DAFTAR ALKES RE-USE

RUANG INTENSIVE CARE UNIT

RSUD R.A.A TJOKRONEGORO PURWOREJO

NO NAMA ALKES
1 Accu Chek
2 Ambu Bag ( Anak )
3 Ambu Bag ( Dewasa )
4 Bak Instrumen ( Besar )
5 Bak Instrumen ( Kecil )
6 Bak Instrumen ( Sedang )
7 Bantal Pasien
8 Baskom 32 cm
9 Baskom 34 cm
10 Bed Pasien 4 crank
11 Bed Side Monitor
12 Bengkok
13 Defibrilator
14 EKG Manual
15 Film Viewer
16 Infus Pump
17 Kassur Dikubitus
18 Kassur Pasien
19 Komputer Ruangan
20 Kursi
21 Kursi Roda
22 Lampu Tindakan
23 Laringoskop Set
24 Lemari Alkes
25 Lemari Linen
26 Lemari Obat Pasien
27 Lemari Arsip Geser
28 Lemari Pasien
29 Manometer Oxygen
30 Monitor EKG Sentral
31 Mortir
32 Nebuliser
33 Oxigen Regulator
34 Pen Light
35 Pispot
36 Printer HP Lasser
37 Printer Label
38 Pulse Oximetry
39 Reflek Hammer
40 Senter
41 Stetoskop
42 Suction Pump
43 Syring Pump
44 Tempat Handsrub
45 Tensi Meter
46 Termo Gun
47 Termometer
48 Termometer BNQ
49 Test Lung
50 Tiang Infus
51 Tilpun Ruangan
52 Timbangan BB/TB
53 Tongspatel
54 Torniquet
55 Trolly Emergency
56 Trolly Instrumen
57 Trolly Dressing
58 Tromol Kassa
59 Urinal
60 Ventilator
61 WWZ
62 KOM
63 Tabung 02 Kecil
64 Tempat Sampah Non Infeksius
65 Kulkas
66 Meja Office
67 Bangku Tunggu
68 Nurse Station
69 Tempat Sampah Medis
70 WhiteBoard
71 Nebulizer ( OMRON )
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 DAFTAR ALKES SEKALI PAKAI
RUANG INTENSIVE CARE UNIT
RSUD R.A.A TJOKRONEGORO PURWOREJO

NO NAMA ALKES
1 ABOCATH
2 INFUS SET
3 BD CONECTA
4 EXTENTION TUBE
5 SPUIT
6 SELANG DC
7 URIN BAG
8 SELANG NGT
9 SELANG SUCTION
10 MAYO
11 ENDOTRAKHEAL TUBE (ETT)
12 SIRKUIT VENTILATOR
13 SELANG O2
14 SELANG NRM
15 SELANG NEBULIZER
16 SKINTAG
17 WGT
18 SELANG CVC
19 KONDOM KATETER
20 URINAL
21 PISPOT
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 DAFTAR INVENTARIS ALAT KESEHATAN
RUANG ICU RSUD R.A.A TJOKRONEGORO PURWOREJO

