USULAN

RENCANA KERJA ANGGARAN (RKA)

RUMAH SAKIT UMUM DAERAH KAIMANA
TAHUN 2018
UPT : RSUD KAIMANA
SEKSI : PELAYANAN MEDIS DAN KEPERAWATAN
INSTALASI : RUANG PERAWATAN BEDAH (RPB)
USULAN
HARGA
NO PROGRA USULAN KEGIATAN SASARAN LOKASI RINCIAN VOL SAT
SATUAN
M
1 2 3 4 5 6 8
I Program
1 PELATIHAN BASIC TRAUMA LIFE SUPORT (BCLS)
Transport peserta dan uang harian
a PERAWAT RPU Jakarta
- Uang Tiket Jakarta -Kaimana PP 4 org x 1 kl = 4 o/h Rp 7,000,000
- Uang Harian gol III 4 org x 5 hr = 20 o/h Rp 500,000
- Uang Hotel 4 org x 5 hr = 20 o/h Rp 550,000
b Kontribusi peserta 4 org x 1 kl = 4 o/h Rp 5,000,000
c Biaya Dokumentasi dan Pembuatan Laporan 1 keg = 1 keg Rp 1,000,000

II Program
1 Kegiatan Pengadaan Barang dan Jasa
Pengadaan Alat medis
a Minor Set
Penunjang 2 Rp 500,000
RSUD Kaimana = unit
Pelayanan
b Elektro Kardio Gram (EKG)
Penunjang 1 Rp 10,000,000
RSUD Kaimana = unit
Pelayanan
c Ambubag dewasa
Penunjang 2 Rp 500,000
= unit
Pelayanan RSUD Kaimana
d Ambubag anak-anak
Penunjang 2 Rp 800,000
= Unit
Pelayanan RSUD Kaimana
e Meja Instrumen
Penunjang 2 Rp 2,849,000
= unit
Pelayanan RSUD Kaimana
f Stetoskop Penunjang 5 Rp 150,000

Pelayanan = unit
RSUD Kaimana
g Tensi meter dorong Penunjang RSUD Kaimana = 2 unit Rp 2,000,000

Pelayanan
h Termometer digital Penunjang = 5 unit Rp 100,000

Pelayanan RSUD Kaimana

i Monitor pasien = 1 unit Rp 66,652,000

j Apron plastik Penunjang RSUD Kaimana = 20 unit Rp 150,000

Pelayanan
Pengadaan Barang non medis / renovasi

a Renovasi Nurse Station Penunjang RSUD Kaimana = 1 unit Rp 70,000,000

Pelayanan
b Lemari obat Penunjang RSUD Kaimana = 1 unit Rp 4,767,000
Pelayanan
c Pengadaan Kulkas penyimpanan obat Penunjang RSUD Kaimana = 1 unit Rp 2,000,000
Pelayanan
d Pengadaan Meja Kepru Penunjang RSUD Kaimana = 1 unit Rp 1,000,000
Pelayanan

Mengetahui, Kaimana, 04 Oktober 2017

Kepala Seksi Pelayanan Medis dan Keperawatan Kepala RPB

dr.COENRAD PATTISELANNO ERIK AMERBAY , Amd.Kep

NIP.1119760430 200605 1 001 670325 200605 1 001 NIP. 19780307 199903 1 004 9670325 200605 1 001
 Kaimana, 04 Oktober 2017
Kepala Seksi Pelayanan Medis dan Keperawatan Kepala RPB

dr.COENRAD PATTISELANNO ERIK AMERBAY , Amd.Kep

NIP.1119760430 200605 1 001 670325 200605 1 001 NIP. 19780307 199903 1 004 9670325 200605 1 001
 JUMLAH

9
241,967,000
70,000,000

28,000,000
10,000,000
11,000,000
20,000,000
1,000,000

-
171,967,000

1,000,000

10,000,000

1,000,000

1,600,000
 5,698,000

750,000

4,000,000

500,000

66,652,000
3,000,000

70,000,000

4,767,000

2,000,000

1,000,000
3,000,000 1,200,000 4,200,000 504,000 4,704,000
3,000,000 1,200,000 4,200,000 504,000 4,704,000
 USULAN
RENCANA KERJA ANGGARA
DINAS KESEHATAN KABUPATEN
TAHUN 2018
BIDANG :_
SEKSI : PELAYANAN MEDIS DAN KEPERAWATAN
INSTALASI : POLIKLINIK

