc 2cc uct uctio ion n No8 No8 6 uct uctio ion n No8 No8 " uct uctio ion n No8 No8 1 uct uctio ion n No8 No8 12 .ri .rine Ba'
tok Baku
TANGGAL 11 12 13 14 15 16 +K KEL.A, +K KEL.A, +K KEL.A, +K KEL.A, +K KEL.A, +K KEL.A, P ! P ! P ! P ! P ! P ! P ! P ! P ! P ! P ! P !
Nama Petugas " Para#
1# 1" 1 2 +K KEL.A, +K KEL.A, +K KEL.A, +K KEL.A, P ! P ! P ! P ! P ! P ! P ! P !
Laporan Harian Alkes Habis Pakai IGD Bulan No. 1 2 3 4 5 6 # " 1 11 12 13 14 15 16 1# 1" 1 2 21 22 23 24 25
Nama A00o A00oca cat7 t7 No8 No8 1" A00o A00oca cat7 t7 No8 No8 2 A00o A00oca cat7 t7 No8 No8 22 A00o A00oca cat7 t7 No82 No824 4 A00o A00oca cat7 t7 No8 No8 269 269 Bistu isturri No No8 11 11 E++ No No8 # :oll :olle e Cat Cat7e 7ete terr No8 No8 2 :ee&i ee&in' n' +u0e u0e No8 No8" " -n*u -n*us s et et $akr $akro o -n*u -n*us s et et $ikr $ikro o Nasal Nasal Canul Canul Bai Bai Nasal Nasal Canul Canul Anak Anak Nasal Nasal Canul Canul ;eas ;easa a N,$ Ana Anak !ui !uitt 1c 1cc !ui !uitt 3c 3cc !ui !uitt 5c 5cc !ui !uitt 1cc 1cc !ui !uitt 2cc 2cc uct uctio ion n No8 No8 6 uct uctio ion n No8 No8 " uct uctio ion n No8 No8 1 uct uctio ion n No8 No8 12 .ri .rine Ba'
tok Baku
TANGGAL 11 12 13 14 15 16 +K KEL.A, +K KEL.A, +K KEL.A, +K KEL.A, +K KEL.A, +K KEL.A, P ! P ! P ! P ! P ! P ! P ! P ! P ! P ! P ! P !
Nama Petugas " Para#
1# 1" 1 2 2 +K KEL.A, +K KEL.A, +K KEL.A, +K KEL.A, +K KEL.A, P ! P ! P ! P ! P ! P ! P ! P ! P ! P !
Laporan Harian Alkes di IGD Bulan
No.
Nama
21
tok Baku
+K P
1 2 3 4 5 6 " 1 11 12 13 15 16 1# 1" 1 2 21 22 23 24 26 2# 2" 2 3 31 32 33 34
A00o 00ocat7 cat7 No8 No8 1" 1" A00o 00ocat7 cat7 No8 No8 2 2 A00o 00ocat7 cat7 No8 No8 22 22 A00o 00ocat7 cat7 No8 No824 A00o A00oca cat7 t7 No8 No8 269 269 Alko lko7ol 7ol a0s Bistu isturri No No8 11 11 E++ No No8 # :olle :olle Cat7et Cat7eter er No8 No8 16 16 :olle :olle Cat7et Cat7eter er No8 No8 1" 1" :olle :olle Cat7et Cat7eter er No8 No8 2 2 <!a !a=x 5x5 5x5 -n*u -n*us s et et $ak $akrro -n*u -n*us s et et $ik $ikro ro Nasa Nasall Canu Canull Bai Bai Nasa Nasall Canu Canull Anak Anak Nasal Nasal Canul Canul ;easa ;easa N9+ N9+ No81 No816 6 N,$ Anak nak N,$ N,$ ;ea ;easa sa ,$ Anak ,$ ;e ;ea asa !ui !uit 1c 1cc !ui !uit 3c 3cc !ui !uit 5c 5cc !ui !uit 1c 1cc !ui !uit 2c 2cc !ui !uit 5c 5cc uct uctio ion n No8 No8 6 uct uctio ion n No8 No8 " uct uctio ion n No8 No8 1
22 KEL.A,
!
P
!
+K P
23 KEL.A,
!
P
!
+K P
24 KEL.A,
!
P
!
+K P
25 KEL.A,
!
P
!
+K P
KEL.A, !
P
!
