TE Unit, Tas Gadar, Laci Ambulance, Form Buka Tutup TE Mar 2019

LIST TROLLEY EMERGENCY LANTAI 4 (RANAP)
STOK
NO. NAMA SEDIAAN SATUAN ED NO.
TERSEDIA
A LACI 1 B
1 Endo Tracheal Tube (ETT) no.3 Pcs 0 Kosong 1
Endo Tracheal Tube (ETT) no.3.5 Pcs 1 Jul-21 2
Endo Tracheal Tube (ETT) no.4 Pcs 1 Nov-19 3
Endo Tracheal Tube (ETT) no.4.5 Pcs 1 Mar-21
Endo Tracheal Tube (ETT) no.5 Pcs 1 Jun-20 4
Endo Tracheal Tube (ETT) no.5.5 Pcs 1 Nov-19
Endo Tracheal Tube (ETT) no.6 Pcs 1 Sep-22
Endo Tracheal Tube (ETT) no.6.5 Pcs 1 Mar-19 5
Endo Tracheal Tube (ETT) no.7 Pcs 0 Kosong
Endo Tracheal Tube (ETT) no.8 Pcs 1 Aug-21 6
2 Extention Tube Pcs 1 7
3 Feeding Tube/NGT no.3.5 Pcs 0 Kosong
Feeding Tube/NGT no.5 Pcs 1 Oct-21 C
Feeding Tube/NGT no.8 Pcs 1 Oct-21 1
Feeding Tube/NGT no.10 Pcs 1 Dec-22 2
4 Folley Catheter no.6 Pcs 1 May-20 6
Folley Catheter no.8 Pcs 1 Aug-22 7
Folley Catheter no.10 Pcs 1 Feb-22 8
Folley Catheter no.12 Pcs 1 Apr-21 9
Folley Catheter no.14 Pcs 1 Mei-22 10
Folley Catheter no.20 Pcs 1 Oct-21 13
5 Handscoon Sterile no.6 Pairs 2 Jul-20
Handscoon Sterile no.7 Pairs 2 Jul-20
Handscoon Sterile no.7.5 Pairs 2 Oct-20
6 Infus Set Makro Pcs 2 Oct-20
Infus Set Mikro Pcs 2 Oct-19 16
7 Oropharingeal (Guedal) no.00 Pcs 1 Jun-21 17
Oropharingeal (Guedal) no.0 Pcs 1 Sep-23 18
Oropharingeal (Guedal) no.01 Pcs 1 Jun-19 19
Oropharingeal (Guedal) no.02 Pcs 1 Jan-23 20
Oropharingeal (Guedal) no.03 Pcs 1 Mar-23
10 Oxygen Mask Anak Pcs 0 Kosong
Oxygen Mask Dewasa Pcs 0 Kosong
12 Suction Catheter no.6 Pcs 0 Kosong
Suction Catheter no.8 Pcs 1 Mar-23
Suction Catheter no.10 Pcs 1 Jul-20
Suction Catheter no.14 Pcs 1 Apr-21
13 Threeway Stopcock Pcs 1 Aug-19
14 Urine Bag 2000mL Pcs 1 Apr-22
CY LANTAI 4 (RANAP)
STOK
NAMA SEDIAAN SATUAN ED
TERSEDIA
LACI 2
Aqua Gel Sterile 82gr Tube 1 Aug-19
D 10% 500mL Flacon 2 Apr-19
NaCl 0.9% 100mL Kolf 1 Sep-20
NaCl 0.9% 500mL Kolf 2 Mar-22
Nasal Canula Anak Pcs 1 Mar-22
Mar-22
Nasal Canula Dewasa Pcs 2
Aug-22
Nasal Canula Bayi Pcs 1 Mar-23
Non Rebreathing Mask Anak Pcs 1 Mei-21
Non Rebreathing Mask Dewasa Pcs 1 Mar-22
Ringer Laktat 500mL Kolf 1 Jun-19
Rebreathing Mask Anak Pcs 2 May-20
Rebreathing Mask Dewasa Pcs 2 Mar-21
LACI 3
Amiadaron 200mg Tablet 2 Apr-21
Aminophylline 24mg/mL Injeksi 3 Mar-20
Asam Traneksamat 500mg/mL Injeksi 3 May-22
Aptor (Acetyl Salicylic Acid 100mg) Tablet 6 Jul-23
Oct-20
Atropine 0.25mg/mL Injeksi 5
Feb-20
Calcii Gluconas 100mg/mL Injeksi 3 Jun-19
Clopidogrel Bisulfate 75mg Tablet 5 Jan-20
Feb-20
Dexamethasone 5mg/mL Injeksi 5
Mar-20
Diphenhydramine HCl 10mg/mL Injeksi 5 Dec-19
Dobutamin HCl 50mg/mL Injeksi 3 Feb-20
Cetadop (Dopamin) 200mg/mL Injeksi 2 Aug-19
Epineprine 1mg/mL Injeksi 5 Jun-20
Jul-19
Furosemide 10mg/mL Injeksi 5
Jun-19
Isosorbite Dinitrate 5mg Tablet 5 Aug-19
IV Catheter/Venflon/Abocath no.18 Pcs 5 Jul-21
IV Catheter/Venflon/Abocath no.20 Pcs 5 Aug-22
