Annex 11 List of Required Equipment: Bed ICU Sesuai Standar

Annex 11
List of Required Equipment
NO NAMA ALAT
I. Alat Untuk Intensif

1 Ventilator
2 Suction pump
3 Bag Valve Mask
4 Bedside Monitor Invasif
5 Sentral monitor
6 Monitor hemodinamik non invasif (PICO)
7 Amplitude EEG
8 NIRS
9 EEG portable
10 Defibrilator
11 Cooling device/Hyper- Hypothermia System
13 Syringe Pump
14 Infusion Pump
15 Bronchoscopy
16 Echocardiography
17 Lampu tindakan/Examination Lamp
18 Hemodialisis
19 Blanket warmer
20 Bed ICU sesuai standar
22 CRRT
23 Video Laringoskop
24 ECMO
25 Inkubator
26 Inkubator transport
27 Ventilator transport
28 Monitor transport
30 USG
31 USG Portable
32 Blood Warmer
33 AGD analizer
34 X ray Mobile
35 Laringoskop dewasa
36 Laringoskop pediatrik
38 NO monitor and delivery system
39 Nebulizer ultrasound
40 Stetoskop
41 Brankard transport
42 Troli Instrumen
43 Troli Emergensi
44 Infant Resuscitator (plus T piece)
45 Apheresis
46 Medical refrigerator
47 Infant warmer
48 Film viewer
49 Matras dekubitus
50 Breast Pump
51 Suction Dinding
52 Flowmeter Dinding (dewasa dan Anak)
53 Flowmeter Dinding (bayi)
54 Phototerapy unit LED
Sub Total I.
II. Alat Untuk Anak
1 Bed Patient full spec
2 Infusion pump
3 Syringe pump
4 Nebulizer ultrasound
5 Timbangan injak full spec
6 Timbangan bayi
7 Bedside monitor (untuk ruang tindakan pediatrik)
8 Central Monitor
9 EKG
10 Defibrilator
11 Blood warmer
12 Stetoskop pediatrik
13 Otoskop
14 Funduskopi?
15 Standard infus multirack
16 Infantometer
17 BVM set anak
18 BVM set dewasa
18 Standard infus
19 Laringoskop anak Miller
20 Laringoskop anak McIntosh
21 Hepafilter /IPSRS
23 Brankar transport (patient trolley for transport)
24 Kursi roda
25 Trolley emergency
26 Pulse oxymetri portable
27 Termometer digital (infrared)
28 Hammer reflex
29 Lampu tindakan
30 Bedside monitor transport
31 Trolley instrument
32 Film viewer
33 Intra osseus
34 Cod
35 infant warmen full speck
34 Blanket warmer
35 Suction portable
36 Suction dinding
36 Flowmeter dinding
Sub Total II
III. Alat Untuk Radioterapi
1 Linac dengan dilengkapi MLC
2 Cobalt 60
3 Survey meter
4 Dosimetry IMRT & VMAT
5 Dosimeter Diode Array 2D Array
6 Brachitherapy 3D
Sub Total III
IV. Alat Untuk Kebidanan

A Alat Untuk Stem Cell
1 Laminar Flow Set :
a. Cabinet
b. Gas burner
c. Pipettor
d. Suction
2 Micropipette set (0.1-2µL ; 0.5-10µL ; 2-20µL ; 10-
100µL ; 20-200µL : 100-1000µL)
Inkubator CO2
Liquid Nitrogen Mobile Carrier 2L
Liquid Nitrogen Tank 35L
3 Liquid Nitrogen Tank 100L
4 Inverted microscope
Fluorescence microscope
5 Fluorescence Activated Cell Sorting
6 Freezer -20°C
7 Laboratory Glass Ware Washer
8 Freezer -70°C
9 Cryofreezer
10 Magnetic Stirrer
11 Refrigerator
12 pH Meter
13 Heat autoclave / dryiing oven
14 Pipettor
15 Water bath
16 Camera (digital with microscope connector)
17 Electrophoresis Set (Complete)
18 Sentrifugator
19 Sentrifugator mikro
20 Tabung Erlenmeyer 50 ml
25 Botol medium 125 ml
29 Troli
30 Micromanipulator
Sub Total IV.A
Ruang Fetal Therapy
No Nama Unit
1 Lampu operasi
2 Tiang infus
3 Monitor pasien
4 Anastesi unit
5 Fetoscopy Set For Embryoscopy and Fetoscopy
Recommended Set For Early Second Trimester
6 Fetoscopy
Recommended Set For Second Trimester Fetoscopy-
7 Posterior Placenta
Recommended Set For First&Second Trimester Fet-
8 Anterior Placenta
9 Dornier Photocoagulation
10 infusion pump
11 BARKEY Infusion and Blood Warmer S-LINE
12 Syringe Pump
13 Infant warmer
14 USG GE voluson S8
Total
Ruang HCU
No Nama Unit
1 Kasur pasien
2 Tiang infus
3 Meja pasien
4 Monitor pasien
5 Tangga pasien
6 Kursi
7 Infusion pump
9 Alat EKG
10 CTG , gemelli, dengan monitor sentral, portabel, trolley

