LAPORAN PENGGANTIAN EMERGENCY SEPTEMBER

DIPAKAI
NO. UNIT NAMA OBAT ∑
TGL ∑ ED NO. KUNCI
DEXAMETASON INJ 5 10/09/2021 5 Jun-22

FUROSEMID INJ 1 10/09/2022 1 Jun-22

1 KAMAR BERSALIN D5 1/4 INFUS 2 10/09/2023 2 Feb-22

MAAG SLANG NO. 5 100CM 1 10/09/2024 1 Oct-22

ETT 2,5 1 10/09/2025 1 Mar-22

2 AMBULANCE STRADA EPINEPHRIN INJ 5 9/8/2021 5 Oct-21

EPINEPHRIN INJ 5 9/8/2021 5 Oct-21

3 AMBULANCE GRANDMAX
KETOROLAC 30 INJ 2 9/8/2021 2 Dec-21

PIRABRAIN 3g INJ 2 9/12/2021 2 Feb-22

TRIDEX 27A 2 9/12/2021 1 May-22

AMIODARON INJEKSI 3 9/12/2021 3 Aug-21

4 ICU NOREPINEPRIN INJ 1 9/12/2021 1 Oct-21

KETOROLAC 30 INJ 2 9/12/2021 1 Sep-21

EPINEPRIN INJ 5 9/12/2021 4 Feb-22

FUROSEMID INJ 3 9/12/2021 1 Dec-21

KETOROLAC 30 INJ 1 9/13/2021 1 Sep-21

FUROSEMID INJ 1 9/13/2021 1 Jun-21

EPINEPRIN INJ 2 9/13/2021 2 May-21

PHYTOMINADION INJ 1 9/13/2021 1 Oct-21
DEXAMETASHON INJEKSI 5 9/13/2021 5 Sep-21
GASTRUL TAB 2 9/13/2021 2 Sep-21
5 IGD LIDOCAIN INJ 2 9/13/2021 2 Oct-21
MAGNESIUM 40% 3 9/13/2021 2 Jun-21
MAGNESIUM 20% 2 9/13/2021 2 Oct-21
NS 100 1 9/13/2021 1 May-21
NS 500 1 9/13/2021 1 Sep-21
BLOOD SET 1 9/13/2021 1 Jun-21
SPUIT 1 CC 2 9/13/2021 1 Jun-21
ATROPIN SULFAS INJ 10 9/16/2021 2 Mar-21
6 DAHLIA LASAL 3 9/16/2021 3 Feb-21
AMIODARON INJEKSI 1 9/16/2021 1 Aug-21
FLAMBOYAN D5 INFUS 1 9/17/2021 1 Aug-20

WATER FOR INJ 3 9/17/2021 3 May-21

NS 500 INFUS 1 9/17/2021 1 Aug-21

 DIPAKAI
NO. UNIT NAMA OBAT ∑
TGL ∑ ED NO. KUNCI
D10 INFUS 1 9/17/2021 1 Aug-21

KETOROLAC 30 INJ 3 9/17/2021 3 Sep-21

ISDN INJKSI 1 9/17/2021 1 Oct-21

AMIODARON INJEKSI 1 9/17/2021 1 Aug-21

7 ATROPIN SULFAS INJ 10 9/17/2021 10 Feb-21

DEXAMETASHON INJEKSI 1 9/17/2021 1 Jan-21

DIPHENHIDRAMIN INJEKSI 1 9/17/2021 1 May-21

DOBUTAMIN INJEKSI 1 9/17/2021 1 Feb-21

EPINEPRIN INJ 4 9/17/2021 4 May-20

FUROSEMID INJ 2 9/17/2021 2 Jun-20

DOPAMIN 1 9/17/2021 1 Sep-20

PHYTOMINADION INJ 1 9/17/2021 1 Jul-20

8 HEMODIALISI AMIODARON INJEKSI 1 9/17/2021 1 Aug-21

WATER FOR INJ 1 9/7/2021 1 May-21

MAGNESIUM 20% 1 9/7/2021 1 Oct-21
9 ANGGREK
DEXAMETASHON INJEKSI 2 9/7/2021 2 Sep-21
EPINEPRIN INJ 2 9/7/2021 2 May-21
DEXAMETASHON INJEKSI 1 9/8/2021 1 Sep-21
PHENOBARBITAL INJ 1 9/8/2021 1 Nov-21
10 NEONATUS EPINEPRIN INJ 1 9/8/2021 1 May-21
DIPHENHIDRAMIN INJEKSI 1 9/8/2021 1 May-21
ETT 2,5 1 9/8/2021 1 Sep-21

