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Tanggal :…………………………..

CHECK LIST EMERGENCY TROLLY


SUKA CLINIC DALUNG

KETER-
JUM SATU KONDI EXP.
NO NAMA BARANG SEDIAAN KET
LAH AN SI DATE
ADA TIDAK
LACI 1 : OBAT EMERGENCY
1 Epinephrine
2 Atropine Sulfat
3 Lidocain
4 Dipenhydramine
5 Ranitidine
6 Ondansetron
7 Keterolac
8 Dexamethasone
9 Isosorbide Dinitrate
10 Spuit 1 cc
11 Sput 3 cc
12 Spuit 5 cc
LACI 2 : AMBUBAG (BREATHING)
1 Face Mask
2 Self inflating Bag
3 Reservoir bag
LACI 3 : AED
1 Defibrilator
2 Elektroda
3 PADS

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