BAHAN HABIS PAKAI TINDAKAN SYTOSCOPI

Ketersediaan Sisa
No Nama Obat Kebutuhan Pemakaian
FAR IKB FAR
1 Electroda bh 4
2 Glove Gammex 8 bh 1
3 Glove Gammex 7,5 bh 2
4 Glove Gammex 7 bh 2
5 Glove unsteril bh 5
7 Hypafix bh 40
8 Kasa bh 20
9 Masker bh 5
10 Oksigen nasal bh 1
11 Oksigen masker bh 1
12 Spinocam 25 bh 2
13 Syringe 10 bh 2
14 Syringe 5 bh 2
15 Syringe 3 bh 2
16 Topi disposable bh 5
18 blood set bh 1
19 underpad bh 1
20 ky jelli sct 2
23 Alkohol cc 100
27 transamin 500 amp 2
28 Oksigen lpm 2
29 Ondancetron amp 1
30 petidin amp 1
31 fentanyl amp 1
32 Milloz amp 1
33 Epedrin amp 1
34 Propofol amp 1
35 Sulfas Atropin amp 5
36 Povidon cc 300
37 PZ fles 1
38 WFI/Aquades 1000 ml fles 1
39 RL amp 1

NAMA PETUGAS
Sisa
Keterangan
IKB
 BAHAN HABIS PAKAI TINDAKAN SYTOSCOPI

Ketersediaan Sisa
No Nama Obat Kebutuhan Pemakaian
FAR IKB FAR
1 Electroda bh 4
2 Glove Gammex 8 bh 1
3 Glove Gammex 7,5 bh 2
4 Glove Gammex 7 bh 2
5 Glove unsteril bh 5
6 Hansaplast bh 1
7 Hypafix bh 40
8 Kasa bh 20
9 Dj Stent bh 1
10 Ureter Catheter bh 1
11 Masker bh 5
12 Oksigen nasal bh 1
13 Oksigen masker bh 1
14 Spinocam 25 bh 2
15 Syringe 10 bh 2
16 Syringe 5 bh 2
17 Syringe 3 bh 2
18 Topi disposable bh 5
19 urine bag tube 1
20 blood set bh 1
21 underpad bh 1
22 ky jelli sct 2
23 foley cath 16 bh 1
24 foley cath 18 bh 1
25 Alkohol cc 100
26 Epineprin amp 1
27 Lidodex amp 1
28 Dekain amp 1
29 transamin 500 amp 2
30 Oksigen lpm 2
31 Ondancetron amp 1
32 Povidon cc 300
33 PZ fles 1
34 WFI/Aquades 1000 ml fles 1
35 RL amp 1

NAMA PETUGAS
Sisa
Keterangan
IKB
 BAHAN HABIS PAKAI TINDAKAN TUR

Ketersediaan Sisa
No Nama Obat Kebutuhan Pemakaian
FAR IKB FAR
1 blood set bh 1
2 Electroda bh 4
3 Glove Gammex 7 bh 2
4 Glove Gammex 7,5 bh 2
5 Glove Gammex 8 bh 1
6 Glove unsteril bh 5
7 Hansaplast bh 1
8 Hypafix bh 40
9 Kasa bh 20
10 ky jelli sct 2
11 Masker bh 5
12 Oksigen masker bh 1
13 Oksigen nasal bh 1
14 Spinocam 25 bh 2
15 Syringe 10 bh 2
16 Syringe 3 bh 2
17 Syringe 5 bh 2
18 Threeway cath 22 bh 1
19 Threeway cath 24 bh 1
20 Topi disposable bh 5
21 underpad bh 1
22 urine bag tube 1
23 Alkohol cc 100
24 Epineprin amp 1
25 Lidodex amp 1
26 Dekain amp 1
27 transamin 500 amp 2
28 Oksigen lpm 2
29 Ondancetron amp 1
30 Povidon cc 300
31 PZ fles 1
32 RL amp 1