35 uct uctio ion n No8 No8 12 36 u!r u!rat atul ule e 3# .rin rine Ba Ba' Nama Petugas
TANGGAL 26 +K P
2#
KEL.A, !
P
!
+K P
2" KEL.A,
!
P
!
+K P
2 KEL.A,
!
P
!
+K P
3 KEL.A,
!
P
!
+K P
31 KEL.A,
!
P
!
+K P
KEL.A, !
P
!
Laporan Harian $bat IGD Bulan
TANGGAL No.
1 2 3 4 5 6 # "
1 2 3 4 5 6 # " 1 11 12 13 14 15 16
Nama %airan In#us Aser Aserin in' ' 5 ml 9luk 9lukos osa a 5> 5 5 ml ml 9luk 9lukos osa a 1> 1> 5 5 ml ml KAEN 3A 5 5 ml ml KAEN 3B 5 5 ml ml KAEN 1B 5 5 ml ml NaCl aCl ? ?> 5 5 ml ml ,in' ,in'er er Lakt Laktat at 5 5 ml ml $bat In&eksi Amin Amino! o!7 7li lin n 24 24 m' Atr Atro!in o!ine e ?25 ?25 m' ;exa ;exame met7 t7as ason one e 5 m' ;ia ;ia@e!a @e!am m 1 m' ;!7 ;!7en en7i 7i&r &ram amin ine e 1 1 m' m' ;o0u ;o0uta tami min n 25 25 m' ;o!a ;o!ami min n 2 2 m' E!7 E!7ine! ine!ri rine ne 1 m' m' :uros urosem emi& i&e e 2 2 m' m' Ketor etorol olac ac 3 m' m' Li&o Li&oc cain $et7l $et7l!r !re&n e&niso isolon lone e 125 m' $'4 4> 25 ml n&a n&ans nset etro ron n 4 m' m' ,ani ,aniti ti&i &in n 5 5 m' m' Aua Aua0i 0i&e &est st 25 25 ml
tok Baku
1
2
3
4
5
6 +K KEL.A, +K KEL.A, +K KEL.A, +K KEL.A, +K KEL.A, +K K P ! P ! P ! P ! P ! P ! P ! P ! P ! P ! P ! P
1 2 3 4 5
$bat Lain'lain Pamol amol su!! su!! 125 125 m' m' tes tesol oli& i& su! su!! ! 5 m'2 m'2?5 ?5 ml ml teso tesoli& li& su!! su!! 1 m'2 m'2?5 ?5 ml Pulm Pulmic icor ortt ?5 ?5 m'2 m'2 ml /ento entoli lin n 2?5 2?5 m' m'2? 2?5 5 ml
Nama Petugas " Para#
# " 1 L.A, +K KEL.A, +K KEL.A, +K KEL.A, +K KEL.A, ! P ! P ! P ! P ! P ! P ! P ! P !
Laporan Harian $bat IGD Bulan
No.
1 2 3 4 5 6 # "
1 2 3 4 5 6 # " 1 11 12 13 14 15 16
Nama %airan In#us Aser Aseriin' 5 5 ml 9luk 9lukos osa a 5> 5 5 ml ml 9luk 9lukos osa a 1> 1> 5 5 ml ml KAEN 3A 5 5 ml ml KAEN 3B 5 5 ml ml KAEN 1B 5 5 ml ml NaCl aCl ? ?> > 5 5 ml ,in' ,in'er er Lakt Laktat at 5 5 ml ml $bat In&eksi Amin Amino! o!7 7li lin n 24 24 m' Atr Atro!in o!ine e ?25 ?25 m' ;exa ;exame met7 t7as ason one e 5 m' ;ia ;ia@e!a @e!am m 1 m' ;!7 ;!7en en7i 7i&r &ram amin ine e 1 m' ;o0u ;o0uta tami min n 25 25 m' ;o!a ;o!ami min n 2 m' E!7 E!7ine! ine!ri rine ne 1 m' m' :uros urosem emi& i&e e 2 2 m' m' Ketor etorol olac ac 3 m' m' Li&o Li&oc cain ain $et7l $et7l!r !re&n e&niso isolon lone e 125 m' $'4 4> 25 ml n&a n&ans nset etro ron n 4 m' m' ,ani ,aniti ti&i &in n 5 5 m' m' Aua Aua0i 0i&e &est st 25 25 ml
tok Baku
TANGGAL 11 12 13 14 15 16 +K KEL.A, +K KEL.A, +K KEL.A, +K KEL.A, +K KEL.A, +K K P ! P ! P ! P ! P ! P ! P ! P ! P ! P ! P ! P
1 2 3 4 5
$bat Lain'lain Pamol amol su!! su!! 125 125 m' m' tes tesol oli& i& su! su!! ! 5 m'2 m'2?5 ?5 ml ml teso tesoli& li& su!! su!! 1 m'2 m'2?5 ?5 ml Pulm Pulmic icor ortt ?5 ?5 m'2 m'2 ml /ento entoli lin n 2?5 2?5 m' m'2? 2?5 5 ml
Nama Petugas " Para#
1# 1" 1 2 L.A, +K KEL.A, +K KEL.A, +K KEL.A, +K KEL.A, ! P ! P ! P ! P ! P ! P ! P ! P !