USULAN LOKASI /
NO USULAN KEGIATAN
SASARAN RINCIAN
PROGRAM KAMPUNG
1 2 3 4 5 6
I Program
1 Peningkatan Saran dan prasarana
RSUD
Pengadaan Nurs
Perawat/bidan
a Kaimana
- Penanggung Jawab 1 org x 1 keg
- Ketua 1 org x 1 keg
- Sekretaris 1 org x 1 keg
- Anggota 4 org x 1 keg
- Narasumber 3 org x 4 jam
- Pembawa Acara / MC 1 org x 2 kl
b Transport Panitia / Narasumber / MC
- Uang Transport Panitia 7 org x 3 hr
- Uang Transport Narasumber 2 org x 3 hr
- Uang Transport Pembawa Acara/MC 1 org x 2 kl
c Transport Narasumber Provinsi
- Uang Tiket Manokwari-Kaimana PP 1 org x 1 kl
- Uang Harian 1 org x 5 hr
- Uang Hotel 1 org x 4 hr
d Uang Harian dan Trasnport Peserta
- Uang Harian 2 org x 12 pkm/rsud
- Uang Transport lokal 2 org x 12 pkm/rsud
- Uang Transport dari PKM ke Dinas Kesehatan (PP)
- PKM Kambala 1 kl x 1 keg
- PKM Lobo 1 kl x 1 keg
- PKM Kiruru 1 kl x 1 keg
- PKM Yamor 1 kl x 1 keg
- PKM Waho 1 kl x 1 keg
- PKM Tanusan 1 kl x 1 keg
- PKM Bofuwer 1 kl x 1 keg
- PKM Tugarni 1 kl x 1 keg
- PKM Tairi 1 kl x 1 keg
e Biaya Sewa Gedung / Tempat Pertemuan 3 hr x 1 keg
f Biaya Makan / Minum Kegiatan 87 org x 3 hr
g Biaya ATK / Penggandaan / Spanduk
 - ATK
@ Kertas HVS A4/F4 80g 2 rim
@ Kertas NCR 2 rim
@ Map Batik 5 bh
@ Tinta Botol Canon G2000 5 btl
@ Buku Tulis / Note 67 bh
@ Bolpen 5 dos
@ Pensil 5 dos
@ Penghapus 5 dos
- Penggandaan / FC
@ Laporan Kegiatan 25 lmbr x 6 Jilid
@ Dokumen Pertanggung Jawaban 500 lmbr x 6 Jilid
- Spanduk Kegiatan 1 mtr x 4 mtr
h Sewa Kendaraan 1 unit x 3 hr
i Biaya Kamar Hotel untuk Sekretariat Panitia 1 kmr x 3 hr
j Biaya Dokumentasi dan Pembuatan Laporan 1 keg

2 Kegiatan Monitoring dan Singkronnisasi Data ASPAK

a Biaya Perjalanan Dinas ke Puskesmas, Pustu dan Polindes
- Tranportasi
- PKM Kaimana 1 keg x 1 kl
- PKM Kambala 1 keg x 1 kl
- PKM Lobo 1 keg x 1 kl
- PKM Kiruru 1 keg x 1 kl
- PKM Yamor 1 keg x 1 kl
- PKM Waho 1 keg x 1 kl
- PKM Tanusan 1 keg x 1 kl
- PKM Bofuwer 1 keg x 1 kl
- PKM Tugarni 1 keg x 1 kl
- PKM Tairi 1 keg x 1 kl
- RSUD 1 keg x 1 kl
- Uang Harian Gol. III 4 org x 5 hr
- Uang Harian Gol. II 2 org x 5 hr
- Makan / Minum Kegiatan 11 pkm/rsud x 1 keg
b Biaya Pembuatan Laporan 11 pkm/rsud x 1 lap