NAMA PETUGAS
Sisa
Keterangan
IKB
 BAHAN HABIS PAKAI TINDAKAN URS

Ketersediaan Sisa
No Nama Obat Kebutuhan Pemakaian
FAR IKB FAR
1 Electroda bh 4
2 Glove Gammex 8 bh 1
3 Glove Gammex 7,5 bh 2
4 Glove Gammex 7 bh 2
5 Glove unsteril bh 5
6 Hansaplast bh 1
7 Hypafix bh 40
8 Kasa bh 20
9 Dj Stent bh 1
10 Ureter Catheter bh 1
11 Masker bh 5
12 Oksigen nasal bh 1
13 Oksigen masker bh 1
14 Spinocam 25 bh 2
15 Syringe 10 bh 2
16 Syringe 5 bh 2
17 Syringe 3 bh 2
18 Topi disposable bh 5
19 urine bag tube 1
20 blood set bh 1
21 underpad bh 1
22 ky jelli sct 2
23 foley cath 16 bh 1
24 foley cath 18 bh 1
25 Alkohol cc 100
26 Epineprin amp 1
27 Lidodex amp 1
28 Dekain amp 1
29 transamin 500 amp 2
30 Oksigen lpm 2
31 Ondancetron amp 1
32 Povidon cc 300
33 PZ fles 1
34 WFI/Aquades 1000 ml fles 1
35 RL amp 1

NAMA PETUGAS
Sisa
Keterangan
IKB
 BAHAN HABIS PAKAI TINDAKAN DEBRIDEMEN

Ketersediaan Sisa
No Nama Obat Kebutuhan Pemakaian
FAR IKB FAR
1 Electroda bh 4
2 Glove Gammex 8 bh 2
3 Glove Gammex 7.5 bh 3
4 Glove Gammex 7 bh 3
5 Glove Gammex 6.5 bh 2
6 Glove unsteril bh 5
7 Hansaplast bh 1
8 Hypafix cm 30
9 Kasa bh 30
10 Kasa Hidrofil 5 cm bh 2
11 Kasa Hidrofil 10 cm bh 3
12 Elastomul haft 8 cm bh 1
13 Sufratul bh 2
14 Masker bh 5
15 Mess 10 bh 1
16 Mess 11 bh 1
17 Mess 15 bh 1
18 Mess 20 bh 1
19 Pehidrol cc 100
20 pencil couter bh 1
21 Patient plate sct 1
22 Oksigen masker bh 1
23 Oksigen nasal bh 1
24 Spinocam 25 bh 1
25 Syringe 3 bh 2
26 Syringe 5 bh 1
27 Syringe 10 bh 1
28 Topi disposable bh 5
29 nylon 6.0 sct 1
30 Nylon 4,0 sct 1
31 Nylon 3.0 sct 1
32 Nylon 2.0 sct 1
33 Nylon 0 sct 1
34 Polisorb 4.0 sct 1
35 Polisorb 3,0 sct 1
36 Polisorb 2.0 sct 1
37 Siede atraumatik 0 cutting sct 3
38 Siede atraumatik 2.0 cutting sct 3
39 Siede atraumatik 3.0 cutting sct 3
40 Alkohol cc 100
41 Epineprin amp 1
42 Hibiscrub cc 100
43 Lidodex amp 1
44 Oksigen lpm 2
45 Ondancetron amp 1
46 Povidon cc 300
47 petidin amp 1
48 fentanyl amp 1
49 Milloz amp 1
50 Epedrin amp 1
51 Oksigen lpm 2
52 Ondancetron amp 1
53 Ketamin amp 1
54 Propofol amp 1
55 Sulfas Atropin amp 5
56 Transamin 500 amp 2
57 WFI amp 1
58 Dexamethason bh 2

NAMA PETUGAS
N

Sisa
Keterangan
IKB
 BAHAN HABIS PAKAI TINDAKAN SC

No Nama Obat Kebutuhan Pemakaian

1 Apron bh 3
2 Electroda bh 4
3 Glove Gammex 6,5 bh 3
4 Glove Gammex 7 bh 3
5 Glove Gammex 8 bh 3
6 Glove Gammex 7,5 bh 3
10 Glove unsteril bh 5
11 Hansaplast bh 2
12 Hypafix cm 30
13 Kasa bh 30
14 kasa laparatomi bh 2
15 Masker bh 5
16 Mess 10 bh 1
18 Mess 20 bh 1
19 Oksigen masker bh 1
20 Oksigen nasal bh 1
45 Spinocam 25 bh 3
46 Syringe 10 bh 3
47 Syringe 3 bh 3
48 Syringe 5 bh 3
49 Topi disposable bh 5
50 pencil couter bh 1
51 patient plate bh 1
52 Cromic 0 taper sct 1
53 Monofilament absorbable 1 taper sct 2
54 Monofilament absorbable 3.0 taper sct 1
55 Plain 0 sct 2
56 Plain 2.0 sct 2
57 Polisorb 1 sct 2
58 Siede atraumatik 1 taper sct 3
59 Alkohol cc 100
60 Dekain amp 1
61 Epedrin amp 1
62 Epineprin amp 2
63 Haes fles 1
64 Induxin amp 4
65 Lidodex amp 2
66 Metergin amp 1
67 TRANSAMIN 500 amp 2
68 Oksigen lpm 2
69 Ondancetron amp 1
70 Povidon cc 400
71 PZ fles 3
72 RL fles 3
Keterangan
 BAHAN HABIS PAKAI TINDAKAN EKSISI