Laporan Harian $bat IGD Bulan
No.
1 2 3 4 5 6 # "
1 2 3 4 5 6 # " 1 11 12 13 14 15 16
Nama %airan In#us Aser Aseriin' 5 5 ml 9luk 9lukos osa a 5> 5 5 ml ml 9luk 9lukos osa a 1> 1> 5 5 ml ml KAEN 3A 5 5 ml ml KAEN 3B 5 5 ml ml KAEN 1B 5 5 ml ml NaCl aCl ? ?> > 5 5 ml ,in' ,in'er er Lakt Laktat at 5 5 ml ml $bat In&eksi Amin Amino! o!7 7li lin n 24 24 m' Atr Atro!in o!ine e ?25 ?25 m' ;exa ;exame met7 t7as ason one e 5 m' ;ia ;ia@e!a @e!am m 1 m' ;!7 ;!7en en7i 7i&r &ram amin ine e 1 m' ;o0u ;o0uta tami min n 25 25 m' ;o!a ;o!ami min n 2 m' E!7 E!7ine! ine!ri rine ne 1 m' m' :uros urosem emi& i&e e 2 2 m' m' Ketor etorol olac ac 3 m' m' Li&o Li&oc cain ain $et7l $et7l!r !re&n e&niso isolon lone e 125 m' $'4 4> 25 ml n&a n&ans nset etro ron n 4 m' m' ,ani ,aniti ti&i &in n 5 5 m' m' Aua Aua0i 0i&e &est st 25 25 ml
tok Baku
TANGG 21 22 23 24 25 26 +K KEL.A, +K KEL.A, +K KEL.A, +K KEL.A, +K KEL.A, +K K P ! P ! P ! P ! P ! P ! P ! P ! P ! P ! P ! P
1 2 3 4 5
$bat Lain'lain Pamol amol su!! su!! 125 125 m' m' tes tesol oli& i& su! su!! ! 5 m'2 m'2?5 ?5 ml ml teso tesoli& li& su!! su!! 1 m'2 m'2?5 ?5 ml Pulm Pulmic icor ortt ?5 ?5 m'2 m'2 ml /ento entoli lin n 2?5 2?5 m' m'2? 2?5 5 ml
Nama Petugas " Para#
L 2# 2" 2 3 31 L.A, +K KEL.A, +K KEL.A, +K KEL.A, +K KEL.A, +K KEL.A, ! P ! P ! P ! P ! P ! P ! P ! P ! P ! P !
Laporan Harian Alkes (a)at Inap (umah akit *e+amatan *embangan Bulan No. 1 2 3 4 5 6 # " 1 11 12 13 14 15 16 1# 1" 1 2 21 22 23 24
Nama
+ensimeter +ensimeter ,aksa +ensimeter +ensimeter tan&ar tan&ar Bak -nstrumen Kecil Bak -nstrumen e&an' Bak -nstrumen Besar Baskom stenleis Kom +ak +ak Be rtutu! Kom Bertutu! +ermometer +ermometer ;i'ital ;i'ital 9untin' arin'an 9untin' Kasa .rinal Pis!ot enter Besar enter Kecil Am0u0e' ;easa Am0u0e' Anak ,ostur Kursi ,o&a tetosko! Besar tetosko! Kecil +romol +romol Besar +romol +romol e&an' e&an' +romol +romol Kecil Kecil Emer'ensi Box
J,!LAH A-AL 1 1 1 4 1 3 2 1 1 1 1 3 3 1 1 1 2 1 2 1 1 1 2 1
TANGGAL 2 4 6 " 1 12 1 3 5 # 11 P ! P ! P ! P ! P ! P ! P ! P ! P ! P ! P ! P !