TAHUN 2021
STOK JUMLAH PEMINJAMAN NAMA PEMINJAM
NO NAMA ALAT MERK KET
DARI RS JAN FEB MAR APR MEI JUN JUL AGS SEP OKT NOV DES Tgl Pinjam Tgl Kembali BANGSAL
1 Accu Chek Acuchek 1 1 1 1 1 1 1 1 1 1 1 1 1
2 Ambu Bag ( Anak ) Ambu 1 1 1 1 1 1 1 1 1 1 1 1 1
3 Ambu Bag ( Dewasa ) Ambu 2 2 2 2 2 2 2 2 2 2 2 2 2
4 Bak Instrumen ( Besar ) 3 6 6 6 6 6 6 6 6 6 6 6 6
5 Bak Instrumen ( Kecil ) 5 7 7 7 7 7 7 7 7 7 7 7 7
6 Bak Instrumen ( Sedang ) 5 7 7 7 7 7 7 7 7 7 7 7 7
7 Bantal Pasien 0 9 9 9 9 9 9 9 9 9 9 9 9
8 Baskom 32 cm 0 1 1 1 1 1 1 1 1 1 1 1 1
9 Baskom 34 cm 0 2 2 2 2 2 2 2 2 2 2 2 2
10 Bed Pasien 4 crank Paramount 9 9 9 9 9 9 9 9 9 9 9 9 9
11 Bed Side Monitor Philips 9 9 9 9 9 6 6 6 6 6 6 6 6 Dipinjam covid dan vk 2 di COVID 1 di VK
12 Bengkok Onemed 2 5 5 5 5 5 5 5 5 5 5 5 5
13 Defibrilator 1 1 1 1 1 1 1 1 1 1 1 1 1
14 EKG Manual Philips 1 1 1 1 1 1 1 1 1 1 1 1 1
15 Film Viewer Poly Medical 1 1 1 1 1 1 1 1 1 1 1 1 1
16 Infus Pump 5 5 5 5 5 5 5 5 5 5 5 5 5
17 Kassur Dikubitus Linet 4 4 4 4 4 4 4 4 4 3 4 4 4 Dipinjam gelatik Telah Kembali
18 Kassur Pasien 0 9 9 9 9 9 9 9 9 9 9 9 9
19 Komputer Ruangan 0 1 1 1 1 1 1 1 1 1 1 1 1
20 Kursi Chitos 4 4 4 4 4 4 4 4 4 4 4 4 4
21 Kursi Roda Matsunaga 1 1 1 1 1 1 1 1 1 1 1 1 1
22 Lampu Tindakan 1 1 1 1 1 1 1 1 1 1 1 1 1
23 Laringoskop Set 1 1 1 1 1 1 1 1 1 1 1 1 1
24 Lemari Alkes Modivindo 1 1 1 1 1 1 1 1 1 1 1 1 1
25 Lemari Linen 0 1 1 1 1 1 1 1 1 1 1 1 1
26 Lemari Obat Pasien Poly Medical 1 1 1 1 1 1 1 1 1 1 1 1 1
27 Lemari Arsip Geser Datascrip 1 1 1 1 1 1 1 1 1 1 1 1 1
28 Lemari Pasien Paramount 9 9 9 9 9 9 9 9 9 9 9 9 9
29 Manometer Oxygen C&U Oxygen 9 9 9 9 9 9 9 9 9 9 9 9 9
30 Monitor EKG Sentral 0 1 1 1 1 1 1 1 1 1 1 1 1
31 Mortir 0 1 1 1 1 1 1 1 1 1 1 1 1
32 Nebuliser 1 1 1 1 1 1 1 1 1 1 1 1 1
33 Oxigen Regulator 0 1 1 1 1 1 1 1 1 1 1 1 1
34 Pen Light 1 2 2 2 2 2 2 2 2 2 2 2 2