Ketersediaan Sisa
No Nama Obat Kebutuhan Pemakaian
FAR IKB FAR
1 Electroda bh 4
2 Glove Gammex 8 bh 2
3 Glove Gammex 7.5 bh 3
4 Glove Gammex 7 bh 3
5 Glove Gammex 6.5 bh 2
6 Glove unsteril bh 5
7 Hansaplast bh 1
8 Hypafix cm 30
9 Kasa bh 30
10 Masker bh 5
11 Mess 10 bh 1
12 Mess 11 bh 1
13 Mess 15 bh 1
14 Mess 20 bh 1
15 pencil couter bh 1
16 Patient plate sct 1
17 Oksigen masker bh 1
18 Oksigen nasal bh 1
19 Spinocam 25 bh 1
20 Syringe 3 bh 2
21 Syringe 5 bh 1
22 Syringe 10 bh 1
23 Topi disposable bh 5
24 monofilament non absorbable 2.0 bh 1
25 monofilament non absorbable 3.0 bh 1
26 nylon 6.0 sct 1
27 Nylon 4,0 sct 1
28 Nylon 3.0 sct 1
29 Nylon 2.0 sct 1
30 Polisorb 4.0 sct 1
31 Polisorb 3,0 sct 1
32 Polisorb 2.0 sct 1
33 Siede atraumatik 2.0 cutting sct 1
34 Siede atraumatik 3.0 cutting sct 1
35 Alkohol cc 50
36 Epineprin amp 1
37 Hibiscrub cc 100
38 Lidodex amp 1
39 Oksigen lpm 2
40 Ondancetron amp 1
41 Povidon cc 300
42 petidin amp 1
43 fentanyl amp 1
44 Milloz amp 1
45 Epedrin amp 1
46 Ketamin amp 1
47 Oksigen lpm 2
48 Ondancetron amp 1
49 Propofol amp 1
50 Sulfas Atropin amp 5
51 Transamin 500 amp 2
52 WFI amp 1
53 Dexamethason bh 2

NAMA PETUGAS
Sisa
Keterangan
IKB
 BAHAN HABIS PAKAI TINDAKAN APPENDICTOMY

Ketersediaan Sisa
No Nama Obat Kebutuhan Pemakaian
FAR IKB FAR IKB
1 Electroda bh 4
2 Glove Gammex 8 bh 2
3 Glove Gammex 7.5 bh 3
4 Glove Gammex 7 bh 3
5 Glove Gammex 6.5 bh 2
6 Glove unsteril bh 5
7 Hansaplast bh 1
8 Hypafix cm 20
9 Kasa bh 30
10 Masker bh 5
11 Mess 10 bh 1
12 Mess 20 bh 1
13 Oksigen masker bh 1
14 Oksigen nasal bh 1
15 Spinocam 25 bh 1
16 Syringe 3 bh 2
17 Syringe 5 bh 2
18 Syringe 10 bh 2
19 Topi disposable bh 5
pencil couter bh 1
Ureter Catheter bh 1
20 Nylon 2.0 sct 1
21 Polisorb 2.0 sct 2
22 Polisorb 0 sct 1
23 Siede atraumatik 2.0 sct 1
24 Alkohol cc 50
25 Epineprin amp 1
26 Hibiscrub cc 100
27 Lidodex amp 1
28 Oksigen lpm 2
29 Ondancetron amp 1
30 Povidon cc 300
31 PZ fles 1
32 RL fles 2

Nama Petugas
Keterangan
 BAHAN HABIS PAKAI TINDAKAN KATARAK

No Nama Obat Kebutuhan Pemakaian Keterangan

1 Electroda bh 4
2 Glove Gammex 6,5 bh 2
3 Glove Gammex 7 bh 2
4 Glove Gammex 7,5 bh 2
5 Glove Gammex 8 bh 2
6 Glove unsteril pasang 3
7 blood set terumo bh 1
8 Hypafix cm 20
9 Kasa bh 10
10 Masker bh 3
11 Topi disposable bh 3
12 Mess 15 bh 2
13 Povidon cc 100
14 Alkohol cc 100
15 Gentamycin amp 1
16 Lidocain Non Adrenalin amp 2
17 Epineprin amp 1
18 Alkohol swab bh 6
19 Dexamethason bh 1
20 Needle 26 bh 3
21 Syringe 1 tuberculin bh 5
22 Syringe 3 bh 2
23 Syringe 5 bh 2
24 Syringe 10 bh 2
25 PZ fles 1
26 RL fles 1
 BAHAN HABIS PAKAI TINDAKAN SC

