RSU MITRA DELIMA

Jl.Raya Bulupayung Krebet Kecamatan Bululawang

Kab. Malang Jawa Timur 65171 (0341 - 805183)

DAFTAR B3 DI RSMD TAHUN 2020

KONSISTENSI
NO. RUANGAN MERK KANDUNGAN ZAT PRODUKSI
PADAT CAIR GAS SERBUK
STARDINE √ POVIDONE IODINE PT. ETERCON PHARMA
ALKOHOL √ ALKOHOL PT. JAYAMAS MEDIKA INDUSTRI
LIPASE,AMYLASE,PROTE
CETRIZIME √ ASE, SURFAKTAN
DIMETHYLBENZYL
TERALINE √ AMONIUM CHLORIDE PT. DEMKA SAKTI
1 IGD KLORHEKSIDIN
HIBICET √ GLUKONAT PT. PARIT PADANG GLOBAL
DESMANOL √ ALKOHOL 70% PT. DEMKA SAKTI
BAYCLIN √ SODIUM HYPOCLORITE
HYDROGEN PERON √ HYDROGEN PEROKSIDA PT. BRATACO
BAYGON √ ORGANOFOSFAT PT. JOHNSON

STARDINE √ POVIDONE IODINE PT. ETERCON PHARMA

ALKOHOL √ ALKOHOL PT.JAYAMAS INDUSTRI
2 KABER LIPASE,AMYLASE,PROTE
CETRIZIME √ ASE, SURFAKTAN
DESMANOL √ ALKOHOL 70% PT. DEMKA SAKTI
BAYCLIN √ SODIUM HYPOCLORITE
STARDINE √ POVIDONE IODINE PT. ETERCON PHARMA
ALKOHOL √ ALKOHOL PT. JAYAMAS MEDIKA INDUSTRI
LIPASE,AMYLASE,PROTE
GIGAZIME √ ASE, SURFAKTAN
3 POLI DIMETHYLBENZYL
TERALINE √ AMONIUM CHLORIDE PT. DEMKA SAKTI
3 POLI