IV Catheter/Venflon/Abocath no.22 Pcs 5 May-23
IV Catheter/Venflon/Abocath no.26 Pcs 5 Feb-22
KCl 7.64% 25mL Flacon 2 Apr-20
MgSO4 40% 25mL Flacon 1 Apr-20
Natrium Bikarbonat (Meylon 8.4%) Flacon 1 Aug-20
Salbutamol (Ventolin 2.5mg) Flacon 0 Kosong
Stesolid Rectaltube 5mg/2.5mg Rektal 0 Kosong
Stesolid Rectaltube 10mg/2.5mg Rektal 1 Jun-19
Spuit 1cc Pcs 5 Nov-19
Spuit 10cc Pcs 3 Dec-22
Spuit 20cc Pcs 3 Jan-22
Spuit 50cc Pcs 0 Kosong
Spuit 50cc Catheter Tip Pcs 1 Dec-22
LIST TROLLEY EMERGENCY LANTAI 5 (VK & PERINA)
STOK
TERSEDIA
A LACI 1 D
1 Amiadaron 200mg Tablet 2 Apr-21 1
2 Aminophylline 24mg/mL Injeksi 3 Mar-20
3 Asam Traneksamat 250mg/mL Injeksi 2 May-22
4 Aptor (Acetyl Salicylic Acid 100mg Tablet 6 Jul-23 2
5 Atropine 0.25mg/mL Injeksi 5 Oct-20
6 Calcii Gluconas 100mg/mL Injeksi 3 Jun-19 3
7 Clopidogrel Bisulfate 75mg Tablet 5 Jan-20
8 Dexamethasone 5mg/mL Injeksi 5 Feb-20
9 Diphenhydramine HCl 10mg/mL Injeksi 5 Dec-19
Mar-19
10 Injeksi 2
Dobutamin HCl 50mg/mL & 250mg Feb-20
Aug-19
11 Injeksi 2
Dopamin 200mg/mL Jan-20
Jun-19
12 Injeksi 5
Epineprine 1mg/mL Jun-20
Jul-19
13 Injeksi 5 4
Furosemide 10mg/mL Jun-19
14 Isosorbite Dinitrate 5mg Tablet 5 Aug-19
15 Misoprostol 200mcg Tablet 5 May-20
16 MgSO4 40% 25mL Flacon 1 Apr-20
17 Natrium Bikarbonat (Meylon 8.4%)Flacon 1 Aug-20
18 KCl 7.64% 25mL Flacon 2 Apr-20
19 Lidocaine HCl 2% Ampul 5 Aug-21 5
20 Salbutamol (Ventolin 2.5mg) Flacon 0 Kosong
21 Stesolid Rectaltube 5mg/2.5mg Rektal 0 Kosong 6
B LACI 2 7
1 IV Catheter/Venflon/Abocath no.18 Pcs 5 Jul-21
IV Catheter/Venflon/Abocath no.20 Pcs 5 Aug-22 8
2 Spuit 1cc Pcs 5 Nov-19
Spuit 3cc Pcs 4 Sep-20
Spuit 10cc Pcs 3 Mar-23 9
Jan-22
Pcs 10
Spuit 20cc 3 Oct-22
Spuit 50cc Pcs 1 Aug-21 E
Spuit 50cc Catheter Tip Pcs 1 Dec-22 1
C LACI 3 2
1 Endo Tracheal Tube (ETT) no.3 Pcs 0 Kosong 3
Endo Tracheal Tube (ETT) no.3.5 Pcs 1 Jul-21
Endo Tracheal Tube (ETT) no.5 Pcs 1 Jun-20
Endo Tracheal Tube (ETT) no.5.5 Pcs 1 Nov-19
Endo Tracheal Tube (ETT) no.6 Pcs 0 Kosong
Endo Tracheal Tube (ETT) no.8 Pcs 1 Aug-21
2 Extention Tube Pcs 1
Feeding Tube/NGT no.5 Pcs 0 Kosong
Feeding Tube/NGT no.10 Pcs 1 Dec-22
4 Folley Catheter no.6 Pcs 1 May-20
Folley Catheter no.8 Pcs 1 Aug-22
Folley Catheter no.10 Pcs 1 Feb-22
Folley Catheter no.12 Pcs 1 Apr-21
Folley Catheter no.14 Pcs 0 Kosong
Folley Catheter no.16 Pcs 0 Kosong
Folley Catheter no.18 Pcs 1 Mei-20
Folley Catheter no.20 Pcs 1 Oct-21
LANTAI 5 (VK & PERINA)
STOK
TERSEDIA
LACI 4
Infus Set Makro Pcs 2 Apr-23
Infus Set Mikro Pcs 2 Oct-19
Oropharingeal (Guedal) no.00 Pcs 1 Jun-21
Oropharingeal (Guedal) no.0 Pcs 1 Sep-23
Oropharingeal (Guedal) no.02 Pcs 1 Jan-23
Pcs Mar-23
Oropharingeal (Guedal) no.03 1
Pcs 1 Jan-23
Oropharingeal (Guedal) no.04
Pcs Mar-22
Oropharingeal (Guedal) no.05 1
Pcs 1 Mar-22
Nasal Canula Anak
Nasal Canula Dewasa Pcs 2 Aug-22
Non Rebreathing Mask Anak Pcs 1 Feb-22