No Nama Obat Kebutuhan Pemakaian

1 Apron bh 3
2 Electroda bh 4
3 Glove Gammex 6,5 bh 3
4 Glove Gammex 7 bh 3
5 Glove Gammex 8 bh 3
6 Glove Gammex 7,5 bh 3
10 Glove unsteril bh 5
11 Hansaplast bh 2
12 Hypafix cm 30
13 Kasa bh 30
14 kasa laparatomi bh 2
15 Masker bh 5
16 Mess 10 bh 1
18 Mess 20 bh 1
19 Oksigen masker bh 1
20 Oksigen nasal bh 1
45 Spinocam 25 bh 3
46 Syringe 10 bh 3
47 Syringe 3 bh 3
48 Syringe 5 bh 3
49 Topi disposable bh 5
50 pencil couter bh 1
51 Ureter Catheter bh 1
52 Cromic 0 taper sct 1
53 Monofilament absorbable 1 taper sct 2
54 Monofilament absorbable 3.0 taper sct 1
55 Plain 0 sct 2
56 Plain 2.0 sct 2
57 Polisorb 1 sct 2
58 Siede atraumatik 1 taper sct 3
59 Alkohol cc 100
60 Dekain amp 1
61 Epedrin amp 1
62 Epineprin amp 2
63 Haes fles 1
64 Induxin amp 4
65 Lidodex amp 2
66 Metergin amp 1
67 Oksigen lpm 2
68 Ondancetron amp 1
69 Povidon cc 400
70 PZ fles 3
71 RL fles 3
72 Transamin 500 amp 2
Keterangan
 BAHAN HABIS PAKAI TINDAKAN VESICOLITOTOMI

Ketersediaan Sisa
No Nama Obat Kebutuhan Pemakaian
FAR IKB FAR
1 Electroda bh 4
2 Glove Gammex 6,5 bh 3
3 Glove Gammex 7 bh 3
4 Glove Gammex 7,5 bh 3
5 Glove Gammex 8 bh 3
6 Glove unsteril bh 10
7 Folley Catheter No 14 bh 1
8 Folley Catheter No 16 bh 1
9 NGT 10 100cm bh 1
10 blood set terumo bh 1
11 Urine bag bh 1
12 Hypafix cm 40
13 Kasa bh 40
14 kasa laparatomi bh 2
15 Masker bh 10
16 Topi disposable bh 5
17 Apron bh 3
18 Mess 10 bh 2
19 Mess 11 bh 1
20 Mess 20 bh 2
21 Oksigen nasal bh 1
22 Oksigen masker bh 1
23 Nylon 2,0 sct 2
24 Cromic 1 blunt point sct 3
25 Polisorb 0 sct 1
26 Polisorb 1.0 sct 2
27 Polisorb 2,0 sct 2
28 Polisorb 3.0 sct 2
29 Siede atraumatik 1 taper sct 1
30 Siede atraumatik 2,0 taper sct 2
31 Siede atraumatik 3,0 taper sct 5
32 Povidon cc 300
33 Alkohol cc 100
34 Epineprin amp 2
35 Epedrin amp 1
36 Transamin 500 amp 2
37 Dekain amp 1
38 Lidodex amp 2
39 Oksigen lpm 2
40 Ondancetron amp 1
46 Sulfas Atropin amp 5
47 Propofol amp 1
48 WFI amp 1
49 Alkohol swab bh 3
50 Dexamethason bh 1
51 Spinocam 25 bh 3
52 Syringe 3 bh 3
53 Syringe 5 bh 3
54 Syringe 10 bh 3
55 Syringe 50 tip bh 1
56 Hansaplast bh 2
57 Haes fles 1
58 PZ fles 3
59 RL fles 3
60 Hernia mess 5 x 10 cm bh 2
61 Patient Plate bh 1
62 pencil couter bh 1
63 Ureter Catheter bh 1