3 Kegiatan Pertemuan Evaluasi Kinerja Pelayanan dan Penyusunan Program Kegiatan

a Pertemuan Evaluasi Internal Dinas Kesehatan
- Biaya makan / Minum Kegiatan 55 org x 1 h
b Honorarium Panitia / Narasumber
- Penanggung Jawab 1 org x 1 keg
- Ketua 1 org x 1 keg
- Sekretaris 1 org x 1 keg
- Anggota 8 org x 1 keg
- Narasumber 2 org x 4 jam
 - Pembawa Acara / MC 1 org x 2 kl
c Transport Panitia / Narasumber / MC
- Uang Transport Panitia 7 org x 3 hr
- Uang Transport Narasumber 2 org x 3 hr
- Uang Transport Pembawa Acara/MC 1 org x 2 kl
d Uang Harian dan Trasnport Peserta
- Uang Harian 2 org x 11 pkm/rsud
- Uang Transport lokal 2 org x 11 pkm/rsud
- Uang Transport dari PKM ke Dinas Kesehatan PP
- PKM Kambala 2 org x 2 kl
- PKM Lobo 2 org x 2 kl
- PKM Kiruru 2 org x 2 kl
- PKM Yamor 2 org x 2 kl
- PKM Waho 2 org x 2 kl
- PKM Tanusan 2 org x 2 kl
- PKM Bofuwer 2 org x 2 kl
- PKM Tugarni 2 org x 2 kl
- PKM Tairi 2 org x 2 kl
e Biaya Sewa Gedung / Tempat Pertemuan 3 hr x 1 keg
f Biaya Makan / Minum Kegiatan 87 org x 3 hr
g Biaya ATK / Penggandaan / Spanduk
- ATK
@ Kertas HVS A4/F4 80g 3 rim
@ Kertas NCR 3 rim
@ Map Batik 10 bh
@ Tinta Botol Canon G2000 5 btl
@ Buku Tulis / Note 67 bh
@ Bolpen 67 bh
@ Pensil 67 bh
@ Penghapus 67 bh
- Penggandaan / FC
@ Laporan Kegiatan 25 lmbr x 6 Jilid
@ Dokumen Pertanggung Jawaban 500 lmbr x 6 Jilid
- Spanduk Kegiatan 1 mtr x 4 mtr
h Sewa Kendaraan 1 unit x 3 hr
i Biaya Kamar Hotel untuk Sekretariat Panitia 1 kmr x 3 hr
j Biaya Dokumentasi dan Pembuatan Laporan 1 keg

II Program
1 Kegiatan Pengadaan Barang dan Jasa
 Pengadaan Penunjang
Komputer Pengoperasia PKM
a Desktop All n Sistim
In One (core Manajemen Kaimana
i3) Puskesmas

PKM
b Pengadaan
UPS Kaimana
Dinas dan
c Pengadaan Printer 3 in One ( PKM
Kaimana
Dinas dan
d Pengadaan Printer Laser Jet PKM
Kaimana
PKM
e Pengadaan P Penunjang
Pelayanan Kaimana

Pengadaan
Radio SSB
f dan
Instalasi/Pem
asangan

11
- Radio SSB Penunjang PKM/Dinkes
Pelayanan
- Instalasi/Pemasangan
- Jasa Instalasi
- Transport PP PKM Kaimana
- Transport PP PKM Kambala
- Transport PP PKM Kambala
- Transport PP PKM Kambala
- Transport PP PKM Kambala
- Transport PP PKM Kambala
- Transport PP PKM Kambala
- Transport PP PKM Kambala
- Transport PP PKM Kambala
- Transport PP PKM Kambala
 USULAN
RENCANA KERJA ANGGARAN (RKA)
DINAS KESEHATAN KABUPATEN KAIMANA
TAHUN 2018
CONTOH

HARGA
RINCIAN VOL SAT
SATUAN
8

= 1 o/k 3,500,000
= 1 o/k 3,000,000
= 1 o/k 2,500,000
= 4 o/k 1,500,000
x 2 hr = 24 o/j 1,000,000
x 1 keg = 2 o/k 350,000

= 21 o/h 150,000
= 6 o/h 150,000
= 2 o/h 150,000

= 1 o/h 5,000,000
= 5 o/h 800,000
= 4 o/h 550,000

x 3 hr = 67 o/p/h 500,000
x 3 hr = 67 o/p/h 150,000

= 1 o/k -
= 1 o/k -
= 1 o/k -
= 1 o/k -
= 1 o/k -
= 1 o/k -
= 1 o/k -
= 1 o/k -
= 1 o/k -
= 3 h/k 5,000,000
= 261 o/h 255,000
 = 2 rim 112,000
= 2 rim 175,000
= 5 bh 9,000
= 5 btl 125,000
= 67 bh 10,000
= 5 dos 84,000
= 5 dos 75,000
= 5 dos 35,000