Non Rebreathing Mask Dewasa Pcs 1 Mar-22
Rebreathing Mask Anak Pcs 0 Kosong
Oxygen Mask Anak Pcs 0 Kosong
Oxygen Mask Dewasa Pcs 0 Kosong
Suction Catheter no.12 Pcs 0 Kosong
Threeway Stopcock Pcs 1 Aug-19
Urine Bag 2000mL Pcs 1 Apr-22
LACI 5
NaCl 0.9% 100mL Kolf 1 Sep-20
LIST TROLLEY EMERGENCY UNIT IGD
STOK
TERSEDIA
A LACI 1 B
1 Endo Tracheal Tube (ETT) no.3 Pcs 1 Sep-23 1
Endo Tracheal Tube (ETT) no.3.5 Pcs 1 Jul-21 2
Endo Tracheal Tube (ETT) no.5.5 Pcs 1 Nov-19 6
Endo Tracheal Tube (ETT) no.6 Pcs 1 Sep-22 7
Endo Tracheal Tube (ETT) no.7.5 Pcs 1 Feb-21 10
Endo Tracheal Tube (ETT) no.8 Pcs 1 Feb-21 11
2 Extention Tube Pcs 1 - 12
3 Feeding Tube/NGT no.3.5 Pcs 0 Kosong C
Feeding Tube/NGT no.12 Pcs 1 Jan-21 4
Feeding Tube/NGT no.14 Pcs 0 Kosong 5
4 Folley Catheter no.6 Pcs 1 Aug-22 7
Folley Catheter no.10 Pcs 1 Feb-22 9
Folley Catheter no.16 Pcs 0 Kosong 12
Folley Catheter no.20 Pcs 1 Jan-21 14
5 Handscoon Sterile no.6 Pairs 2 Jul-20
6 Infus Set Makro Pcs 0 Kosong 16
Infus Set Mikro Pcs 0 Kosong 17
7 Oropharingeal (Guedal) no.00 Pcs 1 Jun-21 18
Oropharingeal (Guedal) no.0 Pcs 1 Sep-23 19
Oropharingeal (Guedal) no.01 Pcs 0 Kosong 20
Oropharingeal (Guedal) no.03 Pcs 1 Jun-23 22
8 Suction Catheter no.6 Pcs 0 Kosong
Suction Catheter no.14 Pcs 0 Kosong
9 Threeway Stopcock Pcs 1 Aug-19
10 Urine Bag 2000mL Pcs 1 Apr-22
RGENCY UNIT IGD
STOK
TERSEDIA
LACI 2
NaCl 0.9% 100mL Kolf 1 Feb-21
Nasal Canula Anak Pcs 0 Kosong
Nasal Canula Dewasa Pcs 0 Kosong
Nasal Canula Bayi Pcs 0 Kosong
Non Rebreathing Mask Anak Pcs 0 Kosong
Non Rebreathing Mask Dewasa Pcs 0 Kosong
Rebreathing Mask Anak Pcs 1 May-20
Rebreathing Mask Dewasa Pcs 0 Kosong
LACI 3
Amiadaron 200mg Tablet 2 Apr-21
Aminophylline 24mg/mL Injeksi 3 Mar-20
Asam Traneksamat 100mg/mL Injeksi 3 Jan-21
Aptor (Acetyl Salicylic Acid 100mg) Tablet 5 Jul-23
Atropine 0.25mg/mL Injeksi 5 Feb-20
Calcii Gluconas 100mg/mL Injeksi 2 May-19
Clopidogrel Bisulfate 75mg Tablet 5 Apr-19