Nama Petugas
TOMI

Sisa
Keterangan
IKB
BAHAN HABIS PAKAI TINDAKAN UROLOGI URETROLITOTOMI

No Nama Obat Kebutuhan Ketersediaan Sisa

Pemakaian
1 Electroda bh 4 FAR IKB FAR IKB
2 Glove Gammex 6,5 bh 3
3 Glove Gammex 7 bh 3
4 Glove Gammex 7,5 bh 3
5 Glove Gammex 8 bh 3
6 Glove unsteril bh 10
7 Folley Catheter No 14 bh 1
8 Folley Catheter No 16 bh 1
9 NGT 10 100cm bh 1
10 blood set terumo bh 1
11 Urine bag bh 1
12 Hypafix cm 40
13 Kasa bh 40
14 kasa laparatomi bh 2
15 Masker bh 10
16 Topi disposable bh 5
17 Apron bh 3
18 Mess 10 bh 2
19 Mess 11 bh 1
20 Mess 20 bh 2
21 Oksigen nasal bh 1
22 Oksigen masker bh 1
23 Nylon 2,0 sct 2
24 Cromic 1 blunt point sct 3
25 Polisorb 0 sct 1
26 Polisorb 1.0 sct 2
27 Polisorb 2,0 sct 2
28 Polisorb 3.0 sct 2
29 Siede atraumatik 1 taper sct 1
30 Siede atraumatik 2,0 taper sct 2
31 Siede atraumatik 3,0 taper sct 5
32 Povidon cc 300
33 Alkohol cc 100
34 Epineprin amp 2
35 Epedrin amp 1
36 Transamin 500 amp 2
37 Dekain amp 1
38 Lidodex amp 2
39 Oksigen lpm 2
40 Ondancetron amp 1
46 Sulfas Atropin amp 5
47 Propofol amp 1
48 WFI amp 1
49 Alkohol swab bh 3
50 Dexamethason bh 1
51 Spinocam 25 bh 3
52 Syringe 3 bh 3
53 Syringe 5 bh 3
54 Syringe 10 bh 3
55 Syringe 50 tip bh 1
56 Hansaplast bh 2
57 Haes fles 1
58 PZ fles 3
59 RL fles 3
60 Hernia mess 5 x 10 cm bh 2
61 Patient Plate bh 1
62 pencil couter bh 1
63 Ureter Catheter bh 1
64 Dj Stent bh 1

Nama Petugas
Keterangan
 BAHAN HABIS PAKAI TINDAKAN PYELOLITOTOMI

No Nama Obat Kebutuhan Ketersediaan Sisa

Pemakaian
1 Electroda bh 4 FAR IKB FAR IKB
2 Glove Gammex 6,5 bh 3
3 Glove Gammex 7 bh 3
4 Glove Gammex 7,5 bh 3
5 Glove Gammex 8 bh 3
6 Glove unsteril bh 5
7 Folley Catheter No 14 bh 1
8 Folley Catheter No 16 bh 1
9 NGT 10 100cm bh 1
10 blood set terumo bh 1
11 Urine bag bh 1
12 Hypafix cm 40
13 Kasa bh 40
14 kasa laparatomi bh 2
15 Masker bh 10
16 Topi disposable bh 5
17 Apron bh 3
18 Mess 10 bh 2
19 Mess 11 bh 1
20 Mess 20 bh 2
21 Oksigen nasal bh 1
22 Oksigen masker bh 1
23 Nylon 2,0 sct 2
24 Cromic 1 blunt point sct 3
25 Polisorb 0 sct 1
26 Polisorb 1.0 sct 2
27 Polisorb 2,0 sct 2
28 Polisorb 3.0 sct 2
29 Siede atraumatik 1 taper sct 1
30 Siede atraumatik 2,0 taper sct 2
31 Siede atraumatik 3,0 taper sct 5
32 Povidon cc 300
33 Alkohol cc 100
34 Epineprin amp 2
35 Epedrin amp 1
36 Transamin 500 amp 2
37 Dekain amp 1
38 Lidodex amp 2
39 Oksigen lpm 2
40 Ondancetron amp 1
46 Sulfas Atropin amp 5
47 Propofol amp 1
48 WFI amp 1
49 Alkohol swab bh 3
50 Dexamethason bh 1
51 Spinocam 25 bh 3
52 Syringe 3 bh 3
53 Syringe 5 bh 3
54 Syringe 10 bh 3
55 Syringe 50 tip bh 1
56 Hansaplast bh 2
57 Haes fles 1
58 PZ fles 3
59 RL fles 3
60 Hernia mess 5 x 10 cm bh 2
61 Patient Plate bh 1
62 pencil couter bh 1
63 Ureter Catheter bh 1
64 Dj Stent bh 1

