File Jadwal Pasien HD CM/HD/003

File Indikator Mutu CM/HD/005

File Monitoring Pergantian Filter CM/HD/007

File Ekspedisi Barang HD (Nipro) CM/HD/008

File Traveling HD CM/HD/009

File Inventori Barang HD CM/HD/011

File Kelembaban Ruangan HD CM/HD/012

File Pemantauan Suhu Alat
CM/HD/013
Kesehatan HD
File Kebersihan Alat HD CM/HD/014
File Kebersihan Dalam Dan Luar
CM/HD/015
Mesin Nipro HD
 File Perbaikan Alat HD CM/HD/017

File Kelembaban Lemari Alkes HD CM/HD/019

File Pemantauan Suhu Linen Dan
CM/HD/021
Pergantian Horden HD
File Tindakan HD CM/HD/022

File Pemantauan Dc Shock CM/HD/023

File Ceklist Laringoscope CM/HD/024

File Pemantauan Suhu Troly
CM/HD/025
Emergency
File Berita Acara Troly Emergency CM/HD/026
File Ceklist Barang Diluar Troly
CM/HD/027
Emergency

File Ceklist Troly Emergency CM/HD/028

 File Perawatan Mesin Ro CM/HD/029

File Suhu Ruangan HD CM/HD/030

File Eye Wash HD CM/HD/031

File Pemantauan Tekanan Ruang
CM/HD/032
Isolasi
File Hasil RO Dan Kalibrasi Mesin
CM/HD/038
Nipro
File Pemantuan Kelembaban Ruang
Linen CM/HD/039

File Laporan Harian Perawat CM/HD/040

File Ceklist Penerimaan Linen Bersih CM/HD/041

File Serah Terima Linen Bersih CM/HD/042

Penilaian Standard Kebersihan di
CM/HD/044
Hemodialisa
 Jadwal Real Pelatihan CM/HD/045

Buku Permintaan Alkes/ Obat ODC CM/HD/046

Ceklist Pergantian Filterro Dan Back
CM/HD/047
Wash RO
File Permintaan Barang CM/HD/048

File Tanda Terima CM/HD/049

Laporan Harian Perawat CM/HD/050

Daftar Obat High Alert CM/HD/051

Daftar Nomor Telepon Dokter
CM/HD/052
Spesialis
Laporan Evaluasi Pola Ketenagaan CM/HD/053

File Pemantuan Suhu Ruangan Linen CM/HD/060

 File Kartu Stock CM/HD/063

File Pemantauan Suhu Cool Box CM/HD/064

File Rapat Ruangan HD CM/HD/065

File Check List HD Siap Pakai CM/HD/066

File Barcode Trolley Emergency CM/HD/067

File pemantuan suhu ruangan linen CM/HD/068

 BUKU TEMPAT SAMPEL
MONITORING DARAH
PRESENTASE HB HEMODIALISA
CM/HD/010
File Kebersihan Dalam
CM/HD/064
dan Luar Mesin HD
File Ceklist
CM/HD/015
Laringoscope
BUKU EKSPEDISI COOL BOX
BANK DARAH BANK DARAH
CM/HD/069 HEMODIALISA
FILTER AIR BAKU
TANGKI AIR BAKU
SUMBER AIR BAKU
DARI SUMBER
AIR BAKU SETELAH
LEWAT FILTER
MASUK TANGKI AIR
BAKU
SUMBER AIR BAKU
CARBON FILTER
TANK FILTRASI
AIR YANG DI FILTER
MASUK KE TANK
AIR BAKU
TANGKI FILTER
KOSONG POMP
FEED DAN RO MATI
TANGKI AIR FILTER
FILTRASI
 MESIN IOU

POMPA FEED RO

PANEL RO

ON

OFF

NO LACI 1 : Obat dan Alkes Bersama JUMLAH

1 Aminophilin Inj 240 mg/10 ml 1
2 Atropin sulfate Inj 0,25 mg/ml 10
 3 Cordarone Inj 150 mg/3 ml # 3
4 Dexamethason Inj 5 mg/ml 2
5 Dobutamin Inj 250 mg/5 ml # 1
6 Dopac Inj 200 mg/5 ml # 1
7 Ecron Inj 4 mg/ml # 1
8 Epinephrine Inj 0.1 % - 1 mg/ml # 20
9 Fargoxin Inj 0.5 mg/2 ml # 1
10 Furosemid Inj 20 mg/2 ml 4
11 Herbesser Inj 50 mg # 1
12 Isorbid Inj 10 mg/10 ml 1
13 Nicardipin Inj 10 mg/10 ml 1
14 Nokoba Inj 0.4 mg/ml 1
15 Phenytoin Inj 100 mg/2 ml 2
16 Sedacum Inj 5 Mmg/5 ml # 4
17 Valisanbe Inj 10 mg/2 ml 2
18 Meylon 8.4 % 25 ml # 2
19 MgSO4 20 % 25 ml # 1
20 Otsu Dextrose 40 % 25 ml 2
21 Otsu WFI 25 ml 2
NO LACI 1 : Obat dan Alkes Bersama
22 3 Way Buntut 2
23 3 Way Stopcock 2
24 Alas Plastik 1
25 Alkohol Swab + CHG 0.5 % 20
26 Extention Tube 2
27 Hypavix 1
28 Instillagel Gel 10 ml/ Optilube 1
29 Micropore 1
30 Needle No 18 2
31 Turniquet 1
32 Catheter Tip 1
33 Syringe Terumo 10 cc 5
34 Syringe Terumo 20 cc 3
35 Syringe Terumo 3 cc 5
36 Syringe Terumo 5 cc 5
37 Syringe Terumo 50 cc 2
38 Gelafusal 1
39 Infusan NaCl 0.9 % 500 ml 2
40 Otsu Dextrose 5 % 100 ml 1
41 Otsu NaCl 0.9 % 100 ml 2

NO LACI 2 : Alkes Khusus Dewasa

1 Electrode ECG Silver Trace/Toos 6
2 ETT Cuff No 5 Portex 1
3 ETT Cuff No 6 Portex 1
4 ETT Cuff No 6.5 Portex 1
5 ETT Cuff No 7 Portex 1
6 ETT Cuff No 7.5 Portex 1
7 ETT Cuff No 8 Portex 1
8 Folley Catheter No 14 1
9 Folley Catheter No 16 1
10 Folley Catheter No 18 1
11 Folley Catheter No 20 1
12 Guedel No 7 1
13 Guedel No 8 1
14 Guedel No 9 1
15 IV Catheter No 18 (Surflo/vasofix/BD) 2
16 IV Catheter No 20 (Surflo/vasofix/BD) 2
17 IV Catheter No 22 (Surflo/vasofix/BD) 2
18 IV Dressing adult (Tegaderm 1633) 2
19 Infus set Adult 2
20 Mandrain L 1
21 Mandrain M 1
NO LACI 2 : Alkes Khusus Dewasa
22 Stomach Tube No 12 1
23 Stomach Tube No 14 1
24 Stomach Tube No 16 1
25 Stomach Tube No 18 1
26 Suction Cath No 10 1
27 Suction Cath No 12 1
28 Suction Cath No 14 1
29 Mask rebreathing adult 1
30 Nasal Cannula For Adult 1169 1
31 n
 File INDIKATOR MUTU HD CM/HD/070

File PENCAPAIAN IPSG HD CM/HD/071

File MSDS CAIRAN DIALISAT CM/HD/072