Form Inventaris

Project : Mirabell Medical Clinic : Agustus 2021

No Lokasi No RDS
1 Laboratorium (Lantai 3)
Jadwal Pelaksanaan
8 Juli 2021 Sosialisasi Form
9 -12 Juli 2021 Pengisian Form oleh PIC/PJ Ruangan
10 -13 Juli 2021 Update isian tabel oleh Tim Aset Manajemen
14 Juli 2021 Tagging Stiker Aset
15 Juli 2021 Pelaporan
 Nama Alat Nama Sesuai RDS
Hematologi Analyzer
Automatic Chemistry Analyzer
Urine Chemistry Analyzer
Mikroskop
Mikroskop
Centrifuge
Roller Mixer
Glycohemoglobin Analyzer
Alat Glukosa, Asam Urat, Cholesterol
Alat Glukosa
Breathalyzer
Rak Pengecatan
Printer Barcode
Micropipet 50 - 200 ul
Micropipet 200 - 1000 ul
Micropipet 1000 ul
Rak Micropipet
Layar Komputer
CPU
UPS
Keyboard
Mouse
Printer
Bantex
Lemari Es (Kulkas) 2 Pintu
Air Conditioner + Remote
Telepon
Tempat Sampah Stainless
Biohazard Medis 1 L
Biohazard Medis 5 L
Keranjang Urine
Kursi Sampling
Kursi Lab
Temperature Suhu Ruangan
Thermometer Kulkas
Galon Isi Ulang
Gantungan Baju
Cool Box
 oleh PIC/PJ Ruangan
bel oleh Tim Aset Manajemen
 Spesifikasi Jumlah Tahun Pembelian Baik/Rusak
Sysmex Xn-350, Putih 1 2019 Baik
Reiged Diagnostics RD-240, Putih 1 2019 Baik
ComboStik R-300 1 2019 Baik
Oregon 1 2019 Baik
Olympus CX23 1 2020 Baik
Oregon LC-04S 2 2019 dan 2021 Baik
KJMR-II 1 2019 Baik
Biohermes A1C EZ 2.0 1 2020 Baik
Autocheck 1 2019 Baik
Accu-Check Instant 1 2020 Baik
Alcoscan AL6000 1 2020 Baik
- 1 2019 Baik
Brother QL-800 1 2019 Baik
Dragon (Onemed) 1 2019 Baik
Dragon (Onemed) 1 2019 Baik
Dragon (Onemed) 1 2019 Baik
- 1 2019 Baik
LG 3 2019 Baik
Simbadda 3 2019 Baik
NERPLUS dan APC 650 2 2019 Baik
Logitech 3 2019 Baik
Logitech 2 2019 Baik
Epson L120 1 2019 Baik
- 12 2019, 2020 Baik
LG 1 2019 Baik
Panasonic 2 2019 Baik
Panasonic 2 2019 Baik
inForma 2 2019 Baik
Stera 1 2021 Baik
Onmed 2 2019 Baik
- 5 2019 Baik
CHAIRMAN 2 2019 Baik
inForma 1 2019 Baik
Clock / Humadity HDC-2 1 2019 Baik
Therm Scan 1 2019
DC 3 2019 Baik
Yamei Ou 1 2019 Baik
Onemed 1 2019 Baik
Kalibrasi Y/N Tanggal Kalibrasi Keterangan

Y 15 Juli 2022
Y 15 Juli 2022
Y 15 Juli 2022
Y 15 Juli 2022
Y 15 Juli 2022

Y 15 Juli 2022
Y 15 Juli 2022
Y 15 Juli 2022

Y 15 Juli 2022
Form Inventaris
Project : Mirabell Medical Clinic : July 2021

No Lokasi No RDS Nama Alat

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
Nama Sesuai RDS Spesifikasi Jumlah Tahun Pembelian
Baik/Rusak Kalibrasi Y/N Keterangan
Physical Service Configuration for RDS