khusus
11 Defibrilator
12 Syringe Pump
13 Infant warmer
14 Troli emergensi (emergency trolley)
Total
Ruang VK Risiko Tinggi

No Nama Unit
1 Ventilator
2 Bed partus
3 Infusion pump
4 Alat monitor tanda vital
5 Alat USG
6 Syringe pump
8 Syringe pump
9 Infant warmer
Total
Ruang Kala 1
No Nama Unit
1 Bed partus
3 CTG , gemelli, dengan monitor sentral, portabel, trolley
khusus
4 Alat EKG
5 Infusion pump
7 Syringe pump
Troli emergensi (emergency trolley)
8
Total
Ruang Isolasi Kamar Bersalin

No Nama Unit
1 Bed partus
3 Hepa filter
4 Air filter
Total
Ruang Tindakan Minor

No Nama Unit
1 Meja operasi
2 Lampu operasi
4 Tiang Infus
5 Infusion pump
6 Syringe pump
7 Infant warmer
Troli emergensi (emergency trolley)
8
Total
Ruang Nurse Station

No Nama Unit
1 Komputer Dekstop
2 Printer
Jumlah Total
Ruang Sekretariat
No Nama Unit
1 Komputer Dekstop
2 Printer
3 Meja Komputer
4 Kursi Staff
5 Filling cabinet
6 Lemari
7 Loker
Jumlah Total
Ruang Rawat Obstetri

No Nama Unit
1 Tempat tidur
2 Meja pasien
3 Tiang infus
4 Monitor pasien
6 Set memandikan bayi
Troli emergensi
7
8 Infant warmer
Total
Ruang Rawat Ginekologi

No Nama Unit
1 Tempat tidur
2 Meja Pasien
3 Tiang Infus
4 Monitor Pasien
Total
Poliklinik Aster
Kebutuhan alat urogin