NAMA PETUGAS
Keterangan
 BAHAN HABIS PAKAI TINDAKAN FRAKTUR FEMUR / COLUM FEMUR

Ketersediaan Sisa
No Nama Obat Kebutuhan Pemakaian
FAR IKB FAR IKB
1 Alkohol swab bh 6
2 Apron bh 3
3 Arm Sling L bh 1
4 Arm Sling M bh 1
5 Arm Sling S bh 1
6 blood set terumo bh 1
7 Electroda bh 4
8 Folley Cath 14 bh 1
9 Folley Cath 16 bh 1
10 Glove Gammex 6,5 bh 4
11 Glove Gammex 7 bh 4
12 Glove Gammex 8 bh 4
13 Glove Gammex 7,5 bh 4
14 Glove unsteril bh 5
15 Hypafix cm 40
16 Kasa bh 40
17 kasa hidrofil 10 cm 4
18 Masker bh 5
19 Mess 10 bh 2
20 Mess 15 bh 2
21 Mess 20 bh 2
22 Oksigen masker bh 1
23 Oksigen nasal bh 1
24 Patient Plate bh 1
25 pencil couter bh 1
26 Softband 4' bh 2
27 Sufratulle bh 2
28 Syringe 10 bh 3
29 Syringe 3 bh 3
30 Syringe 5 bh 3
31 Tensocrepe 4' bh 2
32 Topi disposable bh 5
33 Urine Bag bh 1
34 Nylon 2.0 sct 2
35 Nylon 3,0 sct 2
36 Polisorb 2.0 sct 2
37 Polisorb 3.0 sct 2
38 Siede atraumatik 2,0 Cutting sct 2
39 Pehidrol cc 200
40 Povidon cc 400
41 Alkohol cc 100
42 petidin amp 1
43 fentanyl amp 1
44 Milloz amp 1
45 Epedrin amp 1
46 Oksigen lpm 2
47 Ondancetron amp 1
48 Propofol amp 1
49 Sulfas Atropin amp 5
50 Transamin 500 amp 2
51 WFI amp 1
52 Dexamethason bh 2
53 Haes fles 1
54 PZ fles 5
55 RL fles 3

NAMA PETUGAS
EMUR

Keterangan
 BAHAN HABIS PAKAI TINDAKAN FRAKTUR FEMUR / COLUM FEMUR

No Nama Obat Kebutuhan Pemakaian Keterangan

1 Apron bh 3
2 Alkohol swab bh 6
3 blood set terumo bh 1
4 Electroda bh 4
5 Folley Catheter No 14 bh 1
6 Folley Catheter No 16 bh 1
7 Glove Gammex 6,5 bh 4
8 Glove Gammex 7 bh 4
9 Glove Gammex 8 bh 4
10 Glove Gammex 7,5 bh 4
11 Glove unsteril bh 10
12 Hansaplast bh 2
13 Hypafix cm 40
14 Kasa bh 40
15 kasa hidrofil 10 cm bh 3
16 Masker bh 5
17 Mess 10 bh 2
18 Mess 15 bh 2
19 Mess 20 bh 2
20 Oksigen masker bh 1
21 Oksigen nasal bh 1
22 Patient Plate bh 1
23 pencil couter bh 1
24 Softband 6' bh 2
25 Spinocam 25 bh 3
26 Sufratulle bh 2
27 Syringe 10 bh 3
28 Syringe 3 bh 3
29 Syringe 5 bh 3
30 Tensocrepe 6' bh 2
31 Topi disposable bh 5
32 Urine bag bh 1
33 Nylon 0 sct 2
34 Nylon 2,0 sct 2
35 Polisorb 0 sct 2
36 Polisorb 1 sct 2
37 Polisorb 2,0 sct 3
38 Siede atraumatik 1 Cutting sct 1
39 Siede atraumatik 2,0 Cutting sct 2
40 Pehidrol cc 200
41 Povidon cc 400
42 Alkohol cc 100
43 Dekain amp 1
44 Epedrin amp 1
45 Epineprin amp 2
46 Lidodex amp 2
47 Oksigen lpm 2
48 Ondancetron amp 1
49 Propofol amp 1
50 Sulfas Atropin amp 5
51 Transamin 500 amp 2
52 WFI amp 1
53 Dexamethason bh 2
54 Haes fles 1
55 PZ fles 5
56 RL fles 5
 BAHAN HABIS PAKAI TINDAKAN KATARAK

