KONDISI
Ket: Sesuai di Pedoman Penyelenggaraan Pelayanan di Rumah Sakit dan Permenkes 340/Menkes/Per/III/2010
6
III.2. Gambaran Peralatan RS
STANDAR PERALATAN
NO. PELAYANAN KETERANGAN
SESUAI TDK SESUAI
STANDART STANDART
1 Pelayanan Obstetri Gynecology ü
Rawat Jalan ü
Kamar Bersalin ü
Gawat Darurat ü
Rawat Inap ü
Ruang Perinatologi ü
2 Pelayanan Anak ü
Rawat Jalan ü
Rawat Inap ü
5 Pelayanan Bedah ü
Rawat Jalan ü
Rawat Inap ü
Ruang Operasi/Bedah ü
6 Pelayanan Mata ü
Rawat Jalan ü
Rawat Inap ü
Ruang Operasi Mata ü
7 Pelayanan THT ü
Rawat Jalan ü
9
STANDAR PERALATAN
NO. PELAYANAN KETERANGAN
SESUAI TDK SESUAI
STANDART STANDART
Rawat Inap ü
Ruang Operasi THT ü
10 Pelayanan Saraf ü
Rawat Jalan ü
Rawat Inap ü
11 Pelayanan Jiwa ü
Rawat Jalan ü
Rawat Inap ü
9
STANDAR PERALATAN
NO. PELAYANAN KETERANGAN
SESUAI TDK SESUAI
STANDART STANDART
27 Listrik ü
28 Pemeliharaan Sarana ü
29 Pemulasaraan Jenazah ü Sedang direncanakan pembangunannya
30 Telekomunikasi ü
31 Pengelolaan Limbah ü
32 Transportasi ü
KETERANGAN
Standar Sesuai dengan Buku Pedoman Penyelenggaraan Pelayanan di Rumah Sakit
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III.3. Analisa Sarana dan Peralatan Rumah Sakit
III.3.a. Kelengkapan Peralatan
1. Peralatan Medis di Instalasi Gawat Darurat
Kuantiti
No. Nama Barang Merk / Type Keterangan
Barang
1 Elektro Cardio Graphy (ECG) Fukuda FX 2111 Jepang 1 unit Kalibrasi
2 Lampu Sorot Halogen Dyna Type Mobile 50 Watt 12 Vo 1 unit Kalibrasi
3 Sterilsator Kering Gea type Corona® 1 unit Kalibrasi
4 Surgical Suction Pump 2 botol Gea Type mobileYB-DX23 B 1 unit Kalibrasi
5 Tensimeter Hg Stand Spirit & ABN type stand 2 unit Kalibrasi
6 Brancard Emergency Plus Onemed 2 unit
7 Diagnostic Set Riester Jerman 1 set
8 Dressing Cart Trolly Stainless Steel 2 rak 1 unit
9 Flowmeter nasal canula humidifier Gentec & MagicStar 3 set
10 Korentang + Tempat Stainless steel 2 set
11 Kursi Chitose® warna biru 5 buah
12 Kursi Roda Onemed Corona® BM 1 unit
13 Laryngoscope Renz Type Adul 1 set
14 Lemari Arsip Kayu loker 15 pintu 1 unit
15 Lemari Instrumen Kaca uk.165x200 1 unit
16 Meja Instrument Stainles Lokal Stainless steel 2 susun 1 set
17 Meja Kerja ½ Biro + Kaca 2 set
18 Meja Mayo Lokal Besi-Stainless Stell 1 set
19 Meja Periksa Pasien (Examination Tabl Stainless Steel + Foot Step 3 set
20 Minor Set Mix 2 set
21 Nebulizer Omron Model CompressorNE-C 1 unit
22 Resutitator Fortune Type Adult 1 set
23 Scoop Stretcher Onemed / YDC-4 Silver 1 unit
24 Set Rawat Luka Renz / Set komplit 1 set
25 Set Venaseksio Renz / Set komplit + Bak 1 set
26 Stetoscope Riester type duplex adult & bab 2 bh
27 Tabung O2 + Trolly + Regulator 1000 lt & Regulator Gea 1 set
28 THT Set & Dompet Mix 1 set
29 Timbangan Badan Ukur Tinggi Type Injak 1 set
30 Timbangan Bayi Gea 1 set
31 X Ray Illuminator Onemed Single Deluxe 1 unit
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Bak Instrumen Stainless ukuran sedang & besa 7 bh
Bengkok Stainless Steel ukuran sedang 4 bh
Com Alkohol Stainless Steel 4 bh
Cucing Stainless Steel 8 bh
Dressing Cart Trolly Stainless Steel 2 rak 2 bh
Gunting Angkat Jahitan Stainless Steel 2 bh
Gunting Kasa Biasa 2 bh
Irrigator Lavement Stainless steel uk.1 ltr & 2 ltr 3 set
Korentang + Tempat Stainless Steel 2 set
Kursi Roda Onemed Corona® BM & Maxim 2 unit
Meja Instrument Stainles Lokal Stainless steel 2 susun 2 set
Pincet Anatomis Stainless Steel 3 bh
Pincet Chirurgis Stainless Steel 2 bh
Resutitator Besmed Silikon Adult 2 bh