No Nama Unit
1 Spekulum Breisky Ukuran 6-11/16in (17cm) x 1in (2.5cm)
2 Spekulum Breisky Ukuran 4-3/4in (12.1cm) x 1-3/16in (3c
3 Spekulum Breisky Ukuran 6-1/4in (16cm) x 1-3/8in (3.5cm
4 Miya hook 20cm (8")
5 Sistoskopi
6 Reusable Stainless Steel Retractor Rings
7 TVT-O Gynecare
8 Urodinamik multichannel
9 Laser vaginal
Total
Kebutuhan SDM
No Ruangan
1 VK
2 Obstetri
3 Ginek/Onko
4 Biologi medis / dokter dengan sertifikat pelatihan stem cell
Jumlah
Ruang IVF
JUMLAH HARGA SATUAN
2 unit USD 92,995,31
2 Rp 90,000,000
1 Rp 880,500,000
2 Rp 599,900,000
2 Rp 100,000,000
3 Rp 43,120,000
2 Rp 177,000,000
2 Rp 35,000,000
1 Rp 850,000,000
1 Rp 300,000,000
1 Rp 300,000,000
1
3
1
1
4 Rp 47,628,000
6
4
6 Rp 6,000,000
1 Rp 350,000,000
1
1 Rp 100,000,000
1 Rp 10,657,000
SPESIFIKASI JUMLAH
Terlampir 65
10
65
65
12
1
1
1
1
10
5
325
325
2
2
10
5
20
43
5
3
2
25
5
5
5
3
2
65
3
2
10
10
2
10
65
3
10
5
5
3
3
2
10
58
3
65
65
20
10
180
360
360
10
10
10
8
1
4
2
20
20
5
5
90
5
10
5
180
5
5
0
30
30
4
10
20
10
10
5
30
5
2
10
1
30
15
180
180
1
1
1
1
1
1
TERRA (Vertical) 2
Natural Gas Aldrich 3
Gilson 3
Heidolph 3
Sigma Aldrich (Nichipet) Set 5
Heraeus 2
Barnstead-Thermolyne 2
NY Scope Ken A-8000 2
Epi 1
BD FACS Calibur 1
Barnstead 2
FlaskScrubber 1
Fisher 2
Fisher TF7451 230V 50/60 1
IKA Z671835-1EA 1
Fisher 2
Hanna P9866-1EA 1
Sigma Z630713 1
Gilson 3
Polyscience 2
Zeiss 1
Sigma 2-D 2
Eppendorf 2
Eppendorf 2
Brand 5
Brand 5
Brand 5
Brand 5
Brand 5
Biotainer 8
Biotainer 8
Biotainer 8
Biotainer 8
Lokal 6
PT New Module 1
No Produk Harga
42000000-AKS-000083647 2
42000000-AKS000109251 2
42000000-AKS-000076304 2
42000000-AKS-000057479 2
L411 2
L412 2
L413 2
L414 2
42000000-AKS-000112841 2
Terumo INFUSION PUMP - TE-172CW3 5
42000000-AKS-000042997 5
42000000-AKS-000042997 5
42191802-AKS-000411146 3
42000000-AKS-000038051 2
No Produk Harga
42000000-AKS000404149 15
42000000-AKS000109251 15
42191801-AKS000409904 15
42000000-AKS-000076304 15
42000000-AKS000412336 15
56101700-PRK000072341 15
42000000-AKS-000042997 5
Dixion Electrocardiograph ECG-1012 Expert 5
Philips AVALON FM30 FETAL MONITOR 3

(CARDIOTOCOGRAPH)
GS CORPULS - Defibrilator 1
42000000-AKS-000042997 5
42191802-AKS-000411146 3
Bartec Utama Mandiri Emergency Trolley 2
Luxurious Complete SS
No Produk Harga
HAMILTON ventilator G5 1
PARAMOUNT BED Electric Delivery Bed 6
Dixion Patient Monitor Strom 5900-05 8
USG GE voluson E6 1
5
42000000-AKS-000042997 5
42000000-AKS-000042997 5
42191802-AKS-000411146 3
No Produk Harga
Philips AVALON FM30 FETAL MONITOR 20
(CARDIOTOCOGRAPH)
Dixion Electrocardiograph ECG-1012 Expert 2

42000000-AKS-000042997 5
No Produk Harga
42000000-AKS-000054683 2
44103103-AGT-000437808 1
No Produk Harga
42000000-AKS-000058597 2
42000000-AKS-000083647 2
42000000-AKS000109251 4
42000000-AKS-000042997 5
42191802-AKS-000411146 1
No Produk Harga
43211507-AGT000454826 8
44103103-AGT000406937 8
Jumlah Total
No Produk Harga
43211507-AGT000454826 15
44103103-AGT000406937 15
44103103-AGT000437995 15
56101700-PRK000072329 15
56101703-AGT000442813 15
42000000-AKS000048696 15
56101520-AGT000429659 15
Jumlah Total
Jumlah total 5 sub divisi
No Produk Harga
PARAMOUNT BED Manual Delivery Bed 40

42191801-AKS000409904 40
42000000-AKS000109251 40
42000000-AKS-000076304 10
4
42191802-AKS-000411146 2
No Produk Harga
PARAMOUNT BED Manual Delivery Bed 40

42191801-AKS000409904 40
42000000-AKS000109251 40
42000000-AKS-000076304 10
Rp 6,000,000,000
No Produk Harga
GL470 3
GL465 3
GL469 3
LC-01-800 3
42000000-AKS-000066375 1
Lone Star Self-Retaining Retractors – Reusable 2
GYNECARE TVT™ Obturator 10
Nexam Pro 1
Femilift CO2 Laser for Stress Urinary Incontinen 1
Kapasitas Perbandingan
Tempat Tidur Kebutuhan
40 1 Banding 3
40 1 Banding 6
80 1 banding 6
1
161
JUMLAH HARGA RENCANA PENEMPATAN