AQUABIDEST 25 mL 3 9/15/2021 3 Feb-22

RL 500 mL 1 9/15/2021 1 Apr-22

11 RAWAT JALAN Atropin Sulfas inj 10 9/15/2021 10 Nov-22

Cordaron inj 1 9/15/2021 1 Aug-21

Lasal nebulizer 3 9/15/2021 3 Oct-21

12 KAMAR OPERASI
3 3 Jun-21
ATROPIN SULFAS 4 9/19/2021 4 Mar-21
2 2 Feb-21
A. TROLY EMERGENCY OK 1 AMIODARON 1 9/19/2021 1 Aug-21

DEXAMETHASON 3 9/19/2021 3 Sep-21

EPHEDRIN 5 9/19/2021 5 Aug-21

EPINEPRIN 2 9/19/2021 2 May-21

ETT-NO 2,5 4 9/19/2021 4 Sep-21

ETT-NO 4 1 9/19/2021 1 Jun-21

B. TROLY ANASTESI
 DIPAKAI
NO. UNIT NAMA OBAT ∑
TGL ∑ ED NO. KUNCI

ETT-NO 6,5 1 9/19/2021 1 Jul-20

B. TROLY ANASTESI
EPHEDRIN 1 9/19/2021 1 Nov-21

MORPHIN 1 9/19/2021 2 AUG-21

OTSU SALIN 2 9/19/2021 2 MAY-21

AMIODARON 1 9/19/2021 1 AGT-21

ATROPIN 1 9/19/2021 1 Jun-21

DEXAMETHASON 5 9/19/2021 5 AGT-21

DIPHENHIDRAMIN 1 9/19/2021 1 MAY-21

C. TROLY EMERGENCY OK 2 EPHEDRIN 3 9/19/2021 3 Sep-21

EPINEPRIN 2 9/19/2021 2 Nov-21

FUROSEMID 3 9/19/2021 3 Jun-21

KETOROLAC 30 MG 3 9/19/2021 3 Sep-21

METOCLOPRAMID/ PIRALEN 2 9/19/2021 2 Sep-21

NGANJUK, -09
PETUGAS FARMASI KA INSTALASI FA

( AJENG MASAYU NUANSA FARINA) (NIKEN WULANDARI, M

GENCY SEPTEMBER 2021
DIKEMBALIKAN TANDA
TGL ∑ ED NO. KUNCI TANGAN
9/10/2021 5 May-23

9/10/2021 1 Mar-23

9/10/2021 2 Jul-22

9/10/2021 1 Jan-25

9/10/2021 1 Feb-23

9/8/2021 5 Feb-23

9/8/2021 5 Feb-23

9/8/2021 2 Jun-23

9/12/2021 2 Jan-24

9/12/2021 1 Jun-23

9/12/2021 1 Jun-22

9/12/2021 4 May-23

9/12/2021 1 Dec-22

9/13/2021 1 Jun-23

9/13/2021 1 Dec-22

9/13/2021 2 Feb-23
9/13/2021 1 Jun-23
9/13/2021 5 Feb-23
9/13/2021 2 Feb-22
9/13/2021 2 Feb-23
9/13/2021 2 Jun-23

9/13/2021 1 Jul-23
9/13/2021 1 Jun-24
9/13/2021 1 Dec-24
9/13/2021 1 Feb-26
9/16/2021 2 Nov-23
9/16/2021 3 Jan-23

9/17/2021 1 Jun-23

9/17/2021 3 Apr-23

9/17/2021 1 7-Feb
 DIKEMBALIKAN TANDA
TGL ∑ ED NO. KUNCI TANGAN
9/17/2021 1

9/17/2021 3 Jun-23

9/17/2021 10 Feb-23

9/17/2021 1 May-23

9/17/2021 1 May-23

9/17/2021 1 Dec-23

9/17/2021 4 Sep-23

9/17/2021 2 Dec-23

9/17/2021 1 Jul-22

9/17/2021 1 Jun-23

9/7/2021 1 Apr-23

9/7/2021 2 Jun-22
9/7/2021 2 Feb-22
9/8/2021 1 Apr-24
9/8/2021 1 May-23
9/8/2021 1 Feb-23
9/8/2021 1 Sep-22

9/15/2021 3 Apr-23

9/15/2021 1 Mar-23

9/15/2021 10 Oct-23

9/15/2021

9/15/2021 3 Jan-23

9/19/2021 9 Feb-23

9/19/2021 1 May-23
9/19/2021 3 May-23
9/19/2021 5 May-23
9/19/2021 2 Feb-23
9/19/2021 4 Mar-22
9/19/2021 1 Jul-24
 DIKEMBALIKAN TANDA
TGL ∑ ED NO. KUNCI TANGAN
9/19/2021 1 DES-22
9/19/2021 1 Nov-21
9/19/2021 2 Aug-22
9/19/2021 2 Feb-23