= 150 l/j 350

= 3000 l/j 350
x 2 bh = 8 m/b 110,000
= 3 m/b 700,000
= 3 k/h 550,000
= 1 keg 500,000

= 1 k/k 7,000,000
= 1 k/k 9,000,000
= 1 k/k 8,000,000
= 1 k/k 11,000,000
= 1 k/k 12,500,000
= 1 k/k 7,000,000
= 1 k/k 9,000,000
= 1 k/k 10,000,000
= 1 k/k 11,000,000
= 1 k/k 8,000,000
= 1 k/k 700,000
x 11 pkm/rsud x 1 kl = 220 o/h/p/k 500,000
x 11 pkm/rsud x 1 kl = 110 o/h/p/k 450,000
x 1 kl = 11 p/k/k 1,000,000
= 11 p/l 500,000

= 55 o/h 105,000

= 1 o/k 3,500,000
= 1 o/k 3,000,000
= 1 o/k 2,500,000
= 8 o/k 1,500,000
x 2 hr = 16 o/j/h 1,000,000
x 1 keg = 2 o/k 350,000

= 21 o/h 150,000
= 6 o/h 150,000
= 2 o/h 150,000

x 3 hr = 66 o/p/h 500,000
x 3 hr = 66 o/p/h 150,000

= 4 o/k -
= 4 o/k -
= 4 o/k -
= 4 o/k -
= 4 o/k -
= 4 o/k -
= 4 o/k -
= 4 o/k -
= 4 o/k -
= 3 h/k 5,000,000
= 261 o/h 255,000

= 3 rim 112,000
= 3 rim 175,000
= 10 bh 9,000
= 5 btl 125,000
= 67 bh 10,000
= 67 bh 84,000
= 67 bh 75,000
= 67 bh 35,000

= 150 l/j 350

= 3000 l/j 350
x 2 bh = 8 m/b 110,000
= 3 m/b 700,000
= 3 k/h 550,000
= 1 keg 500,000
= 6 unit 15,750,000

= 6 unit 4,500,000

= 7 unit 4,704,000

= 7 unit 4,704,000

= 1 Paket 250,000,000

= 11 unit 15,000,000

= 11 Unit 2,500,000
= 1 kl 700,000
= 1 kl 9,000,000
= 1 kl 8,000,000
= 1 kl 11,000,000
= 1 kl 12,500,000
= 1 kl 7,000,000
= 1 kl 9,000,000
= 1 kl 10,000,000
= 1 kl 11,000,000
= 1 kl 8,000,000
CONTOH

JUMLAH

9
2,249,540,000
189,471,500

3,500,000
3,000,000
2,500,000
6,000,000
24,000,000
700,000

3,150,000
900,000
300,000

5,000,000
4,000,000
2,200,000

33,500,000
10,050,000

-
-
-
-
-
-
-
-
-
15,000,000
66,555,000
 224,000
350,000
45,000
625,000
670,000
420,000
375,000
175,000

52,500
1,050,000
880,000
2,100,000
1,650,000
500,000

269,200,000

7,000,000
9,000,000
8,000,000
11,000,000
12,500,000
7,000,000
9,000,000
10,000,000
11,000,000
8,000,000
700,000
110,000,000
49,500,000
11,000,000
5,500,000

1,790,868,500

5,775,000

3,500,000
3,000,000
2,500,000
12,000,000
16,000,000
 700,000

3,150,000
900,000
300,000

33,000,000
9,900,000

-
-
-
-
-
-
-
-
-
15,000,000
66,555,000

336,000
525,000
90,000
625,000
670,000
5,628,000
5,025,000
2,345,000

52,500
1,050,000
880,000
2,100,000
1,650,000
500,000

-
716,056,000
 94,500,000

27,000,000

32,928,000

32,928,000

250,000,000

278,700,000

165,000,000

113,700,000
27,500,000
700,000
9,000,000
8,000,000
11,000,000
12,500,000
7,000,000
9,000,000
10,000,000
11,000,000
8,000,000