USD 185,990.662 Unit IVF
Rp 2,522,777,340
Rp 180,000,000 Unit IVF

Rp 880,500,000 Unit IVF
Rp 1,199,800,000 Unit IVF
Rp 200,000,000 Unit IVF

Rp 129,360,000 Unit IVF
Rp 354,000,000 Unit IVF
Rp 70,000,000 Unit IVF
Rp 850,000,000
Rp -
Rp -
Rp -
Rp -
Rp 300,000,000
Rp 300,000,000
Rp -
Rp -
Rp -
Rp -
Rp 190,512,000
Rp -
Rp -
Rp 36,000,000
Rp -
Rp -
Rp -
Rp 350,000,000
Rp -
Rp 100,000,000
Rp 10,657,000
Rp 7,673,606,340
HARGA SATUAN JUMLAH HARGA SUMBER HARGA
(RP) (RP)
E- Kat Non E kat
750,000,000 48,750,000,000 √
22,600,000 226,000,000 √
5,000,000 325,000,000 √
246,244,000 16,005,860,000 √
361,262,400 4,335,148,800 √
400,000,000 400,000,000 √
1,200,000,000 1,200,000,000 √
500,000,000 500,000,000 √
450,000,000 450,000,000 √
327,000,000 3,270,000,000 √
344,000,000 1,720,000,000 √
13,200,000 4,290,000,000 √
22,437,000 7,292,025,000 √
3,500,000,000 7,000,000,000 √
2,300,000,000 4,600,000,000 √
23,803,750 238,037,500 √
429,000,000 2,145,000,000 √
53,483,600 1,069,672,000 √
138,266,300 5,945,450,900 √
1,200,000,000 6,000,000,000 √
605,257,800 1,815,773,400 √
4,800,000,000 9,600,000,000 √
237,908,000 5,947,700,000 √
218,832,000 1,094,160,000 √
650,000,000 3,250,000,000 √
156,000,000 780,000,000 √
650,000,000 1,950,000,000 √
450,000,000 900,000,000 √
18,180,000 1,181,700,000 √
220,800,000 662,400,000 √
890,000,000 1,780,000,000 √
20,000,000 200,000,000 √
19,000,000 190,000,000 √
-
12,700,000 127,000,000 √
1,785,000 116,025,000 √
49,604,000 148,812,000 √
6,337,800 63,378,000 √
31,594,000 157,970,000 √
49,603,500 248,017,500 √
887,500,000 2,662,500,000 √
76,500,000 229,500,000 √
227,600,000 455,200,000 √
9,900,000 99,000,000 √
5,500,000 319,000,000 √
25,576,000 76,728,000 √
12,450,000 809,250,000 √
3,244,000 210,860,000 √
8,027,000 160,540,000 √
54,161,250 541,612,500 √
151,539,320,600
59,417,800 10,695,204,000 √
22,437,000 8,077,320,000 √
13,200,000 4,752,000,000 √
12,700,000 200,000,000 √
14,100,000 141,000,000 √
10,838,700 108,387,000 √
246,244,000 1,969,952,000 √
361,262,400 361,262,400 √
49,500,000 198,000,000 √
327,000,000 654,000,000 √
18,180,000 363,600,000 √
1,785,000 35,700,000 √
3,800,000 19,000,000
5,000,000 25,000,000 √
2,500,000 225,000,000 √
15,000,000 75,000,000 √
5,000,000 50,000,000 √
5,000,000 25,000,000 √
435,614 78,410,520 √
20,000,000 100,000,000 √
20,000,000 100,000,000 √
- -
49,604,000 1,488,120,000 √
5,000,000 150,000,000 √
31,594,000 126,376,000 √
13,531,000 135,310,000 √
401,500 8,030,000 √
294,000 2,940,000 √
23,803,750 238,037,500 √
156,000,000 780,000,000 √
6,337,800 190,134,000 √
9,900,000 49,500,000 √
10,000,000 20,000,000 √
5,000,000 50,000,000 √
227,548,000 227,548,000 √
53,483,600 1,604,508,000 √
22,600,000 339,000,000 √
12,450,000 2,241,000,000 √
3,244,000 583,920,000 √
36,488,259,420
35,500,000,000 35,500,000,000
13,100,000,000 13,100,000,000
106,000,000 106,000,000
2,300,000,000 2,300,000,000
2,100,000,000 2,100,000,000
7,800,000,000 7,800,000,000
60,906,000,000
325,000,000 650,000,000
1,560,000 4,680,000
13,000,000 39,000,000
78,000,000 234,000,000
52,000,000 260,000,000
58,500,000 117,000,000
15,600,000 31,200,000
52,000,000 104,000,000
143,000,000 286,000,000
45,500,000 91,000,000
97,500,000 97,500,000
1,579,500,000 1,579,500,000
52,000,000 104,000,000
15,600,000 15,600,000
198,900,000 397,800,000
405,600,000 405,600,000
14,300,000 14,300,000
84,500,000 169,000,000
2,470,000 2,470,000
45,500,000 45,500,000
13,000,000 39,000,000
52,000,000 104,000,000
15,600,000 15,600,000
45,500,000 91,000,000
58,500,000 117,000,000
71,500,000 143,000,000
585,000 2,925,000
585,000 2,925,000
780,000 3,900,000
1,040,000 5,200,000
910,000 4,550,000
7,800,000 62,400,000
7,800,000 62,400,000
9,100,000 72,800,000
9,100,000 72,800,000
390,000 2,340,000
1,100,000,000 1,100,000,000
6,549,990,000
Jumlah Unit Total

