CEKLIST PEMELIHARAAN PERALATAN NON MEDIS

PUSKESMAS SIRAMPOG

Merek Bahan
No Item yang dipelihara Jumlah Jan Feb Mar Apr Mei Juni Juli Agst Sep Okt Nov Des Ket

B R B R B R B R B R B R B R B R B R B R B R B R
A RUANG KAPUS
Note book Lenovo 1 1 1 1 1 1 1 1 1
Kursi direktur fiber 1 1 1 1 1 1 1 1 1
Meja fiber 1 1 1 1 1 1 1 1 1
meja tamu kayu 1 1 1 1 1 1 1 1 1
lemari kayu 1 1 1 1 1 1 1 1 1

B RUANG TU
1 lemari arsip yamato besi 1 1 1 1 1 1 1 1 1
filing kabinet safeguard besi 1 1 1 1 1 1 1 1 1
filing kabinet importa besi 1 1 1 1 1 1 1 1 1
filling kabinet krisbow besi 2 2 2 2 2 2 2 2 2
filling kabinet brother besi 1 1 1 1 1 1 1 1 1
2 kursi kerja busa busa 2 2 2 2 2 2 2 2 2
kursi busa brother busa 2 2 2 2 2 2 2 2 2
3 meja kayu 2 2 2 2 2 2 2 2 2
meja kayu 2 2 2 2 2 2 2 2 2
meja datafile kayu 1 1 1 1 1 1 1 1 1
4 komputer hp fiber 1 1 1 1 1 1 1 1 1
 komputer acer fiber 1 1 1 1 1 1 1 1 1
komputer philips fiber 1 1 1 1 1 1 1 1 1
komputer del fiber 1 1 1 1 1 1 1 1 1
5 printer canon fiber 1 1 1 1 1 1 1 1 1
printer hp fiber 1 1 1 1 1 1 1 1 1
printer canon fiber 1 1 1 1 1 1 1 1 1
printer epson fiber 1 1 1 1 1 1 1 1 1
6 Ac samsung fiber
7 rool kabel plastik 1 1 1 1 1 1 1 1 1
8 kipasangin besi 1 1 1 1 1 1 1 1 1
9 stabilisator fiber 2 2 2 2 2 2 2 2 2
10 ups fiber 1 1 1 1 1 1 1 1 1

C. RUANG PENDAFTARAN
1 Kursi 3 3 3 3 3 3 3 3 3
2 Meja 3 3 3 3 3 3 3 3 3
3 Rak status 2 2 2 2 2 2 2 2 2
4 Printer HP 1 1 1 1 1 1 1 1 1
5 kipas angin miyako 1 1 1 1 1 1 1 1 1
6 dekstop asus 1 1 1 1 1 1 1 1 1
7 mesin tik facit 1 1 1 1 1 1 1 1 1
8 filling kabinet krisbow 1 1 1 1 1 1 1 1 1
9 komputer PC del 1 1 1 1 1 1 1 1 1

D RUANG OBAT
1 Almari kayu 1 1 1 1 1 1 1 1 1
2 Kursi kayu besi 4 4 4 4 4 4 4 4 4
 3 Meja kayu 3 3 3 3 3 3 3 3 3
4 Dispenser miyako Fiber 1 1 1 1 1 1 1 1 1
5 ac samsung Fiber 1 1 1 1 1 1 1 1 1
6 lemari gris kaca 1 1 1 1 1 1 1 1 1
7 pulverizer sci besi 1 1 1 1 1 1 1 1 1
8 sealing mechine sci besi 1 1 1 1 1 1 1 1 1
9 kulkas Fiber 1 1 1 1 1 1 1 1 1
10 stabilizer 1 1 1 1 1 1 1 1 1
11 filling kabinet krisbow 1 1 1 1 1 1 1 1 1

E RUANG KIA
1 Almari gris besikaca 1 1 1 1 1 1 1 1 1
2 kursi kayubesi 1 1 1 1 1 1 1 1 1
3 meja kayu 1 1 1 1 1 1 1 1 1
4 paramount MAK besikaca 1 1 1 1 1 1 1 1 1
5 komputer del 1 1 1 1 1 1 1 1 1
stabilizer 1 1 1 1 1 1 1 1 1
ups 1 1 1 1 1 1 1 1 1
printer epson 1 1 1 1 1 1 1 1 1

F RUANG GIGI
1 meja duma besi 1 1 1 1 1 1 1 1 1
meja datafile kayu 1 1 1 1 1 1 1 1 1
2 lemari intrument brother kaca 1 1 1 1 1 1 1 1 1
3 kursi chitose chitose besi 1 1 1 1 1 1 1 1 1
4 kursi chitose chitose besi 1 1 1 1 1 1 1 1 1
 5 kursi putar innola busa 1 1 1 1 1 1 1 1 1
6 komputer pc del fiber 1 1 1 1 1 1 1 1 1
stabilizer lexos 1 1 1 1 1 1 1 1 1
ups fiber 1 1 1 1 1 1 1 1 1
printer epson fiber 1 1 1 1 1 1 1 1 1

G RUANG IGD
1 Kursi besi 2 2 2 2 2 2 2 2 2
2 meja kayu 1 1 1 1 1 1 1 1 1
5 almari besi 1 1 1 1 1 1 1 1 1
8 almari infus besi 1 1 1 1 1 1 1 1 1
9 bed pasien paramount besi 1 1 1 1 1 1 1 1 1
bed pasien besi 1 1 1 1 1 1 1 1 1
10 kipas angin cosmos fiber 1 1 1 1 1 1 1 1 1
11 clock aneroid mobile 1 1 1 1 1 1 1 1 1
12 Komputer pc dell 1 1 1 1 1 1 1 1 1
13 stabilizer lexos 1 1 1 1 1 1 1 1 1
14 ups uper 1 1 1 1 1 1 1 1 1
15 printer epson 1 1 1 1 1 1 1 1 1