KLORHEKSIDIN
HIBICET √ GLUKONAT PT. PARIT PADANG GLOBAL
DESMANOL √ ALKOHOL 70% PT. DEMKA SAKTI
BAYCLIN √ SODIUM HYPOCLORITE
 STARDINE √ POVIDONE IODINE PT. ETERCON PHARMA
ALKOHOL 70% √ ALKOHOL PT.JAYAMAS INDUSTRI
LIPASE,AMYLASE,PROTE
CETRIZIME √ ASE, SURFAKTAN
4 IRNA I
DESMANOL √ ALKOHOL 70% PT. DEMKA SAKTI
DIMETHYLBENZYL
TERALINE √ AMONIUM CHLORIDE PT. DEMKA SAKTI
BAYCLIN √ SODIUM HYPOCLORITE
STARDINE √ POVIDONE IODINE PT. ETERCON PHARMA
ALKOHOL 70% √ ALKOHOL PT.JAYAMAS INDUSTRI
5 IRNA II LIPASE,AMYLASE,PROTE
CETRIZIME √ ASE, SURFAKTAN
DESMANOL √ ALKOHOL 70% PT. DEMKA SAKTI
BAYCLIN √ SODIUM HYPOCLORITE
ALKOHOL 70% √ ALKOHOL PT.JAYAMAS INDUSTRI
DIMETHYLBENZYL
6 IRNA III TERALINE √ AMONIUM CHLORIDE PT. DEMKA SAKTI
DESMANOL √ ALKOHOL 70% PT. DEMKA SAKTI
BAYCLIN √ SODIUM HYPOCLORITE
STARDINE √ POVIDONE IODINE PT. ETERCON PHARMA
ALKOHOL 70% √ ALKOHOL PT.JAYAMAS INDUSTRI
LIPASE,AMYLASE,PROTE
CETRIZIME √ ASE, SURFAKTAN
7 IRNA IV
DESMANOL √ ALKOHOL 70% PT. DEMKA SAKTI
DIMETHYLBENZYL
TERALINE √ AMONIUM CHLORIDE PT. DEMKA SAKTI
BAYCLIN √ SODIUM HYPOCLORITE
STARDINE √ POVIDONE IODINE PT. ETERCON PHARMA
ALKOHOL √ ALKOHOL PT.JAYAMAS INDUSTRI
LIPASE,AMYLASE,PROTE
GIGAZIME √ ASE, SURFAKTAN
8 IRNA V DIMETHYLBENZYL
TERALINE √ AMONIUM CHLORIDE PT. DEMKA SAKTI
KLORHEKSIDIN
HIBICET √ GLUKONAT PT. DEMKA SAKTI
DESMANOL √ ALKOHOL 70%
BAYCLIN √ SODIUM HYPOCLORITE
 STARDINE √ POVIDONE IODINE PT. ETERCON PHARMA
ALKOHOL 70% √ ALKOHOL PT.JAYAMAS INDUSTRI
LIPASE,AMYLASE,PROTE
GIGAZYME √ ASE, SURFAKTAN
DIMETHYLBENZYL
TERALINE √ AMONIUM CHLORIDE PT. DEMKA SAKTI
KLORHEKSIDIN
HIBICET √ GLUKONAT PT. PARIT PADANG GLOBAL
9 IKO DESMANOL √ ALKOHOL 70% PT. DEMKA SAKTI
FORMALIN 37% √ FORMALIN PT. BRATACO
FORMALIN TABLET √ FORMALIN PT. BRATACO
HYDROGEN PEROX √ HYDROGEN PEROX PT. BRATACO
ETHYL CHLORIDE √ ETHYL CHLORIDE PT. SEKAR LUHUR FARMA
SOFNOLIME √ SEFNOLIME PT. MOLEKULAR PRODUCT
MIKROZID √ ETHANOL PT. DEMKA SAKTI
BAYCLIN √ SODIUM HYPOCLORITE
STARDINE √ POVIDONE IODINE PT. ETERCON PHARMA
ALKOHOL √ ALKOHOL PT. JAYAMAS MEDIKA INDUSTRI
LIPASE,AMYLASE,PROTE
GIGAZIME √ ASE, SURFAKTAN
9 ICU DIMETHYLBENZYL
TERALINE √ AMONIUM CHLORIDE PT. DEMKA SAKTI
KLORHEKSIDIN
HIBICET √ GLUKONAT PT. PARIT PADANG GLOBAL
DESMANOL √ ALKOHOL 70% PT. DEMKA SAKTI
BAYCLIN √ SODIUM HYPOCLORITE
BAYCLIN √ SODIUM HYPOCLORITE
BENZALKONIUM
PRECEPT √ CHLORIDE
DIMETHYLBENZYL
TERALINE √ AMONIUM CHLORIDE PT. DEMKA SAKTI
10 LINEN
DESMANOL (RUB) √ ALKOHOL 70% PT. DEMKA SAKTI
LIPASE,AMYLASE,PROTE
CETRIZIME √ ASE, SURFAKTAN

MINIDIL LMG √ PT. LASARINDO

 ABX PENTRARAGEN √ PT. SALUR MEDIKA UTAMA
BAYCLIN √ SODIUM HYPOCLORITE PT. JOHNSON HOME HIGIENE PRODUCT
VIXAL √ PT. UNILEVER
PEWARNA ZIEHL - √ PT. SEGAR HUSADA MANDIRI
11 LABORATORIUM
NEELSEN
EOSIN 1% √ EOSIN PT. LARISINDO
LYSOL √ CV. SARI KIMIA RAYA
DESMANOL √ ALKOHOL 70% PT. DEMKA SAKTI
BAYCLIN √ SODIUM HYPOCLORITE
BAYCLIN √ SODIUM HYPOCLORITE
DESMANOL √ ALKOHOL 70% PT. DEMKA SAKTI
12 DAPUR GIZI
GLADE √ FRAGRANCE PALLETE