25 26 2# 2" 2 3 31 32 33 34 35 36 3# 3" 3 4 41 42 43 44 45 46 4#
BuliBuli Korentan' Ben'kok Non teril Ne0ule@er +ian' -n*us -n*us ;oron' +ensimeter +ensimeter Anak +ian' -n*us -n*us Permanen Permanen +a0un' +a0un' ksi'en Besar +a0un' +a0un' ksi'en Kecil tuin' terilisator +roli +roli Emer'ensi Emer'ensi Pinset Anatomis Pinset Ciru'is Klem arin'an $eteran
Nama Petugas " Para#
1 1 2 1 1 1 2 1 2 1 1 1 2 1 3 1 1 16 4 1
14 13 15 P ! P ! P !
Laporan Harian Alkes (a)at Inap (umah akit *e+amatan *embangan Bulan No. 1 2 3 4 5 6 # " 1 11 12 13 14 15 16 1# 1" 1 2 21 22 23 24 25
Nama
+ensimeter +ensimeter ,aksa ,aksa +ensimeter +ensimeter tan&ar tan&ar Bak -nstrumen Kecil Bak -nstrumen e&an' Bak -nstrumen Besar Kom Non teril Kom +ak +ak Bertutu! Be rtutu! Kom Bertutu! +ermometer +ermometer ;i'ital ;i'ital 9untin' arin'an 9untin' Kasa .rinal Pis!ot enter Besar enter Kecil Am0u0e' ;easa Am0u0e' Anak ,ostur Kursi ,o&a tetosko! Besar tetosko! Kecil +romol +romol Besar Besar +romol +romol e&an' e&an' +romol +romol Kecil Kecil Emer'ensi Box BuliBuli
J,!LAH A-AL
TANGGAL 16 1# 1" 1 2 21 22 23 24 25 26 2# P ! P ! P ! P ! P ! P ! P ! P ! P ! P ! P ! P !
26 2# 2" 2 3 31 32 33 34 35 36 3# 3" 3 4 41 42 43 44 45 46 4# 4"
Korentan' Ben'kok Non teril Ne0ule@er +ensimeter +ensimeter Anak Pem0olon' Kecil +a0un' +a0un' ksi'en Besar +a0un' +a0un' ksi'en Kecil tuin' terilisator Kom ;a7ak Pinset Anatomis Pinset Ciru'is Klem arin'an $eteran
Nama Petugas " Para#
2" 2 3 31 P ! P ! P ! P !
34 35 36 3# 3" 3 4 41 42 43 44 45 46 4# 4" 4 5 51 52 53 54 55 56 5# 5"
+roli Emer'ensi +roli +in&akan Ac Acses /in%er Pintu Kunci -n''ris ;is!enser Lam!u
1 1 1 1 2 1# 6 14 4 3 15 1 4 15 12 2 6 4 2 6 6 6 2 5 1
Laporan Harian Barang (a)at Inap (umah akit *e+amatan *embangan Bulan No. 1 2 3 4 5 6 # " 1 11 12 13 14 15 16 1# 1" 1 2 21 22 23 24 25 26 2# 2" 2 3
Nama Lemar emarii Alk Alkes es Lemar emarii Lak Laken $e%a Ns Kurs ursi Li! Li!a at Kursi ursi Plas Plasti tik k Dasta*el AC Central AC ,u ,uan'an am ;i ;in&i n' n' /as Bun' Bun'a a Kale Kalen& n&er er ;u&uk ;u&uk $esi $esin n Bell Bell Bell Bell ,aa ,aatt -na! -na! ,ak :ile ile +em!at em!at +isu +isu
J,!LAH A-AL
TANGGAL 16 1# 1" 1 2 21 22 23 24 25 26 2# P ! P ! P ! P ! P ! P ! P ! P ! P ! P ! P ! P
32 33 34 35 36 3# 3" 3 4 41 42 43 44 45 46 4# 4" 4 5 51 52 53 54 55 56 5# 5"
$e%a $e%a +ermos ermos Bilin' Bilin' Ka0in Ka0inet et (4 Laci) +roli roli Emer' Emer'ensi ensi +roli roli +in&a +in&akan kan Acses Acses /in%er /in%er Pintu Pintu Kunci unci -n''ri -n''ris s ;is! ;is!en ense serr Lam!u
Nama Petugas " Para#
2" 2 3 31 ! P ! P ! P ! P !