No Nama Obat Kebutuhan Pemakaian Keterangan

1 Electroda bh 4
2 Glove Gammex 6,5 bh 2
3 Glove Gammex 7 bh 2
4 Glove Gammex 7,5 bh 2
5 Glove Gammex 8 bh 2
6 Glove unsteril pasang 3
7 blood set terumo bh 1
8 Hypafix cm 20
9 Kasa bh 10
10 Masker bh 3
11 Topi disposable bh 3
12 Mess 15 bh 2
13 Povidon cc 100
14 Alkohol cc 100
15 Gentamycin amp 1
16 Lidocain Non Adrenalin amp 2
17 Epineprin amp 1
18 Alkohol swab bh 6
19 Dexamethason bh 1
20 Needle 26 bh 3
21 Syringe 1 tuberculin bh 5
22 Syringe 3 bh 2
23 Syringe 5 bh 2
24 Syringe 10 bh 2
25 PZ fles 1
26 RL fles 1
 BAHAN HABIS PAKAI TINDAKAN BIVALVE

No Nama Obat Kebutuhan Pemakaian Keterangan

1 Electroda bh 4
2 Glove Gammex 6,5 bh 3
3 Glove Gammex 7 bh 3
4 Glove Gammex 7,5 bh 3
5 Glove Gammex 8 bh 3
6 Glove unsteril bh 5
7 Folley Catheter No 14 bh 1
8 Folley Catheter No 16 bh 1
9 NGT 10 100cm bh 1
10 blood set terumo bh 1
11 Urine bag bh 2
12 Hypafix cm 40
13 Kasa bh 40
14 kasa laparatomi bh 2
15 Masker bh 5
16 Topi disposable bh 5
17 Apron bh 3
18 Mess 10 bh 2
19 Mess 11 bh 1
20 Mess 20 bh 2
21 Oksigen nasal bh 1
22 Oksigen masker bh 1
51 Spinocam 25 bh 3
52 Syringe 3 bh 3
53 Syringe 5 bh 3
54 Syringe 10 bh 3
55 Syringe 50 tip bh 1
56 Hansaplast bh 2
23 Nylon 2,0 sct 2
24 Cromic 1 blunt point sct 3
25 Polisorb 0 sct 1
26 Polisorb 1.0 sct 2
27 Polisorb 2,0 sct 2
28 Polisorb 3.0 sct 2
29 Siede atraumatik 1 taper sct 1
30 Siede atraumatik 2,0 taper sct 2
31 Siede atraumatik 3,0 taper sct 5
32 Povidon cc 300
33 Alkohol cc 100
34 Epineprin amp 2
35 Epedrin amp 1
36 Transamin 500 amp 2
37 Dekain amp 1
38 Lidodex amp 2
39 Oksigen lpm 2
40 Ondancetron amp 1
46 Sulfas Atropin amp 5
47 Propofol amp 1
48 WFI amp 1
49 Alkohol swab bh 3
50 Dexamethason bh 1

57 Haes fles 1
58 PZ fles 3
59 RL fles 3
60 Hernia mess 5 x 10 cm bh 2
61 Patient Plate bh 1
62 pencil couter bh 1
63 Ureter Catheter bh 1
64 Dj Stent bh 1
 BAHAN HABIS PAKAI TINDAKAN CURETAGE

No Nama Obat Kebutuhan Pemakaian

1 Apron bh 2
2 blood set terumo bh 1
3 Electroda bh 4
4 Glove Gammex 6,5 bh 2
5 Glove Gammex 7 bh 2
6 Glove Gammex 8 bh 2
8 Glove Gammex 7,5 bh 2
11 Glove unsteril bh 5
13 Kasa bh 20
14 Masker bh 5
15 Topi disposable bh 5
31 Povidon cc 200
32 Alkohol cc 100
33 Alkohol swab bh 6
34 Atracrium / Tracrium amp 1
35 Dexamethason bh 1
37 Epedrin bh 1
38 Fentanyl amp 1
39 Haes fles 1
40 induxin amp 2
41 Isoflurane cc 30
42 metergin amp 1
43 Midazolam / Milloz amp 1
44 Oksigen lpm 2
45 Ondancetron amp 1
46 Pethidin amp 1
47 PZ fles 1
48 RL fles 3
49 Sulfas Atropin amp 5
51 Syringe 10 bh 3
52 Syringe 3 bh 3
53 Syringe 5 bh 3
55 Transamin 500 amp 2
56 Trivam/recofol/savol/propofol amp 1
57 WFI amp 1
GE

