2. RUANGAN RESUSITASI
NO NAMA ALAT JUMLAH BAIK RUSAK KET
1 Emergency
Trolley/Resuscitation Crash Cart
2 X-Ray Film Viewer
3 Infusian pump
4 Nebulizer
5 Pulse Oxymeter/Oximeter/pulse
oximeter/oksigen saturasi/SPO2
6 Resusitation set/Rsesusitation
bay/Resusitation kit
7 Stetoskop/Stetoskop Dewasa
8 Suction pump/pompa
vakum/vacuum-powered body
fluid suction apparatus
9 Syringe Pump
10 Bed Patient
11 Ternometer digital
12 Tensimeter
13 Laringoskop
14 Defibrilator
15 Examination
light/Examinination lamp/ lampu
periksa/haging lamp
16 Bed patien Electric
3. RUANGAN OBSERVASI
NO NAMA OBAT JUMLAH BAIK RUSAK KET
1 Stretcher/Brankar
2 ECG/EKG/Electrocardiograph
3 Tensimeter
4 Syringe Pump
5 Sudip/penekan lidah/Tongue
depressor
6 Pen Light/Lampu senter
7 Termometer digital
8 Stetoskop/Stetoskop dewasa
9 Resusitation set /Resusitation
bay/Resusitation kit
10 Bed-side monitor/bed-patient
monitor/patient monitor
11 Emergency
Trolley/Resusitation Crash
Cart
12 Infusion Pump
13 Aspirator/Vacum/Suction
pump portable
14 Pneumatic Splint set
15 Defibrilator
4. RUANGAN TINDAKAN
NO NAMA ALAT JUMLAH BAIK RUSAK KET
Lampu kepala/head lamp
Examination
ligt/Examination lamp/
lampu periksa/Hanging lamp
Bed Patient
Gynecological bed/Obstetric
table and accessories
Minor surery set
Bed patient electric
Oxygen
Concentrator/Portable
Oxygen Generator
III. PELAYANAN RAWAT INTENSIF (ICU)
IV. PELAYANAN BEDAH SENTRAL(OK)
V. PELAYANAN RAWAT INAP
1. RUANGAN PERAWATAN OBSTETRI DAN GINEKOLOGI
NO NAMA ALAT JUMLAH BAIK RUSAK
1 Stetoskop/Stetoskop Dewasa
2 Bed patient
3 Box/TT Bayi/bed baby
4 Tiang infus
Emergency Trolley /
Resuscitation Crash Cart
Microscope labophot
ECG/EKG/Electrocardiograph 3 CH
Examination light / Examination lamp /
Lampu periksa / Hanging lamp
Termometer digital
Timbangan dewasa;
UV Sterilizer
Bak sputum
Arteri clamp
Irigator
Pinset Chirurgical
Bak catheter
Sempit,Gliserin
Pinset anatomis
Bed-side Monitor/Bed-patient
monitor/Patient monitor
Utility Trolley
Spinal fluid manometer
Vena section
Emergency set
Antidecubitus Matras
Minor Surgery Set
Bed patient electric
Cardiotocograph/CTG
Aspirator/Vacuum/Suction pump
portable
Infusion set
Oxygen set+flowmeter
Resusitation Set / Resusitation bay /
Resusitation kit
USG 2D
X-Ray Film Viewer
Nebulizer
Timbangan bayi
Meja Periksa / Tempat tidur periksa /
Examination Table
ECG/EKG/Electrocardiograph
Tensimeter
Doppler
Infusion pump
Sterilisator (Pressure Cooker)
Gynecological Bed/Obstetric table and
accessories
Lampu operasi (Ceyling Type)
Pinset Bedah/Operasi
Pispot
Kursi roda
Tabung Oksigen
Dressing Forceps/korentang
Inkubator infant
Stretcher/Brankar
Standar Waskom
Sterilisator Portable
Waskom
Bak instrumen
Kantong buli - buli
Flowmeter Oksigen
Suction pump/Pompa vakum /Vacuum-
powered body fluid suction apparatus;
Suction Pump Mobile
Laser therapy
Nierbeken
Sterilisator/Sterilisator Basah
Obstetric-gynecologic general manual
instrument
Food trolley
Lemari obat kaca
Lemari Steril
Meja Suntik
Lampu Operasi Bergerak/Operating Lamp
Mobile
Meja Mayo / Meja instrumen / Intrumen
table
Gilyserine Spuit
Meja obat
Gelas ukur
2. RUANGAN PERAWATAN ANAK
NO NAMA ALAT JUMLAH BAIK RUSAK
Tempat tidur anak / Pediatric
Hospital Bed
Termometer digital
Stetoskop anak
Sudip/penekan lidah/Tongue
depressor
Timbangan anak
Emergency Trolley / Resuscitation
Crash Cart
Toynbee diagnostic tube
ECG/EKG/Electrocardiograph
Baby Suction Pump
Nebulizer
Oxygen Concentrator / Portable
Oxygen Generator.