BAYGON √ ORGANOFOSFAT PT. JOHNSON HOME HIGIENE PRODUCT

GLADE √ FRAGRANCE PALLETE PT. JOHNSON AND SON
HARPIC √ FRAGRANCE PALLETE PT. RECKITT BENCKISER INDONESIA
13 KEBERSIHAN
STELLA √ FRAGRANCE PALLETE PT. MEGASARI MAKMUR
BAYCLIN √ SODIUM HYPOCLORITE
DRATHON √
HAND RUB √ ALKOHOL PT. DEMKA SAKTI
14 RUANG PERTEMUAN GLADE √ FRAGRANCE PALLETE PT. JOHNSON AND SON
BAYCLIN √ SODIUM HYPOCLORITE
HAND RUB √ ALKOHOL PT. DEMKA SAKTI
15 POS SATPAM
BAYCLIN √ SODIUM HYPOCLORITE
HAND RUB √ ALKOHOL PT. DEMKA SAKTI
RADIOLOGI CHLOROXYLENOL,
16
HAND WASH √ DETERGENT PT. DEMKA SAKTI
GLADE √ FRAGRANCE PALLETE PT. JOHNSON AND SON
RADIOLOGI
BAYCLIN √ SODIUM HYPOCLORITE
HAND RUB √ ALKOHOL PT. DEMKA SAKTI
17 KANTOR 1 GLADE √ FRAGRANCE PALLETE PT. JOHNSON AND SON
BAYCLIN √ SODIUM HYPOCLORITE
HAND RUB √ ALKOHOL PT. DEMKA SAKTI
18 KANTOR 2 GLADE √ FRAGRANCE PALLETE PT. JOHNSON AND SON
BAYCLIN √ SODIUM HYPOCLORITE
 HAND RUB √ ALKOHOL PT. DEMKA SAKTI
19 KANTOR 3 GLADE √ FRAGRANCE PALLETE PT. JOHNSON AND SON
BAYCLIN √ SODIUM HYPOCLORITE
HAND RUB √ ALKOHOL PT. DEMKA SAKTI
20 PERBEKALAN LOGISTIK
BAYCLIN √ SODIUM HYPOCLORITE
HAND RUB √ ALKOHOL PT. DEMKA SAKTI
GLADE √ FRAGRANCE PALLETE PT. JOHNSON AND SON
21 KASIR
BAYGON √ PT. JOHNSON HOME HIGIENE PRODUCT
BAYCLIN √ SODIUM HYPOCLORITE
GLADE √ FRAGRANCE PALLETE PT. JOHNSON AND SON
ALKOHOL 70% √ ALKOHOL PT. JAYAMAS MEDIKA INDUSTRI
22 FARMASI CHLOROXYLENOL,
HAND WASH √ DETERGENT PT. DEMKA SAKTI
HAND RUB √ ALKOHOL PT. DEMKA SAKTI
BAYCLIN √ SODIUM HYPOCLORITE
HAND RUB √ ALKOHOL PT. DEMKA SAKTI
23 REKAM MEDIK GLADE √ FRAGRANCE PALLETE PT. JOHNSON AND SON
BAYCLIN √ SODIUM HYPOCLORITE
HAND RUB √ ALKOHOL PT. DEMKA SAKTI
24 PENDAFTARAN GLADE √ FRAGRANCE PALLETE PT. JOHNSON AND SON
BAYCLIN √ SODIUM HYPOCLORITE
BAKTERI PENGURAI AEROB √
DAN ANAEROB
TAWAS 90% √ TAWAS
KAPORIT 90% √ KAPORIT
25 UKL UPL BAYGON √ ORGANOFOSFAT PT. JOHNSON HOME HIGIENE PRODUCT
GLADE / STELLA √ FRAGRANCE PALLETE PT. JOHNSON AND SON
HAND RUB √ ALKOHOL PT. DEMKA SAKTI
CHLOROXYLENOL,
HAND WASH √ DETERGENT PT. DEMKA SAKTI