Keterangan

Hibiscrub cc 100

Oksigen lpm 3

PZ fles 1

RL fles 2
 BAHAN HABIS PAKAI TINDAKAN LAPARATOMI OBGYN

No Nama Obat Kebutuhan Pemakaian

1 Electroda bh 4
2 Glove Gammex 6,5 bh 3
3 Glove Gammex 7 bh 3
4 Glove Gammex 7,5 bh 3
5 Glove Gammex 8 bh 3
6 Glove unsteril bh 10
8 blood set terumo bh 1
9 Urine bag bh 1
10 Hypafix cm 30
11 Kasa bh 50
12 kasa laparatomi bh 2
13 Masker bh 10
14 Topi disposable bh 5
15 Apron bh 3
16 Mess 10 bh 2
17 Mess 11 bh 1
18 Mess 20 bh 2
19 Oksigen nasal bh 1
20 Oksigen masker bh 1
21 Patient Plate bh 1
22 pencil couter bh 1
23 Monofilament absorbable 1 taper sct 2
24 Monofilament absorbable 3.0 taper sct 1
25 Plain 0 sct 2
26 Plain 2.0 sct 2
27 Cromic 2 taper sct 7
28 Cromic 0 taper sct 1
29 Nylon 3.0 sct 2
30 Polisorb 1 sct 2
31 Siede atraumatik 1 taper sct 3
32 Siede atraumatik 2,0 taper sct 2
33 Siede atraumatik 3,0 taper sct 2
34 Povidon cc 400
35 Alkohol cc 100
36 Induxin amp 4
37 Metergin amp 1
38 Epedrin amp 1
39 Epineprin amp 2
40 Transamin 500 amp 2
41 Dekain amp 1
42 Lidodex amp 2
43 Induxin amp 4
44 Metergin amp 1
45 Oksigen lpm 2
46 Ondancetron amp 1
47 Spinocam 25 bh 3
48 Syringe 3 bh 3
49 Syringe 5 bh 3
50 Syringe 10 bh 3
51 Hansaplast bh 2
52 Haes fles 1
53 PZ fles 3
54 RL fles 3
55 Patient Plate bh 1
56 pencil couter bh 1
OBGYN

Keterangan
 BAHAN HABIS PAKAI TINDAKAN HERNIA

No Nama Obat Kebutuhan Pemakaian Keterangan

1 Electroda bh 4
2 Glove Gammex 6,5 bh 3
3 Glove Gammex 7 bh 3
4 Glove Gammex 7,5 bh 3
5 Glove Gammex 8 bh 3
6 Glove unsteril bh 10
7 Folley Catheter No 14 bh 1
8 Folley Catheter No 16 bh 1
9 NGT 12 bh 1
10 blood set terumo bh 1
11 Urine bag bh 1
12 Hypafix cm 30
13 Kasa bh 30
14 kasa laparatomi bh 2
15 Masker bh 10
16 Topi disposable bh 5
17 Apron bh 3
18 Mess 10 bh 2
19 Mess 11 bh 1
20 Mess 20 bh 2
21 Oksigen nasal bh 1
22 Oksigen masker bh 1
23 Nylon 2,0 sct 2
24 Nylon 3.0 sct 2
25 Polisorb 0 sct 1
26 Polisorb 1.0 sct 2
27 Polisorb 2,0 sct 2
28 Polisorb 3.0 sct 5
29 Siede atraumatik 1 taper sct 1
30 Siede atraumatik 2,0 taper sct 2
31 Siede atraumatik 3,0 taper sct 5
32 Povidon cc 300
33 Alkohol cc 100
34 Epineprin amp 2
35 Epedrin
36 Transamin 500 amp 2
37 Dekain amp 1
38 Lidodex amp 2
39 Oksigen lpm 2
40 Ondancetron amp 1
41 Atracrium / Tracrium amp 1
42 Fentanyl amp 1
43 Isoflurane cc 30
44 Midazolam / Milloz amp 1
45 Pethidin amp 1
46 Sulfas Atropin amp 5
47 Propofol amp 1
48 WFI amp 1
49 Alkohol swab bh 6
50 Dexamethason bh 1
51 Spinocam 25 bh 3
52 Syringe 3 bh 3
53 Syringe 5 bh 3
54 Syringe 10 bh 3
55 Hansaplast bh 2
56 Haes fles 1
57 PZ fles 3
58 RL fles 3
59 Hernia mess bh 2
60 Patient Plate bh 1
61 pencil couter bh 1