H RUANG BP UMUM
 1 bed pasien besi 1 1 1 1 1 1 1 1 1
2 kursi besi 3 3 3 3 3 3 3 3 3
kursi futura busa 1 1 1 1 1 1 1 1 1
kursi putar innola busa
3 meja kayu 1 1 1 1 1 1 1 1 1
4 tempat tidur periksa mak busa 2 2 2 2 2 2 2 2 2
5 alamari obat gris busa 2 2 2 2 2 2 2 2 2
6 kipas angin cosmos 1 1 1 1 1 1 1 1 1
7 Komputer pc dell 1 1 1 1 1 1 1 1 1
8 stabilizer lexos 1 1 1 1 1 1 1 1 1
9 ups uper 1 1 1 1 1 1 1 1 1
10 printer epson 1 1 1 1 1 1 1 1 1

I RUANG GIZI
1 frezer electroluk 1 1 1 1 1 1 1 1 1
2 filing kabinet safeguard 1 1 1 1 1 1 1 1 1
3 meja oscar 2 2 2 2 2 2 2 2 2
4 meja kayu 1 1 1 1 1 1 1 1 1
5 kursi chitose 1 1 1 1 1 1 1 1 1
6 Komputer pc 2 2 2 2 2 2 2 2 2
7 stabilizer 2 2 2 2 2 2 2 2 2
8 ups 2 2 2 2 2 2 2 2 2
9 printer 1 1 1 1 1 1 1 1 1
10 filing kabinet krisbow besi 1 1 1 1 1 1 1 1 1

J RUANG JAGA PERAWAT

1 Lemari kaca kaca 1 1 1 1 1 1 1 1 1
2 kursi chitose besi 4 4 4 4 4 4 4 4 4
3 kursi chitose besi 1 1 1 1 1 1 1 1 1
4 kursi futura besi 1 1 1 1 1 1 1 1 1
5 meja duma besi 1 1 1 1 1 1 1 1 1
 6 kipas angin miyako besi 1 1 1 1 1 1 1 1 1
7 tv 1 1 1 1 1 1 1 1 1

K RUANG LABORAT
1 kursi besi 3 3 3 3 3 3 3 3 3
2 meja besi 1 1 1 1 1 1 1 1 1
3 ac besi 1 1 1 1 1 1 1 1 1
4 mutiple chek nesco fiber 1 1 1 1 1 1 1 1 1
5 ac samsung 1 1 1 1 1 1 1 1 1
6 kulkas polytron 1 1 1 1 1 1 1 1 1

Mengetahui sirampog juni 2017

Kepala Puskesmas Sirampog Pengurus Barang Puskesmas Sirampog

Imam Tauchid, SKM Nuning Agustiyanan wati

NIP. 19690820 200604 1 008 NIP. 19780825 200501 2 011
 JADWAL PEMELIHARAAN PERALATAN MEDIS
PUSKESMAS SIRAMPOG

BULAN : 2017

No Item yang dipelihara Jumlah TANGGAL

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
A. RUANG BP
Sterilisator 1
tensimeter 1
Timbangan 1
Termometer 1
B RUANG KIA
Sterilisator 1
tensimeter 1
Termometer 1
Dopler 1
Implant Kit(18alat) 1
Timbangan Bayi 1
Timbangan Dewasa 1
C IGD
Brancard Beroda 1
Kursi Roda 1
tabung oksigen 1
tabung oksigen 1
pompa penghisap lendir 1
sterilisator kering 1
Tensimeter Air Raksa 1
stetoskope 1
trolley oxygen d tabun 1
trolley oxygen d tabun 1
Regulator oxygen 1
Heating set 1
stretcher pasien 1
tensimeter dws digital 1
nebulasi 1
D POLI GIGI
ultrasonic scaler 1
tang cabut gigi dws 1
tang cabut gigi anak 1
bein lucasor 1
dental unit 1
light curing 1
 diagnostik set 1
Sterilisator 1
Tensimeter Air Raksa 1
Dental Chair 1
E POLI KIA
tensimeter 1
stetoskop 1
dopler 1
Timer Digital 1
F PONED
Tensimeter 1
tensimeter bayi 1
tensimeter neonatus 1
stetoskop 1
stetoskop bayi 1
stetoskop neonatus 1
meja instrument 1
nebulizer 1
section pump 1
Genecologe Bad 1
Genecologe Bad 1
tempat tidur priksa 1
bak instrumen tertutup 1
nierbekken 1
nierbekken 1
standar infus 1
Lampu periksa halogen 1
kit resusitasi dewasa 1
beacham aminiotome 2 1
episiotomy scisoor 1
umbilical cord scissors 1
Tc metzenbaum scissor 1
Mayo hegar needle hol 1
kidney tray 275mm 75 1
Aspirator vakum manu 1
klem kelly 1
Klem Fencer 1
needle holder 1
pinset anatomis 1
pinset anatomis 1
Termometer klinik 1
ARI Timer Standar 1
lampu emergensi 1
Laringoskop 1

Mengetahui
Kepala Puskesmas Sirampog

Imam Tauchid, SKM

NIP. 19690820 200604 1 008
ALATAN MEDIS
POG

ANGGAL Keterangan

19 20 21 22 23 24 25 26 27 28 29 30 31
 sirampog, 2017
Pengurus Barang Puskesmas Sirampog

Nuning Agustiyanan wati

NIP. 19780825 200501 2 011