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CHECKLIST EMERGENCY KIT

TANGGAL
NAMA BARANG ED

L
G

JM
BA

OPA 1 P S M P S M P S M P S M P S M P S M P S M P S M P S M P S M P S M P S M P

suction 1 Oct-20

kasa steril 4 Jul-21

alkohol swab 10 Sep-19


1

dili 1 -
LAYER

gunting 1 -

sungkup ukuran 0 1 -

plastik 2 -

microphore kecil 1 -

NGT no 6 1 Aug-21

NGT no 8 1 Oct-19

spuit 20 cc 1 Apr-20
2

spuit 10 cc 1 May-20
LAYER

spuit 5 cc 1 Aug-21

spuit 3 cc 1 May-20

spuit 1 cc 3 Oct-19

hipafix 1 -

epinepin 1 mg/ iv 1 Jul-19

wfi 25 cc 1 Mar-19

mideline 1 -

gelang identitas biru/pink 1/1, -


3

kasa gulung 1 -
LAYER

abocath no 24 1 Jan-21

abocath no 26 1 Apr-20

HET putih 1 Jan-22

threeway cock 1 Jul-19

threeway buntut 1 Jan-19

xilocain jelly 1

sungkup no 1 1 -

sungkup no 3 1 -

nacl 0.9% 100 cc 1 Jul-19

maindrain/ stilet 1 -
4

laringoscope 00/0/1 1 -
LAYER

handscoen uk 6.5 1 Nov-18

ETT no 3 1 Dec-20

ETT no 2 1 Mar-20

nasal canul neonatus 1 Nov-20

infuse set micro 1 Oct-19

NO KUNCI
NO KUNCI
S M

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