Dexamethasone 5mg/mL Injeksi 5 Mar-23
Diphenhydramine HCl 10mg/mL Injeksi 5 Dec-19
Dobutamin HCl 50mg/mL Injeksi 2 Feb-20
Dopamin 200mg/mL Injeksi 2 Aug-19
Epineprine 1mg/mL Injeksi 4 Jun-20
Furosemide 10mg/mL Injeksi 4 Jun-20
Isosorbite Dinitrate 5mg Tablet 5 Aug-19
IV Catheter/Venflon/Abocath no.18 Pcs 2 Jul-21
IV Catheter/Venflon/Abocath no.24 Pcs 0 Kosong
Salbutamol (Ventolin 2.5mg) Flacon 2 Feb-21
Stesolid Rectaltube 5mg/2.5mg Rektal 0 Kosong
Natrium Bikarbonat (Meylon 8.4%) Flacon 1 Aug-20
KCl 7.64% 25mL Flacon 2 Apr-20
MgSO4 40% 25mL Flacon 1 Apr-20
Spuit 10cc Pcs 3 Dec-22
Spuit 50cc Pcs 1 Aug-21
LIST TROLLEY EMERGENCY OK
STOK
SATUA
NO NAMA SEDIAAN TERSEDI ED NO
N
A
A LACI 1 3
1Aminophilin 24 mg Ampul 2 Mar-20
2Atropin Sulfat 0,25 mg Ampul 10 Oct-20
3Ca Gluconas 100 mg Ampul 2 May-19
4D40% 25ml Ampul 5 Jan-20
5Diazepam 5 mg Ampul 2 Feb-20
6Diphenhidramine Hcl 10 mg Ampul 5 Dec-19
7Furosemid 10 mg Ampul 5 Jun-19 4
8ISDN Inj 1 mg Ampul 1 Mar-20
9Lidocain 20 mg Ampul 5 Aug-21
10Norepinephrine 1 mg Ampul 5 Dec-20
11Phenobarbital 50 mg Ampul 2 May-20
12Phenytoin Sodium 50 mg Ampul 2 Feb-20
13Traxenamat 500 mg Ampul 2 May-22
14WFI 25ml Ampul 3 Jan-21 5
B LACI 2
1IV CATHETER NO 18 pcs 2 Dec-21
IV CATHETER NO 20 pcs 2 Feb-19 6
IV CATHETER NO 22 pcs 2 Dec-22
IV CATHETER NO 24 pcs 2 Nov-21 7
IV CATHETER NO 26 pcs 2 Feb-22
2 Spuit 1cc pcs 5 Nov-19 8
Spuit 3cc pcs 5 Nov-20
Spuit 5cc pcs 5 Apr-21
Spuit 10cc pcs 5 Dec-22
Spuit 20cc pcs 2 Jan-22 D
Spuit 50cc pcs 2 Aug-21 1
3 Three way pcs 2 Apr-19 2
C LACI 3 3
1 ETT Cuffed No. 3 pcs 1 Jul-21
ETT Cuffed No. 3,5 pcs 1 Jul-21
ETT Cuffed No. 4 pcs 1 Nov-19 4
ETT Cuffed No. 4,5 pcs 1 Mar-21
ETT Cuffed No. 5 pcs 1 Jun-20
ETT Cuffed No. 5,5 pcs 1 Nov-19
ETT Cuffed No. 6 pcs 1 Oct-20
ETT Cuffed No. 6,5 pcs 1 Mar-19
ETT Cuffed No. 7 pcs 1 Sep-21 5
ETT Cuffed No. 7,5 pcs 1 Feb-21
ETT Cuffed No. 8 pcs 1 Feb-21 6
2 ETT Stylet No. 3 pcs 2 Nov-22 7