Senter Biasa 2 bh
Standar Infus Stainless Stell GEA INA Kaki 5 9 bh
Standar Infus Model Besi+Stainless 5 unit
Stetoscope Riester type duplex adult & bab 6 bh
Tabung O2 + Trolly + Regulator 1000 lt & Regulator Yazumi 2 set
Tabung O2 1000 lt 1 tbg
Tongue Spatel Stainless Steel 2 bh
Tromol Kasa Stainless ukuran kecil & sedang 4 bh
Lemari Es Obat LG Expresscool & Sharp 150 ltr 2 unit
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Lemari Es Obat LG Expresscool 1 unit
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Fritsh Retractor Medicon ukuran 65x85 mm 1 pcs
Mayo Hegar Needleholder Medicon size 20 cm 1 pcs
Klem Usus 12-5701-25 Medicon cat. 12-5701-25 1 pcs
Gunting Metzenbum Bengkok Yamaco / Stainless Steel 20cm 2 pcs
Nald Volder Smic ukuran 14 cm, 18 cm & 22 4 pcs
Pean Bengkok Smic uk. 18 & 20 cm 4 pcs
Mosquito Kocher Smic L 12.5 cm 4 pcs
Mosquito Pean Smic B 12.5 cm 4 pcs
Kompresor Spray Gun + Air Duster Win Meiji / Spray gun F3850-65 1 unit
Meja Instrument Stainles Lokal Stainless steel 2 susun 3 set
Meja Instrument Stainles Lokal Stainless steel 3 susun 1 set
Meja Instrument Stainles Stainless & Aluminium 3 set
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USG + Trolly merk ALOKA / SSD-500 1 unit Kalibrasi
X Ray Illuminator Lokal 1 unit
Lead Apron X-Ray Jepang size 0.3 mm PB 1 buah
Lead Apron X-Ray Timbal China size 0.5 mm PB 1 buah
Cassete Film X-ray Fuji ukuran 30 x 40 cm 1 set
Cassete Film X-ray Tajima ukuran 24 x 30 cm 1 unit
Hanger Film X-Ray MSM Lokal ukuran 30 x 40 cm 1 pcs
Hanger Film X-Ray MSM Lokal ukuran 24 x 30 cm 1 pcs
Screen Grid Fuji ukuran 35 x 35 cm 1 pcs
Kaca PB Lokal ukuran 15 x 10 cm 1 pcs
Marker Lokal 1 set
Bak Cuci Foto Lokal 2 unit
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12. Peralatan Medis Rehabilitasi Medik
Kuantiti
No. Nama Barang Merk / Type Keterangan
Barang
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elayakan Ruang Rekam Medik =
25.50
X 100% = 93.53%
24.00
Kelayakan Ruang Jenazah = X 100% = #DIV/0!
85.00
Kelayakan Ruang Laundry =
54.00
X 100% = 157.41%
Kelayakan Ruang Pemeliharaan = 24.75
Sarana&Prasarana 270.00
X 100% = 9.17%
11.25
Kelayakan Ruang Sterilisasi =
157.50
X 100% = 7.14%
10.24
Kelayakan Ruang Pompa Air =
702.00
X 100% = 1.46%
140.25
layakan Ruang Persalinan & Bayi =
1,890.00
X 100% = 7.42%
7.20
elayakan Ruang Pengelolaan Limbah = X 100% = #DIV/0!
104.98
Kelayakan Ruang Administrasi =
153.00
X 100% = 68.61%
24.75
Kelayakan Ruang Ambulance = X 100% = #DIV/0!
27.13
Kelayakan Ruang Gudang =
18.00
X 100% = 150.69%
24.75
elayakan Ruang Komite Medik =
13.50
X 100% = 183.33%
130.00
Kelayakan Ruang Pertemuan =
45.00
X 100% = 288.89%
12.38
elayakan Ruang Sistim Informasi RS =
46.80
X 100% = 26.44%
25.90
layakan Ruang Listrik/Genset =
280.80
X 100% = 9.22%
12.25
Kelayakan Ruang Central Gas Medis = X 100% = #DIV/0!
50.00
Kelayakan Ruang Limbah Cair =
702.00
X 100% = 7.12%
2.50
layakan Ruang Limbah Padat =
702.00
X 100% = 0.36%
7.00
Kelayakan Ruang Perangkat Telepon =
702.00
X 100% = 1.00%
ata-Rata Kelayakan Ruangan = #DIV/0!
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X 100%
X 100%
X 100%
12
`
12
X 100%
39.68%
130.00%
35.56%
50.24%
82.22%
3.07%
25.56%
15.24%
176.19%
31.11%
93.53%
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93.53%
#DIV/0!
157.41%
9.17%
7.14%
1.46%
7.42%
#DIV/0!
68.61%
#DIV/0!
150.69%
183.33%
288.89%
26.44%
9.22%
#DIV/0!
7.12%
0.36%
1.00%
#DIV/0!
12
X 100%
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