9/19/2021 1 Feb-23
9/19/2021 5 May-23
9/19/2021 1 Apr-23
9/19/2021 3 May-22
9/19/2021 2 Feb-23
9/19/2021 3 DES-22
9/19/2021 3 Jun-23
9/19/2021 2 Mar-24

NGANJUK, -09-2021
KA INSTALASI FARMASI

(NIKEN WULANDARI, M.Farm.,Apt)

 LAPORAN PENGGANTIAN EMERGENCY JANUARI 2022
TANDA
DIPAKAI DIKEMBALIKAN TANGA
NO. UNIT NAMA OBAT ∑
TGL ∑ ED NO. KUNCI TGL ∑ ED NO. KUNCI N
1 KAMAR BERSALIN AMINOPILIN INJEKSI 1 5-Jan 1 May-22
HERBESSER INJEKSI 1 1/5/2022 1 Feb-21 1/5/2022 1 Oct-22
2 AMBULANCE STRADA
LASAL NEBULIZER 3 1/5/2022 3 Jan-22 1/5/2022 3 Oct-23
LASAL NEBULIZER 3 1/5/2022 3 Jan-22 1/5/2022 3 Oct-23
ns 500 1 1/5/2022 1 Jun-22 1/5/2022 1 Aug-26
3 AMBULANCE GRANDMAX DIPHENHIDRAMIN INJEKSI 1 1/5/2022 1 Apr-22 1/5/2022 1 nov-23
mgso4 40% 1 1/5/2022 1 Feb-22 1/5/2022 1 Aug-23
HERBESSER INJEKSI 1 1/5/2022 1 Feb-21 1/5/2022 1 Oct-22
AMIODARON INJEKSI 6 1/5/2022 - - 1/5/2022 6 May-23
4 ICU
NOREPINEPRIN INJ 5 1/5/2022 - - 1/5/2022 5 Apr-23
HEST SANBE 1 1/5/2022 1 Feb-22 1/5/2022 1 Oct-24
AQUADEST 25 ML 1 1/5/2022 1 Feb-22 1/5/2022 1 Jan-24
5 IGD VIT K1 1 1/5/2022 1 DES-21 1/5/2022 1 Apr-22
HERBESSER INJEKSI 1 1/5/2022 1 Feb-22 1/5/2022 1 OKT 22
MAGNESIUM 20% 1 1/5/2022 - - 1/5/2022 1 Jan-23
HERBESSER INJEKSI 1 1/5/2022 1 Feb-22 1/5/2022 1 Oct-22
DOPAMIN 1 1/5/2022 - - 1/5/2022 1 May-23
AQUABIDEST 25 mL 3 1/5/2022 3 Feb-22 1/5/2022 3 Mar-24
6 DAHLIA
DOBUTAMIN INJEKSI 1 1/5/2022 - - 1/5/2022 1 Apr-23
EPINEPRIN 6 1/5/2022 2 Feb-22 1/5/2022 2 MEI-23
AMIODARON INJEKSI 1 1/5/2022 - - 1/5/2022 1 MEI-23
AMIODARON INJEKSI 1 1/5/2022 - - 1/5/2022 1 May-23
7 FLAMBOYAN
DOPAMIN 1 1/5/2022 1 Jul-22 1/5/2022 1 May-23
8 HEMODIALISI AMIODARON INJEKSI 1 1/5/2022 - - 1/5/2022 1 May-23
9 ANGGREK MAGNESIUM 20% 1 1/5/2022 - - 1/5/2022 1 Jan-23
10 NEONATUS ETT 2,5 4 1/5/2022 3 Sep-21 1/5/2022 3 Sep-22
11 RAWAT JALAN Cordaron inj 1 1/5/2022 - - 1/5/2022 1 May-23
12 KAMAR OPERASI
PETIDIN INJ 10 1/5/2022 10 Feb-22
A. TROLY ANASTESI HERBESSER INJEKSI 2 1/5/2022 2 Feb-22
ETT-NO 2,5 4 1/5/2022 4 Mar-22
B TROLY EMERGENCY OK 2 AMIODARON 1 1/5/2022 - - 1/5/2022 1 May-23
HERBESSER INJEKSI 1 1/5/2022 1 Feb-22 1/5/2022 1 Oct-22
13 RADIOLOGI AMIODARON INJEKSI 1 1/5/2022 - - 1/5/2022 1 May-23
13 RADIOLOGI
DOPAMIN 1 1/5/2022 - - 1/5/2022 1 May-23
EPINEPRIN 1 1/5/2022 1 Feb-22 1/5/2022 1 May-23
14 VVIP HERBESSER INJEKSI 1 1/5/2022 1 Feb-22 1/5/2022 1 Oct-22
LASAL NEBULIZER 3 1/5/2022 3 Jan-22 1/5/2022 3 Apr-23

