NO Nama Tindakan ALAT BAHAN QUANTITY

1 pemasangan infus I standar infus Handscoon steril 1

Tourniquet Infus set/ transfusi set 1
nierbeken IV cath no.18 1
paper tape Cairan sesuai kebutuhan 1
Alcohol Swab 2
Under Pad 1
Transparan Film dressing 1
pemasangan infus II standar infus Handscoon steril 1
Tourniquet Infus set (makro/ mikro) 1
nierbeken IV cath no. 20 1
paper tape Cairan sesuai kebutuhan 1
Alcohol Swab 2
Under Pad 1
Transparan Film dressing 1
pemasangan infus III standar infus Handscoon steril 1
Tourniquet Infus set (makro/ mikro) 1
nierbeken IV cath no. 22 1
paper tape Cairan sesuai kebutuhan 1
Alcohol Swab 2
Under Pad 1
Transparan Film dressing 1
pemasangan infus IV standar infus Handscoon steril 1
Tourniquet Infus set (makro/ mikro) 1
nierbeken IV cath no. 24 1
paper tape Cairan sesuai kebutuhan 1
Alcohol Swab 2
Under Pad 1
Transparan Film dressing 1
pemasangan infus V standar infus Handscoon steril 1
Tourniquet Infus set (makro/ mikro) 1
nierbeken IV cath no. 26 1
paper tape Cairan sesuai kebutuhan 1
Alcohol Swab 2
Under Pad 1
Transparan Film dressing 1
2 Oksigenasi I Oxygen Tube Nasal Canul 1
O2 Regulator Sterile Water (Aquadest)
Oksigenasi II Oxygen Tube Simple Mask 1
O2 Regulator Sterile Water (Aquadest)
Oksigenasi III Oxygen Tube Rebreathing Mask 1
O2 Regulator Sterile Water (Aquadest)
Oksigenasi IV Oxygen Tube Non-Rebreahing Mask 1
O2 Regulator Sterile Water (Aquadest)
3 Nebulizer Nebulizer Set Simple Mask 1
Handscoon non steril
Obat Bronkodilator (sesuai kebutuhan)
Aquadest/NaCl 1
4 Suction I Suction Set Kanul Suction (6 fr) 1
Sterile Water (Aquadest) 1
Handscoon non steril 1
masker
 Suction II Suction Set Kanul Suction (8 fr) 1
Sterile Water (Aquadest) 1
Handscoon non steril 1
masker
Suction II Suction Set Kanul Suction (10 fr) 1
Sterile Water (Aquadest) 1
Handscoon non steril 1
masker
Suction II Suction Set Kanul Suction (12 fr) 1
Sterile Water (Aquadest) 1
Handscoon non steril 1
masker
5 Hecting Heacting Set Handscoon steril
Suture Needle Nylon 5/0
NaCl

Kassa Steril
Syringes 3 cc/5cc/10cc
Lidocain
under pad

Povidon Iodine
Alcohol 70%
Supratul
plester/ hypafix
Heacting Heacting Set Handscoon steril
Suture Silk 4/0
NaCl

Kassa Steril
Syringes 3 cc/5cc/10cc
Lidocain
under pad

Povidon Iodine
Alcohol 70%
Supratul
plester/ hypafix
Heacting Heacting Set Handscoon steril
Chromic 3/0
NaCl

Kassa Steril
Syringes 3 cc/5cc/10cc
Lidocain
under pad

Povidon Iodine
Alcohol 70%
Supratul
plester/ hypafix
Heacting Heacting Set Handscoon steril
Plain 3/0
NaCl

Kassa Steril
Syringes 3 cc/5cc/10cc
Lidocain
under pad
 Povidon Iodine
Alcohol 70%
Supratul
plester/ hypafix
6 NGT I Klem selang NGT (no.20)
Stetoskop Spuit 50cc
nierbeken Plester
xylocain jelly
Handscoon steril
NGT II Klem selang NGT (no. 16)
Stetoskop Spuit 50cc
nierbeken Plester
xylocain jelly
Handscoon steril
NGT III Klem selang NGT (no. 14)
Stetoskop Spuit 50cc
nierbeken Plester
xylocain jelly
Handscoon steril
NGT IV Klem selang NGT (no. 8)
Stetoskop Spuit 50cc
nierbeken Plester
xylocain jelly
Handscoon steril
NGT V Clem selang NGT (no. 7)
Stethoscope Spuit 10cc
nierbeken Plester
xylocain jelly
Handscoon steril
NGT VI Clem selang NGT (no. 5)
Stethoscope Spuit 10cc
nierbeken Plester
xylocain jelly
Handscoon steril
7 kateter I Selang Kateter(No. 8)
Handscoon steril
Handscoon non-steril
under pad
Sterile Water (Aquadest)
urine bag
spuit 20cc
Xylocain jelly
Plester
Kass steril/Kapas Sublimat
kateter II Selang Kateter(No. 10)
Handscoon steril
Handscoon non-steril
under pad
Sterile Water (Aquadest)
urine bag
spuit 20cc
Xylocain jelly
 Plester
Kass steril/Kapas Sublimat
kateter III Selang Kateter(No. 14)
Handscoon steril
Handscoon non-steril
under pad
Sterile Water (Aquadest)
urine bag
spuit 20cc
Xylocain jelly
Plester
Kass steril/Kapas Sublimat
kateter IV Selang Kateter(No. 16)
Handscoon steril
Handscoon non-steril
under pad
Sterile Water (Aquadest)
urine bag
spuit 20cc
Xylocain jelly
Plester
Kass steril/Kapas Sublimat
kateter V Selang Kateter(No. 18)
Handscoon steril
Handscoon non-steril
under pad
Sterile Water (Aquadest)
urine bag
spuit 20cc
Xylocain jelly
Plester
Kass steril/Kapas Sublimat
8 BIDAI Bidai
perban gulung
perban elastis
kapas
Handscoon steril
9 GIPS waslap Bahan gips (Size 5)
sabun spons rubs
pemotong gips padding
gunting verban krim kulit
baskom kassa gulung
handuk underpad
alat cukur
GIPS waslap Bahan gips (Size 7.5)
sabun spons rubs
pemotong gips padding
gunting verban krim kulit
baskom kassa gulung
handuk underpad
alat cukur
GIPS waslap Bahan gips (Size 10)
 sabun spons rubs
pemotong gips padding
gunting verban krim kulit
baskom kassa gulung
handuk underpad
alat cukur
GIPS waslap Bahan gips (Size 15)
sabun spons rubs
pemotong gips padding
gunting verban krim kulit
baskom kassa gulung
handuk underpad
alat cukur
10 GV besar (>6 cm) NaCl 0,9%
spuit 5 cc dan 10 cc
kassa steril
under pad
handscoon steril
handscoon non-steril
plester/ hypavix
Povidon Iodine
supratule
perban gulung
obat luka sesuai order
11 GV sedang (3-6 cm) NaCl 0,9%
spuit 5 cc dan 10 cc
kassa steril
under pad
handscoon steril
handscoon non-steril
plester/ hypavix
Povidon Iodine
supratule
perban gulung
obat luka sesuai order
12 GV kecil (<3 cm) NaCl 0,9%
spuit 5 cc dan 10 cc
kassa steril
under pad
handscoon steril
handscoon non-steril
plester/ hypavix
Povidon Iodine
supratule
perban gulung
obat luka sesuai order