961,000,000 1,922,000,000
34,451,567 68,903,134
140,173,675 280,347,350
2,030,770,000 4,061,540,000
245,528,362 491,056,724
218,394,985 436,789,970
30,759,750 61,519,500
141,043,709 282,087,418
319,000,000 638,000,000
24,909,060 124,545,300
34,000,000 170,000,000
34,000,000 170,000,000
150,975,000 452,925,000
1,189,650,000 2,379,300,000
11,539,014,396
Jumlah Unit Total

10,058,040 150,870,600
34,451,567 516,773,505
1,613,500 24,202,500
43,560,000 653,400,000
938,000 14,070,000
1,135,530 17,032,950
24,909,060 124,545,300
34,000,000 170,000,000
210,000,000 1,050,000,000
71,000,124 213,000,372
557,339,000 557,339,000
34,000,000 170,000,000
150,975,000 452,925,000
20,160,000 40,320,000
4,154,479,227
Jumlah Unit Total

739,000,000 739,000,000
137,940,000 827,640,000
24,909,060 124,545,300
275,000,000 2,200,000,000
423,391,500 423,391,500
34,000,000 170,000,000
34,000,000 170,000,000
150,975,000 452,925,000
20,160,000 40,320,000
5,147,821,800
Jumlah Unit Total

137,940,000 2,758,800,000
275,000,000 5,500,000,000
71,000,124 1,420,002,479
210,000,000 420,000,000
24,909,060 124,545,300
34,000,000 170,000,000
20,160,000 40,320,000
10,433,667,779
Jumlah Unit Total

137,940,000 2,758,800,000
275,000,000 5,500,000,000
102,933 205,866
6,600,000 6,600,000
8,265,605,866
Jumlah Unit Total

296,000,000 592,000,000
961,000,000 1,922,000,000
275,000,000 550,000,000
34,451,567 137,806,268
24,909,060 49,818,120
34,000,000 170,000,000
150,975,000 150,975,000
20,160,000 40,320,000
3,612,919,388
Jumlah Unit Total

11,964,350 95,714,800
6,122,880 48,983,040
Rp 144,697,840
Jumlah
Total
Unit
11,964,350 179,465,250
6,122,880 91,843,200
12,280,000 184,200,000
662,520 9,937,800
2,564,378 38,465,670
10,360,000 155,400,000
3,418,874 51,283,110
Rp 710,595,030
Rp 3,552,975,150
Jumlah
Total
Unit
16,595,137 663,805,480
1,613,500 64,540,000
34,451,567 1,378,062,680
140,173,675 1,401,736,750
2,500,000 10,000,000
20,160,000 40,320,000
150,975,000 301,950,000
3,860,414,910
Jumlah Total
Unit
16,595,137 663,805,480
1,613,500 64,540,000
34,451,567 1,378,062,680
140,173,675 1,401,736,750
20,160,000 40,320,000
3,548,464,910
Jumlah Unit Total

1,072,120 3,216,360
1,072,120 3,216,360
1,072,120 3,216,360
8,710,975 26,132,925
556,153,000 556,153,000
- -
9,000,000 90,000,000
- -
1,700,000,000 1,700,000,000
2,381,935,005
Jumlah Kebutuhan / Sh
Total Kebutuhan Pegawai Sekarang
14 62 12
7 31 24
14 62 24
1 1 0
36 156 60
ENEMPATAN
Selisih
+ -
50
7
38
1
96
NO NAMA ALAT
I Lantai II
Transfer stretcher
A. PICU (15 TT)
1 Intensive patient's bed
2 Mattress
3 Bedside locker
4 Overbed table
B GICU (30 TT)