STARDINE √ POVIDONE IODINE PT. ETERCON PHARMA

ALKOHOL 70% √ ALKOHOL PT. JAYAMAS MEDIKA INDUSTRI
 DIMETHYLBENZYL
TERALIN √ AMONIUM CHLORIDE PT. DEMKA SAKTI
LIPASE,AMYLASE,PROTE
GIGAZIME √ ASE, SURFAKTAN PT. DEMKA SAKTI
DESMANOL √ ALKOHOL PT. DEMKA SAKTI
26 PERBEKALAN FARMASI FORMALIN TABLET √ FORMALIN PT. BRATACO
KLORHEKSIDIN
HIBICET √ GLUKONAT PT. PARIT PADANG GLOBAL
HYDROGEN PEROXIDE √ HYDROGEN PEROXIDE PT. BRATACO
ETHIL CHLORIDE √ ETHIL CHLORIDE PT. SEKAR LUHUR FARMA
MIKROZID √ ETHANOL PT. DEMKA SAKTI
HAND RUB √ ALKOHOL PT. DEMKA SAKTI
BAYCLIN √ SODIUM HYPOCLORITE
LIPASE,AMYLASE,PROTE
GIGAZIME √ ASE, SURFAKTAN PT. DEMKA SAKTI
DIMETHYLBENZYL
TERALIN √ AMONIUM CHLORIDE PT. DEMKA SAKTI
27 INSTALASI STERILISASI SENTRAL KLORHEKSIDIN
HIBICET √ GLUKONAT PT. PARIT PADANG GLOBAL
FORMALIN TABLET √ FORMALIN PT. BRATACO
DESMANOL √ ALKOHOL PT. DEMKA SAKTI
BAYCLIN √ SODIUM HYPOCLORITE
HAND RUB √ ALKOHOL PT. DEMKA SAKTI
28 CASEMIX GLADE √ FRAGRANCE PALLETE PT. JOHNSON AND SON
BAYCLIN √ SODIUM HYPOCLORITE

MENGETAHUI,
DIREKTUR RSU MITRA DELIMA KETUA KOMITE K3RS

dr. Nofita Dwi Harjayanti, MMRS dr. Luthfi Aditya

 RSU MITRA DELIMA
Jl.Raya Bulupayung Krebet Kecamatan Bululawang
Kab. Malang Jawa Timur 65171 (0341 - 805183)

DAFTAR NAMA ALAT NON MEDIS RSU MITRA DELIMA

IGD
NO NAMA ALAT MERK NO. SERI TANGGAL KONDISI ALAT JUMLAH KET
PEMBELIAN
1 BED PASIEN 4 layak, 3 tidak 7
2 MEJA DOKTER layak 1
3 KOMPUTER layak 1
4 JAM DINDING layak 2
5 AC layak 2
6 LEMARI OBAT/ LEMARI layak 1
7 PAPAN INFORMASI layak 1
8 TROLY EMERGENCY layak 1
9 LEMARI GANTUNG layak 1
10 LOKER kurang layak 1
11 BABY TABLE layak 1
12 TIMBANGAN BAYI layak 1
13 TIMBANGAN DEWASA layak 1
14 TROLY TINDAKAN layak 5
15 TELEPON layak 1
16 TEMPAT STERIL layak 1
17 HP IGD layak 1
18 TEMPAT SAMPAH layak 1
19 KURSI DOKTER layak 1
20 KURSI PERAWAT layak 4
21 PAPAN PASIEN layak 1
IPAL
NO NAMA ALAT MERK NO. SERI TANGGAL KONDISI ALAT JUMLAH KET
PEMBELIAN
1 Tempat sampah layak 2
2 Lemari layak 1
3 Apar layak 1
4 Pompa air layak 1
5 Trolly layak 2
6 Lukisan layak 3

PENDAFTARAN
NO NAMA ALAT MERK NO. SERI TANGGAL KONDISI ALAT JUMLAH KET
PEMBELIAN
1 Televisi layak 1
2 Lemari layak 1
3 Komputer layak 1
4 Printer layak 1
5 Jam dinding layak 2
6 Meja pendaftaran layak 1
7 AC 1 layak, 2 tidak 3
8 Tempat Majalah layak 1
9 Lukisan layak 1
10 Apar layak 1
11 Papan Informasi 1 layak, 1 tidak 2
12 Piagam layak 1
13 Faxemail layak 1
14 Tempat Sampah layak 1
15 Kursi Panjang layak 8
16 Telepon layak 1