35 Pispot 1 1 1 1 1 1 1 1 1 1 1 1 1
36 Printer HP Lasser 0 1 1 1 1 1 1 1 1 1 1 1 1
37 Printer Label 0 1 1 1 1 1 1 1 1 1 1 1 1
38 Pulse Oximetry Solaris 1 1 1 1 1 1 1 1 1 1 1 1 1
39 Reflek Hammer Primamed 1 1 1 1 1 1 1 1 1 1 1 1 1
40 Senter 0 1 1 1 1 1 1 1 1 1 1 1 1
41 Stetoskop Erka 3 3 3 3 3 3 3 3 3 3 3 3 3
42 Suction Pump Atmos 2 2 2 2 2 2 2 2 2 2 2 2 2
43 Syring Pump Bbraun 7 7 7 7 7 6 6 6 6 6 6 6 6 17-04-2021 Dipinjam Mb Leny VK
44 Tempat Handsrub 0 18 18 18 18 18 18 18 18 18 18 18 18
45 Tensi Meter ABN 3 3 3 3 3 3 3 3 3 3 3 3 3
46 Termo Gun 0 1 0 0 0 0 0 0 0 0 0 0 0 Maret 2021 Dipinjam Mb Dewi Vaksin
47 Termometer Microlife 2 2 2 2 2 2 2 2 2 2 2 2 2
48 Termometer BNQ 1 1 1 1 1 1 1 1 1 1 1 1 1
49 Test Lung 0 2 2 2 2 2 2 2 2 2 2 2 2
50 Tiang Infus Paramount 2 2 2 2 2 2 2 2 2 2 2 2 2
51 Tilpun Ruangan 1 1 1 1 1 1 1 1 1 1 1 1 1
52 Timbangan BB/TB 1 1 1 1 1 1 1 1 1 1 1 1 1
53 Tongspatel Otto 3 3 3 3 3 3 3 3 3 3 3 3 3
54 Torniquet 4 4 4 4 4 4 4 4 4 4 4 4 4
55 Trolly Emergency Buma 1 1 1 1 1 1 1 1 1 1 1 1 1
56 Trolly Instrumen 3 3 3 3 3 3 3 3 3 3 3 3 3
57 Trolly Dressing 1 1 1 1 1 1 1 1 1 1 1 1 1
58 Tromol Kassa 1 1 1 1 1 1 1 1 1 1 1 1 1
59 Urinal 4 4 4 4 4 4 4 4 4 4 4 4 4
60 Ventilator Stephan 4 4 4 4 4 4 4 4 4 4 4 4 4
61 WWZ 3 3 3 3 3 3 3 3 3 3 3 3 3
62 KOM 4 4 4 4 4 4 4 4 4 4 4 4 4
63 Tabung 02 Kecil 1 1 1 1 1 1 1 1 1 1 1 1 1
64 Tempat Sampah Non Infeksius 1 1 1 1 1 1 1 1 1 1 1 1 1
65 Kulkas 1 1 1 1 1 1 1 1 1 1 1 1 1
66 Meja Office 1 1 1 1 1 1 1 1 1 1 1 1 1
67 Bangku Tunggu 1 1 1 1 1 1 1 1 1 1 1 1 1
68 Nurse Station 2 2 2 2 2 2 2 2 2 2 2 2 2
70 Tempat Sampah Medis 0 2 2 2 2 2 2 2 2 2 2 2 2
71 WhiteBoard 0 1 1 1 1 1 1 1 1 1 1 1 1
72 Nebulizer OMRON 0 0 0 0 0 0 0 0 0 1 1 1 1 Barang baru, sosialisasi tgl 15 sep 2021
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 Purworejo, 10 April 2021
Kepala R. ICU