ETT Stylet No. 4 pcs 2 Sep-22 E
ETT Stylet No. 4,5 pcs 2 Sep-22 1
ETT Stylet No. 5 pcs 2 Nov-22 2
ETT Stylet No. 5,5 pcs 2 Nov-22 3
ETT Stylet No. 6 pcs 2 Nov-22
ETT Stylet No. 7 pcs 2 Nov-22 4
ETT Stylet No. 7,5 pcs 2 Dec-22 5
ETT Stylet No. 8 pcs 2 Sep-22 6
ETT Stylet No.3,5 pcs 2 Nov-22 7
ETT Stylet No.6,5 pcs 2 Mar-23
LEY EMERGENCY OK
STOK
SATUA
NAMA SEDIAAN TERSEDI ED
N
A
Guedal Airway No.0 pcs 1 Aug-22
Guedal Airway No.0.0 pcs 1 Jun-21
Guedal Airway No.1 pcs 1 Jun-19
Guedal Airway No.2 pcs 1 Mar-22
Laryngeal Mask No. 1 pcs 1 Sep-22
Laryngeal Mask No. 1.5 pcs 1 Nov-22
Laryngeal Mask No. 2 pcs 1 Nov-22
Laryngeal Mask No. 2.5 pcs 1 Nov-22
Laryngeal Mask No. 3 pcs 1 Mar-23
Laryngeal Mask No. 4 pcs 1 Dec-22
Laryngeal Mask No. 5 pcs 1 Nov-22
Nasal Canul Anak pcs 1 May-21
Nasal Canul Bayi pcs 1 Oct-21
Nasal Canul Dewasa pcs 1 Aug-19
NRM Anak pcs 1 Feb-19
NRM Dewasa pcs 1 May-22
Rebreathing Mask Anak pcs 1 May-22
Rebreathing Mask Dewasa pcs 1 Aug-22
Suction Catheter No.10 pcs 2 Aug-22
Suction Catheter No.12 pcs 2 Jul-20
Suction Catheter No.14 pcs 2 Mar-19
Suction Catheter No.8 pcs 2 Mar-19
LACI 4
Blood Set pcs 2 Oct-19
Elektroda pcs 9 Feb-19
Feeding Tube (NGT) No.5 pcs 1 Feb-19
Feeding Tube (NGT) No.10 pcs 1 Oct-21
Feeding Tube (NGT) No.12 pcs 1 Jan-21
Folley Catheter No.10 pcs 1 May-22
Folley Catheter No.12 pcs 1 Apr-21
Folley Catheter No.14 pcs 1 May-22
Folley Catheter No.16 pcs 1 Aug-22
Handscoon Steril No.7 pcs 2 Nov-21
Handscoon Steril No.7,5 pcs 2 Jul-20
Infus Set Makro pcs 2 Mar-21
Urine Bag pcs 1 Aug-22
LACI 5
Asering 500ml Kolf 3 May-20
Gelafusal 500ml Kolf 1 Jan-20
Glukosa 10% 500ml Kolf 1 Apr-19
Glukosa 5% 500ml Kolf 1 Mar-19
Isoflurance 250ml Kolf 1 Oct-22
Nacl 0,9% 500ml Kolf 2 Mar-22
RL 500ml Kolf 3 Jun-19
Sevoflurance 250ml Kolf 1 Oct-22
LIST TAS GADAR 2019
STOK Check
NO NAMA SEDIAAN SATUAN ED NO
TERSEDIA list
1 Aptor (Acetyl Salicylic Acid 100mg) Tablet 2 Jul-23 19