1 Intensive patient's bed
2 Mattress
3 Bedside locker
4 Overbed table
C High Care Unit Anak (30)

1 Hospital patient's bed
2 Mattress
3 Bedside locker
4 Overbed table
D High Care Unit Dewasa (36)

2 Mattress
3 Bedside locker
4 Overbed table
II Lantai III
A. VK/Delivery Room (46 TT)
1 Delivery bed
2 Bedside locker
B NICU (20TT)
1 Infant incubator
C. Neonatal High Care Unit (30TT)

1 Infant incubator
C. Convalesevce Care of Neonates (10TT)

1 Infant Cot/Bassinet
III Lantai IV
Kebidanan
A. Kelas I
2 Mattress
3 Bedside locker
4 Overbed table
B. Kelas I
2 Mattress
3 Bedside locker
4 Overbed table
C. Kelas I
2 Mattress
3 Bedside locker
4 Overbed table
Anak
A. Kelas I
1 Hospital patient's bed + standar infus

2 Mattress
3 Bedside locker
4 Overbed table
5 Infuse pump
6 Syringe pump
7 Tensi meter digital berdiri
8 Stetoscop dewasa
9 Stetoscope anak
10 Stetoscope bayi
11 Termometer digital
12 manometer oksigen dinding
13 manometer oksigen transfer
14 Timbangan bayi digital
15 Timbangan dewasa digital
16 Alat pengukur tinggi badan anak/dewasa
17 Alat pengukur tinggi badan bayi
18 Oksigen transfort kecil +manometer+roda
19 Glucotest
20 Balncath warmer
21 Air mattrass anak
22 Air matrass dewasa
23 Gantungan urine bag
24 Bak spuit
25 bengkok
26 Laringoscope dewasa
27 Laringoscope anak (lurus)
28 Bag valve Dewasa
29 Bag valve anak
30 bag vale bayi
31 Dressing set
32 Nebulizer
33 Suction portable dewasa
34 Suction portable anak
35 Senter
36 Blankar dewasa
37 Blankar anak
38 Kursi roda dewasa
39 kursi rada anak
40 Waskom mandi
41 Standar waskom
42 Bantal
43 guling
44 lampu sorot
45 Baki
46 Tatakan keramas
B. Kelas II
1 Hospital patient's bed + standar infuse
2 Mattress
3 Bedside locker
4 Overbed table
5 Infuse pump
6 Syringe pump
8 Stetoscop dewasa
9 Stetoscope anak
10 Stetoscope bayi
19 Glucotest
20 Balncath warmer
24 Bak spuit
25 bengkok
28 Bag valve Dewasa
29 Bag valve anak
30 bag vale bayi
31 Dressing set
32 Nebulizer
35 Senter
36 Blankar dewasa
37 Blankar anak
39 kursi rada anak
40 Waskom mandi
41 Standar waskom
42 Bantal
43 guling
44 lampu sorot
45 Baki
46 Tatakan keramas
C. Kelas III
1 Hospital patient's bed + standar infuse
2 Mattress
3 Bedside locker
4 Overbed table
5 Infuse pump
6 Syringe pump
8 Stetoscop dewasa
9 Stetoscope anak
10 Stetoscope bayi
19 Glucotest
20 Balncath warmer
24 Bak spuit
25 bengkok
28 Bag valve Dewasa
29 Bag valve anak
30 bag vale bayi
31 Dressing set
32 Nebulizer
35 Senter
36 Blankar dewasa
37 Blankar anak
39 kursi rada anak
40 Waskom mandi
41 Standar waskom
42 Bantal
43 guling
44 lampu sorot
45 Baki
46 Tatakan keramas
IV. Lantai V
Kebidanan
A. Kelas I
2 Mattress
3 Bedside locker
4 Overbed table
B. Kelas I
2 Mattress
3 Bedside locker
4 Overbed table
C. Kelas I
2 Mattress
3 Bedside locker
4 Overbed table
Anak
A. Kelas I
2 Mattress
3 Bedside locker
4 Overbed table
B. Kelas I
2 Mattress
3 Bedside locker
4 Overbed table
C. Kelas I
2 Mattress
3 Bedside locker
4 Overbed table
V. Lantai VI
Bedah Wanita
A. Kelas I
2 Mattress
3 Bedside locker
4 Overbed table
B. Kelas I
2 Mattress
3 Bedside locker
4 Overbed table
C. Kelas I
2 Mattress
3 Bedside locker
4 Overbed table
SPESIFIKASI JUMLAH SATUAN
Paramount KK-728E 4 Buah
Electric, 3 crank (position) Paramount 15 Buah