Tensimeter
Stetoskop bayi
X-Ray Film Viewer
Examination light / Examination
lamp / Lampu periksa / Hanging
lamp
3. RUANGAN PERINATOLOGI
NO NAMA ALAT JUMLAH BAIK RUSAK 1
1 Tensimeter
2 Sudip/penekan lidah/Tongue
depressor
3 Stetoskop bayi
4 Meja Periksa / Tempat tidur periksa
/ Examination Table
5 Inkubator infant
6 Timbangan bayi
7 Phototherapy unit
8 Pulse Oxymeter / Oximeter / Pulse
Oximeter / Oksigen Saturasi/SPO2
9 Baby Suction Pump
10 Infusion pump
11 Infant radiant warmer
12 Termometer digital
13 Resusitator bayi/neonatus
14 Bed-side Monitor/Bed-patient
monitor/Patient monitor
15 Continuous positive airway
pressure (CPAP)
16 Fetal phonocardiographic monitor
and accessories
17 Intubation set
18 Examination light / Examination
lamp / Lampu periksa / Hanging
lamp
19 Oxygen Concentrator / Portable
Oxygen Generator.
20 Syringe Pump
19 Timbangan bayi
20 Oxygen set+flowmeter
21 Sterilisator suhu rendah
22 Obstetric forceps/Forceps obstetrik
23 Vacum Ekstraktor/Fetal vacuum
extractor
24 Resusitation Set / Resusitation bay /
Resusitation kit
25 Sectio Caesarian set
26 Mesin Anestesi
27 Infusion warmer
28 Autotransfusion apparatus
29 Embriotomi set
30 Lampu operasi (Ceyling Type)
31 Utility Trolley
32 Hecting set
33 Alat partus set
34 Gynecological Bed/Obstetric table and
accessories
35 Spinal fluid manometer
36 Alat pemanas / warmer
37 Gunting Bedah Standar, Lengkung
38 Pengait IUD
39 Spekulum Vagina/Cocor bebek
40 Tenakulum (uterine tenaculum)
41 Pinset Bedah/Operasi
42 Dressing Forceps/korentang
43 Tromol Kasa / Kain Steril
44 Pean bengkok
45 Gagang pisau no. 3
46 Meja Periksa Ginekologi dan kursi
pemeriksa
47 Lampu ginekolog
48 Pinset Chirurgical
49 Meja obat
50 Busi / Dilatator
51 Himinoplasti
52 Bak instrument
53 Nierbeken
54 Alat pemecah selaput ketuban atau
1/2 kocher
55 Sendok kuret
56 Tampon tang
57 Metal catheter
58 Tabung Oksigen
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3. Pemulihan / Recovery
NO NAMA ALAT JUMLAH BAIK RUSAK
1 Oxygen Concentrator / Portable
Oxygen Generator.
2 Stetoskop/Stetoskop Dewasa
3 Bed patient
4 Tensimeter
5 Timbangan dewasa;
6 Infusion pump
7 Termometer digital
8 ECG/EKG/Electrocardiograph
9 Bed-side Monitor/Bed-patient
monitor/Patient monitor
10 Examination light / Examination lamp
/ Lampu periksa / Hanging lamp
11 Syringe Pump
12 Tensimeter Anaeroid
13 Bed patient electric