NGANJUK, -01-2022
PETUGAS FARMASI KA INSTALASI FARMASI

( SUKTI KURNIAWATI) (NIKEN WULANDARI, M.Farm.,Apt)

 LAPORAN PENGGANTIAN EMERGENCY JANUARI 2022
TANDA
DIPAKAI DIKEMBALIKAN TANGA
NO. UNIT NAMA OBAT ∑
TGL ∑ ED NO. KUNCI TGL ∑ ED NO. KUNCI N
1 KAMAR BERSALIN AMINOPILIN INJEKSI 1 5-Apr 1 May-22
KETOROLAC 30 INJ 2 4/5/2022 1 Apr-22 4/5/2022 1 Nov-23
2 ICU
KETOROLAC 10 INJ 3 4/5/2022 2 Apr-22 4/5/2022 3 Nov-23
AMINOPHYLIN 5 4/5/2022 2 Mei-22 4/5/2022 2 Jan-24
EPHEDRIN INJ 1 4/5/2022 1 Mei-22
VIT K1 1 4/5/2022 1 Apr-22 4/5/2022 1 OKT-23
D10 INFUS 1 4/5/2022 1 Jun-22
3 IGD FOLYCATH 14 4 4/5/2022 1 Mei-22 4/5/2022 1 Feb-25
D5 1/4 NS 2 4/5/2022 2 Apr-22 4/5/2022 2 Nov-23
DIPHENHIDRAMIN INJ 1 4/5/2022 1 Apr-22 4/5/2022 1 Des-23
CETADOP 1 4/5/2022 1 Mar-22 4/5/2022 1 Mei-23
MAGNESIUM 40% 1 4/5/2022 1 Feb-22 4/5/2022 1 Jan-24
AMINOPHYLIN 1 4/5/2022 1 Mei-22 4/5/2022 1 Jan-24
4 FLAMBOYAN
DEXAMETASON INJ 1 4/5/2022 1 Jun-22 4/5/2022 1 Des-23
5 HEMODIALISIS AMINOPHYLIN 3 4/5/2022 3 Mei-22 4/5/2022 3 Jan-24
6 NEONATUS AMINOPHYLIN 1 4/5/2022 1 Mei-22 4/5/2022 1 Jan-24
AMINOPHYLIN 3 4/5/2022 3 Mei-22 4/5/2022 3 Jan-24
7 POLI JANTUNG CETADOP 1 4/5/2022 1 Jul-22 4/5/2022 1 Mei-23
SPUIT 3CC 1 4/5/2022 1 Jun-22 4/5/2022 1 Des-26
DIPHENHIDRAMIN INJ 1 4/5/2022 1 Jul-22 4/5/2022 1 Des-23
8 POLI DALAM MAGNESIUM 40% 1 4/5/2022 1 Jul-22 4/5/2022 1 Okt-23
AMINOPHYLIN 3 4/5/2022 3 Mei-22 4/5/2022 3 Jan-24
9 KAMAR OPERASI
EPHEDRIN INJ 8 4/5/2022 8 Mei-22
RANITIDIN INJ 5 4/5/2022 2 Jul-22 4/5/2022 5 Sep-23
A. TROLY ANASTESI ETT-3,0 1 4/5/2022 1 Jul-22
ETT-3,5 1 4/5/2022 1 Jul-22
ETT-4,0 1 4/5/2022 1 Jul-22
EPHEDRIN INJ 5 4/5/2022 5 Mei-22
ETT-NO 2,5 1 4/5/2022 1 Jul-22
B TROLY EMERGENCY OK 1
ETT-NO 3 1 4/5/2022 1 Jul-22
AMINOPHYLIN 1 4/5/2022 1 Mei-22
CEDOCARD 1 4/5/2022 1 Jul-22 4/5/2022 1 Jun-23
AMINOPHYLIN 1 4/5/2022 1 Mei-22
ETT-NO 2,5 1 4/5/2022 1 Mar-22 4/5/2022 1 Okt-23
C TROLY EMERGENCY OK 2
ETT-NO 3,5 1 4/5/2022 1 Jul-22
ETT-NO 5 1 4/5/2022 1 Mar-22 4/5/2022 1 Jul-24
C TROLY EMERGENCY OK 2

EPHEDRIN INJ 5 4/5/2022 5 Mei-22

10 RADIOLOGI AMINOPHYLIN 3 4/5/2022 3 Mei-22 4/5/2022 3 Jan-24
SPUIT 3CC TERUMO 5 4/5/2022 5 Mei-22 4/5/2022 5 Mar-26
11 VVIP
AMINOPHYLIN 3 4/5/2022 3 Apr-22

NGANJUK, -04-2022
PETUGAS FARMASI KA INSTALASI FARMASI

( SUKTI KURNIAWATI) (NIKEN WULANDARI, M.Farm.,Apt)