2 Atropine 0.25mg/mL Injeksi 1 Oct-20
3 Clopidogrel Bisulfate 75mg Tablet 5 Jan-20
4 Dexamethasone 5mg/mL Injeksi 1 Feb-20 20
5 Diphenhydramine HCl 10mg/mL Injeksi 1 Dec-19
6 Epineprine 1mg/mL Injeksi 5 Jun-20 21
7 Isosorbite Dinitrate 5mg Tablet 5 Aug-19
IV Catheter/Venflon/Abocath no.22 Pcs 2 Mar-23
9 D 10% 500mL Flacon 1 Apr-19 22
10 NaCl 0.9% 100mL Kolf 1 Nov-21
11 Nasal Canula Anak Pcs 2 Mar-22
12 Non Rebreathing Mask Anak Pcs 1 Feb-22
Non Rebreathing Mask Dewasa Pcs 1 Nov-22
13 Ringer Laktat 500mL Kolf 1 Jun-19 23
14 Rebreathing Mask Anak Pcs 1 May-20
15 Endo Tracheal Tube (ETT) no.3 Pcs 1 Sep-23
Endo Tracheal Tube (ETT) no.3.5 Pcs 1 Feb-23 24
Endo Tracheal Tube (ETT) no.4.5 Pcs 1 Dec-21 25
Endo Tracheal Tube (ETT) no.5 Pcs 1 Feb-23
Endo Tracheal Tube (ETT) no.5.5 Pcs 1 Feb-23
Endo Tracheal Tube (ETT) no.6.5 Pcs 1 Dec-21
Endo Tracheal Tube (ETT) no.7 Pcs 1 Jun-23
Endo Tracheal Tube (ETT) no.8 Pcs 1 Aug-21
16 Extention Tube Pcs 2 Mar-23 26
Feeding Tube/NGT no.5 Pcs 1 Oct-22
Feeding Tube/NGT no.8 Pcs 1 Oct-21
Feeding Tube/NGT no.10 Levin Pcs 1 Dec-22
Feeding Tube/NGT no.12 Ryles Pcs 1 Jan-21
Feeding Tube/NGT no.16 Levin Pcs 1 Jul-23 27
Feeding Tube/NGT no.18 Levin Pcs 1 Dec-22 28
18 Folley Catheter no.6 Pcs 1 Aug-22 29
Pcs 1 Feb-22 30
Folley Catheter no.10
Folley Catheter no.12 Pcs 1 Feb-22
Folley Catheter no.14 Pcs 1 May-22
Folley Catheter no.18 Pcs 1 Jan-21
Folley Catheter no.24 Pcs 1 May-21
S GADAR 2019
STOK Check
TERSEDIA list