Project: Mirabell Medical Clinic Balikpapan

Date: 10 Juli 2021

Floor Department

1st Fl. Rapid Test / Drive Thru Area

External

1st Fl. Non Clinical Area

ETC

Ambulance
1st Fl. Laboratory
APOTEK / Central Pharmacy
Satelite Pharmacy

MEDICAL RECORD Office

IPD - Lt 1
 Radiology

2nd Fl. Non Clinical Area

OPD
 Medical Rehab

3rd FL Non Clinical Area

MCU
 CSSD

5th FL Non Clinical Area

PCR LABORATORIUM

CSSD
 Room/Area Name Config. PJ

Lobby / Waiting Bay

Regitrasi Pak Edy ( security)
Sampling Point
Support Facility
Lobby
Visitor Lift Foyer
Patient Lift Foyer Jayanti (kasir)
Front Office Seats
Corp/Ins Room

Nurse Station
Observation Bay
Resuscitation Bay
Procedure Bay
Procedure Room
Consult Room
GP Room Mba Devi (Perawat)
CU
DU
Equipment Storage
Head Nurse Room
Pantry
Toilet
Toilet Cubicles
vk
Ambulance -
Laboratory Antasari (analis)
Central Pharmacy
Medical Storgae vita

Working Station
Folder MR Storage April
General Storage
Server

Nurse Station
Class 1 - 1 Bed
Class 2 - 4 Bed Tiara
Class 3 - 2 Bed
Isolation
Head Nurse
Staff Lounge
Pantry
CU
DU
Equipment Storage
Public Toilet - M
Public Toilet - F
Toilet Cubicles

Nurse Station
MRI
MRI - Control Room
CT Scan Irna
CT Scan - Control Room
X-ray / Mammo
X-ray / Mammo - Control Room
Fluoroscopy
Fluoroscopy - Control Room
Panoramic / Dental
USG
Report Room
Change Room
CU
DU
Toilet
Toilet Cubicles

Lobby
Visitor Lift Foyer
Patient Lift Foyer Ratih
Front Office Seats
Corp/Ins Room
Pantry
Praying Room
Registration / Cashier
General OPD Clinic
Sp. Obsgyn
Sp. Pulmonology
Sp. Internist
Sp. Orthopedic
Sp. Neurology
Sp. Urology Elma
Sp. Pediatric
Sp. Dermatology
Sp. Cardiac
Sp. General Surgical
Sp. Eye
Sp. ENT
Sp. Dental
Wound Clinic
...Room
…Room
CU
DU
OPD Corridor
Pantry
Toilet
Toilet Cubicles

Nurse Station
Consult Room
Treatment Bay
Activity Area
OT (Occupational Therapy)
Speech Therapy Nita
OP (Orthotic Prosteac)
Nebulizer Room
CU
DU
Toilet
Toilet Cubicles

Mgmnt Off. - Staff Pantry

Mgmnt Off. - Staff Cubicle
Mgmnt Off. - HoDiv Room Nanda
Mgmnt Off. - Meeting Room
Staff Dining Area
Medical Record
Nurse Station
Consult Room
Report Room
Treadmill Room
ECG Room
Change Room Taufik
Audiometry Room
Patient Dining
CU
DU
Toilet
Toilet Cubicles

Receiving Room
Washer Room
Packing Room
Clean Linen
Sterile Store Antasari
CSSD Office
Pantry
Toilet
Toilet Cubicles

Lobby
Visitor Lift Foyer
Patient Lift Foyer cs
Front Office Seats
Corp/Ins Room

Antasari
 MBMC Balikpapan
Structural
RDS 10/07/21
Total # of Beds Configuration
Class 1
Class 2
Class 3
Isolation
TOTAL WARD BEDS 0 0
* OPD Rooms 0
- OPD Clinic Room
- GP Clinic
* OT 0
- Rooms
- Preparation Rooms
- Recovery Rooms
* Labor Delivery Suite (LDS) 0
- Rooms
- Observation Rooms
* Trauma Center (TC) 0
- Observation Rooms
- Resuscitation Rooms
- Procedure Rooms

* Medical Rehabilitation 0
- Treatment Bay
- Occupational
- Speech Therapy
- Orthotic Prostetic
- Nebulizer Room
GRAND TOTAL #REF! #REF!