15 Buah
15 Buah
15 Buah
30 Buah
30 Buah
30 Buah
30 Buah
30 Buah
30 Buah
30 Buah
30 Buah
36 Buah
36 Buah
36 Buah
36 Buah
Paramount Bed Electric Delivery Bed 46 Buah

Paramount 46 Buah
Caleo Infant Incubator from Drager 20 Buah
Caleo Infant Incubator from Drager 30 Buah
Paramount Infant Cot/Bassinet 10 Buah

20
16
24
Paramount dg bed plang rapat dan tinggi (anak

10 dewasa 8, TT ortopedi 2, wigh 3) 20
(anak 10, dewasa 10) 20
20
20
10
5
Anak/bayi :2 bh, dewasa 2 bh 4
5
5
5
5
20
4
2
2
10
2
2
1
2
2
2
20
5
5
1
1
1
1
1
1
5
1
1
2
1
1
1
1
20
5
20
20
1
5
1
Paramount (dewasa 8, anak 8, wigh 3) 16

16
16
16
8
2
2
4
4
4
2
16
1
1
1
4
1
1
0
1
1
1
16
4
4
1
1
1
1
1
1
4
1
1
1
0
1
1
0
16
2
16
16
0
4
0
paramount (dewasa 16,anak 8) 24

24
24
24
12
5
2
6
6
6
2
24
1
1
1
6
1
0
1
1
1
1
24
6
6
2
2
2
2
2
2
6
1
1
2
0
0
1
1
24
2
24
24
1
6
1
20
16
24
20
16
24
40
32
48
HARGA SATUAN JUMLAH HARGA SUMBER HARGA
(RP) (RP) E- Kat Non E kat

Annex 11 List of Required Equipment: Bed ICU Sesuai Standar

Uploaded by

Document Information

Original Title

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

Annex 11 List of Required Equipment: Bed ICU Sesuai Standar

Uploaded by

Copyright:

Available Formats

Annex 11

List of Required Equipment

I. Alat Untuk Intensif

IV. Alat Untuk Kebidanan

10 CTG , gemelli, dengan monitor sentral, portabel, trolley

Ruang VK Risiko Tinggi

Ruang Isolasi Kamar Bersalin

Ruang Tindakan Minor

Ruang Nurse Station

Ruang Rawat Obstetri

Ruang Rawat Ginekologi

Kebutuhan alat urogin

Philips AVALON FM30 FETAL MONITOR 3

Terumo INFUSION PUMP - TE-172CW3 5

PARAMOUNT BED Manual Delivery Bed 40

PARAMOUNT BED Manual Delivery Bed 40

JUMLAH HARGA RENCANA PENEMPATAN

Rp 180,000,000 Unit IVF

Rp 1,199,800,000 Unit IVF

Rp 200,000,000 Unit IVF

Jumlah Unit Total

Jumlah Unit Total

Jumlah Unit Total

Jumlah Unit Total

Jumlah Unit Total

Jumlah Unit Total

Jumlah Unit Total

Jumlah Unit Total

B GICU (30 TT)

C High Care Unit Anak (30)

D High Care Unit Dewasa (36)

C. Neonatal High Care Unit (30TT)

C. Convalesevce Care of Neonates (10TT)

1 Hospital patient's bed + standar infus

Paramount KK-728E 4 Buah

Electric, 3 crank (position) Paramount 15 Buah

Paramount Bed Electric Delivery Bed 46 Buah

Caleo Infant Incubator from Drager 20 Buah

Caleo Infant Incubator from Drager 30 Buah

Paramount Infant Cot/Bassinet 10 Buah

Paramount dg bed plang rapat dan tinggi (anak

Paramount (dewasa 8, anak 8, wigh 3) 16

paramount (dewasa 16,anak 8) 24

You might also like