Infus Set Makro Pcs 2 Oct-20
Infus Set Mikro Pcs 2 Nov-19
Oropharingeal (Guedal) no.03 Pcs 1 Aug-23
Laryngeal Mas Silicon no.1 Pcs 0 Kosong
Laryngeal Mas Silicon no.1.5 Pcs 0 Kosong
Laryngeal Mas Silicon no.2.5 Pcs 0 Kosong
Nasopharyngeal Airway no.6 Pcs 0 Kosong
Oxygen Mask Anak Pcs 0 Kosong
Oxygen Mask Dewasa Pcs 1 Jan-23
Spuit 10cc Pcs 3 Mar-23
Spuit 50cc Pcs 1 Aug-21
Discofix 3 Way Pcs 1 Aug-19
Urine Bag 2000mL Pcs 1 Aug-22
Micropore 1/2 inch Pcs 1 -
Micropore 1 inch Pcs 1 -
Pro-Crepe (Elastis Perban) 7.5 cm x Roll 2 Apr-23
4.55 m
LIST ALKES AMBULANCE HIACE
STOK
NO NAMA SEDIAAN SATUAN ED Check list
TERSEDIA
IV Catheter/Venflon/Abocath no.22 Pcs 1 Mar-23
2 Spuit 1cc Pcs 1 Nov-19
3 NaCl 0.9% 500mL Kolf 3 Jul-23
4 Ringer Laktat 500mL Kolf 3 May-23
5 Asering 500mL Kolf 3 Sep-20
6 D 5% 500mL Kolf 3 Mar-20
7 Infus Set Makro Pcs 2 Oct-20
Infus Set Mikro Pcs 2 Nov-19
8 Water For Injection Flacon 2 Jan-19
9 Nasal Canula Anak Pcs 1 Mar-22
10 Rebreathing Mask Anak Pcs 1 May-20
Rebreathing Mask Dewasa Pcs 0 Kosong
11 Non Rebreathing Mask Anak Pcs 1 Feb-22
Non Rebreathing Mask Dewasa Pcs 1 Nov-22
13 Endo Tracheal Tube (ETT) no.6.5 Pcs 1 Dec-21
14 Endo Tracheal Tube (ETT) no.7 Pcs 1 Nov-22
Endo Tracheal Tube (ETT) no.7.5 Pcs 1 Sep-22
Kassa Steril Pcs 1 Feb-22
Mitela Pcs 0 Kosong
Elastis Perban 7.5 cm x 4.55 mm Pcs 1 Apr-23
Xylocain Gel Pcs 1 May-20
Handscoon Non Steril Ukuran L Pcs 1 Apr-23
Handscoon Steril No.7 Pcs 2 Jul-20
Masker Tali Pcs 1 Nov-22
Betadine Botol 1 Oct-20
Alkohol Swab Pcs 1 Oct-20
Micropore 1/2 inch Pcs 1 -
16 Urine Bag Pcs 1 Aug-22
17 Bagging Set Pcs 0 Kosong
Suction Catheter No.6 Pcs 0 Kosong
Suction Catheter No.14 Pcs 1 Apr-21
Guedel No.004 Pcs 1 Jan-23
Oxygen Dewasa Pcs 1 Oct-22
Nebulizer Dewasa Pcs 1 Nov-22
Nebulizer Anak Pcs 1 Jan-23
FORM PEMAKAIAN TROLI EMERGENCY
Bulan :
Status Troli Emergency 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
Troli Terkunci
Troli Terbuka
No. Tanggal Troli No.Seri Kunci Nama yang Tanda Tangan Nama Obat yang Jumlah Keterangan (Far
Terbuka Terbuka Membuka Pembuka Terpakai
1
EMERGENCY
18 19 20 21 22 23 24 25 26 27 28 29 30 31
Keterangan (Farmasi) No.Seri Kunci Nama yang Tanda Tangan

Tertutup Menutup Farmasi

TE Unit, Tas Gadar, Laci Ambulance, Form Buka Tutup TE Mar 2019

Загружено:

Сведения о документе

Оригинальное название

Авторское право

Доступные форматы

Поделиться этим документом

Поделиться или встроить документ

Параметры публикации

Этот документ был вам полезен?

Это неприемлемый материал?

Авторское право:

Доступные форматы

TE Unit, Tas Gadar, Laci Ambulance, Form Buka Tutup TE Mar 2019

Загружено:

Авторское право:

Доступные форматы

LIST TROLLEY EMERGENCY LANTAI 4 (RANAP)

Non Rebreathing Mask Anak Pcs 1 Feb-22

1 Aptor (Acetyl Salicylic Acid 100mg) Tablet 2 Jul-23 19

Handscoon Sterile no.6 Pairs 1 Jul-20

Keterangan (Farmasi) No.Seri Kunci Nama yang Tanda Tangan

Вам также может понравиться