Setyo Wibowo, S.Kep.Ns

NIP 19760629 200604 1 012
 R

TAHUN 2022
STOK
NO NAMA ALAT MERK
DARI RS JAN FEB MAR
1 Accu Chek Acuchek 1 1 1 1
2 Ambu Bag ( Anak ) Ambu 1 1 1 1
3 Ambu Bag ( Dewasa ) Ambu 2 2 2 2
4 Bak Instrumen ( Besar ) 3 6 6 6
5 Bak Instrumen ( Kecil ) 5 7 7 7
6 Bak Instrumen ( Sedang ) 5 7 7 7
7 Bantal Pasien 0 9 9 9
8 Baskom 32 cm 0 1 1 1
9 Baskom 34 cm 0 2 2 2
10 Bed Pasien 4 crank Paramount 9 9 9 9
11 Bed Side Monitor Philips 6 6 6 7
12 Bengkok Onemed 2 5 5 5
13 Defibrilator 1 1 1 1
14 EKG Manual Philips 1 1 1 1
15 Film Viewer Poly Medical 1 1 1 1
16 Infus Pump Brown 5 5 5 5
17 Kassur Dikubitus Linet 4 4 4 4
18 Kassur Pasien 0 9 9 9
19 Komputer Ruangan 0 1 1 1
20 Kursi Chitos 4 4 4 4
21 Kursi Roda Matsunaga 1 1 1 1
22 Lampu Tindakan 1 1 1 1
23 Laringoskop Set 1 1 1 1
24 Lemari Alkes Modivindo 1 1 1 1
25 Lemari Linen 0 1 1 1
26 Lemari Obat Pasien Poly Medical 1 1 1 1
27 Lemari Arsip Geser Datascrip 1 1 1 1
28 Lemari Pasien Paramount 9 9 9 9
29 Manometer Oxygen C&U Oxygen 9 9 9 9
30 Monitor EKG Sentral 0 1 1 1
31 Mortir 0 1 1 1
32 Nebuliser 2 2 2 2
33 Oxigen Regulator 0 1 1 1
34 Pen Light 1 2 2 2
35 Pispot 1 1 1 1
36 Printer HP Lasser 0 1 1 1
37 Printer Label 0 1 1 1
38 Pulse Oximetry Solaris 1 1 1 1
39 Reflek Hammer Primamed 1 1 1 1
40 Senter 0 1 1 1
41 Stetoskop Erka 3 3 3 3
42 Suction Pump Atmos 2 2 2 2
43 Syring Pump Bbraun 7 7 7 4
44 Tempat Handsrub 18 18 18 18
45 Tensi Meter ABN 3 3 3 3
46 Termo Gun 1 1 1 1
47 Termometer Microlife 2 2 2 2
48 Termometer BNQ 1 1 1 1
49 Test Lung 0 2 2 2
50 Tiang Infus Paramount 2 2 2 2
51 Tilpun Ruangan 1 1 1 1
52 Timbangan BB/TB 1 1 1 1
53 Tongspatel Otto 3 3 3 3
54 Torniquet 4 4 4 4
55 Trolly Emergency Buma 1 1 1 1
56 Trolly Instrumen 3 3 3 3
57 Trolly Dressing 1 1 1 1
58 Tromol Kassa 1 1 1 1
59 Urinal 4 4 4 4
60 Ventilator Stephan 4 4 4 4
61 WWZ 3 3 3 3
62 KOM 4 4 4 4
63 Tabung 02 Kecil 1 1 1 1
64 Tempat Sampah Non Infeksius 1 1 1 1
65 Kulkas 1 1 1 1
66 Meja Office 1 1 1 1
67 Bangku Tunggu 1 1 1 1
68 Nurse Station 2 2 2 2
70 Tempat Sampah Medis 0 2 2 2
71 WhiteBoard 0 1 1 1
72 Syring Pump Terumo
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 DAFTAR INVENTARIS ALAT KESEHATAN
RUANG ICU RSUD R.A.A TJOKRONEGORO PURWOREJO

JUMLAH
APR MEI JUN JUL AGS SEP OKT NOV DES
1 1 1 1 1 1
1 1 1 1 1 1
2 2 2 2 2 2
6 6 6 6 6 6
7 7 7 7 7 7
7 7 7 7 7 7
9 9 9 9 9 9
1 1 1 1 1 1
2 2 2 2 2 2
9 9 9 9 9 9
7 7 8 8 8 8
5 5 5 5 5 5
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
5 5 5 5 5 5+2
4 4 4 4 4 4
9 9 9 9 9 9
1 1 1 1 1 1
4 4 4 4 4 4
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
9 9 9 9 9 9
9 9 9 9 9 9
1 1 1 1 1 1
1 1 1 1 1 1
2 2 2 2 2 2
1 1 1 1 1 1
2 2 2 2 2 2
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
3 3 3 3 3 3+1
2 2 2 2 2 2
4 4 4 4 4 7
18 18 18 18 18 18
3 3 3 3 3 3
1 1 1 1 1 1
2 2 2 2 2 2
1 1 1 1 1 1
2 2 2 2 2 2
2 2 2 2 2 2+7
1 1 1 1 1 1
1 1 1 1 1 1
3 3 3 3 3 3
4 4 4 4 4 4
1 1 1 1 1 1
3 3 3 3 3 3
1 1 1 1 1 1
1 1 1 1 1 1
4 4 4 4 4 4
4 4 4 4 4 4
3 3 3 3 3 3
4 4 4 4 4 4
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
2 2 2 2 2 2
2 2 2 2 2 2
1 1 1 1 1 1
1
EJO

PEMINJAMAN NAMA PEMINJAM

Tgl Pinjam Tgl Kembali BANGSAL

Dipinjam VK
17-04-2021
 KET

Dipinjam VK
Dipinjam VK 1,, kolibri 1