DAFTAR CHECKLIST HARIAN INVENTARIS ALKES

UNIT KEPERAWATAN RAWAT INAP

Bulan :

NO NAMA ALKES NO SERI MERK JML

AWAL
P S M P S M P S M P S M P S M P S M P S M P S M P S M P S M

LB6Y 1465
1 Alat GDS FREESTYLE 1
00070
2 Alat Nebu 1 1021997137 PHILIPS 1
3 Alat Nebu 2 1024023541 PHILIPS 1

4 1
Ambu bag anak
5 Ambu bag bayi 1

6 Ambu bag 1
dewasa
7 Bak instrumen 1
besar

8 Bak instrumen 1
kecil
_
9 Blade
Bengkok _ 3
laringoscope
10 anak / dewasa 1

11 Blade 1
laringoscope bayi
12 1
Defibrilator/dc
13 Doopler BGH 300 80 BISTOS 1
_
14 _ 4
Gelas Ukur Urin
15 Gunting verban 1

16 Infus Pump 6.010108E+13 MED 2

CAPTAIN
_
17 Kabel Infuspum R37924 1

18 Middline _ _ 2

19 Nakas / lemari 1
pasien
_
20 _ 6
Pispot
_
21 Regulator _ 1
Oksigen
22 Stetoskop anak _ RIESTAR 1
23 Stetoskop _ LITTMAN 1
Dewasa
24 Stetoskop _ RIESTAR 3
Dewasa
25 Suction 7E-G , 00014 ONEMED 1

26 Syring Pump 3010 1706 MEDCAPTAI 1

00757 N

27 Tabung oksigen 1
kecil
28 Tensimeter Anak
babyphon RIESTAR 1
dan Bayi 180502617
RIESTAR
29 Tensimeter 1090840821 1
Beroda
30 Tensimeter
D-83646 Bad ERKA 1
Beroda Tolz

31 Termometer 1
kulkas

32 Thermometer s/n 2019 0125 MICROLIFE 1

Infrared
_
33 Tiang Infus _ 14
Beroda
35 Trolly stainlish 1

36 _ 1
Trolly Waskom _

37 1
Troly emergency
38 Tromol kecil 1

NAMA & PARAF Inventor

NAMA & PARAF Ka.Unit

 DAFTAR CHEKLIST HARIAN INVENTARIS ALKES

Ruang : Merak
Bulan :

NO NAMA ALKES NO SERI MERK JML

AWAL
P S M P S M P S M P S M P S M P S M P S M P S M P S M P S M

1 AC DAIKIN - 2
2 APAR TYPE KM-35T - 1

3 BED PASIEN 2 CRANK (29) PARAMOUNT 9002077 00266 4

4 BANTAL - - 6
5 SELIMUT - - 5
6 TIANG INFUS beroda PARAMOUNT 0219K 901006700132 1
7 TIANG INFUS beroda PARAMOUNT 0219K 901006700131 1
8 SIDE STREAM REASABLE KIT PHILIPS LOT 1701714
1
9 NEBULIZER PHILIPS 1095067 1
10 JAM DINDING - 1
11 TV SAMSUNG - 2
12 TENSIMETER RIESTER 190840821 1
13 TABUNG O2 KECIL - - 1
14 STETOSCOP DEWASA RIESTER - 2
15 NEIRBEKEN - - 1
16 MEJA NAKAS BESI - - 3
17 MEJA NAKAS KAYU - - 2
18 KURSI PASIEN - - 4
19 LEMARI KAYU PASIEN - - 1
20 INFUS KIT - - 1
TEMPAT SAMPAH
21 INFEKSIUS -
- 1
TEMPAT SAMPAH NON
22 INFEKSIUS SIUS - -
1
23 JOLLY BOX -
- 1
24 MEJA RESUSITASI BAYI LION STAR - 4

NAMA & PARAF Inventor

NAMA & PARAF Ka.Unit
 DAFTAR CHECKLIST HARIAN ALKES
UNIT KEPERAWATAN RAWAT INAP
Bulan :
JML
NO NAMA ALKES AWAL P S M P S M P S M P S M P S M P S M P S M P S M P S M P S M P S M P S M P S M P S M P S M P S M
1 Alkohol Swab Hijau 62
2 Hypavik 900

3 INFLO IV 18G/VASOFIX 1
18 ONEMED

4 1
INFLO IV 20G/VASOFIX
20 ONEMED

5 1
INFLO IV 22G/VASOFIX
22 ONEMED
6 INFUSET DEWASA 1
ONEMED

IV DRESSING
7 TRANSPARENT ANAK 1
ESKAMED
IV DRESSING
8 TRANSPARENT 1
DEWASA ESKAMED
9 Loumatul 1
10 Masker Solida 50
11 Micropore 1099
12 Paket Mandi 4
13 Peneng Pink Anak 3
14 Peneng Pink Dewasa 1
15 Pot Urin 50ml 4
16 Safety Box 1
17 Sensi Glove Size M
18 SYRING PUMP 1
19
Tabung Clot Activator 1
(merah)
20 Tabung EDTA (ungu) 1

21
Tabung feses tutup 1
Merah
22 TENSIMETER 1
23 TENSIMETER 1

24 TERMOMETER DIGITAL 2

25
TERMOMETER
INFRARED 1
26 Torniquet 1
NAMA & PARAF Inventor
NAMA & PARAF Ka.Unit
 DAFTAR CHECKLIST MINGGUAN INVENTARIS
UNIT KEPERAWATAN RAWAT INAP
Bulan :
NO NAMA ALKES MERK RUANGAN JML AWAL
P S M P S M P S M P S M P S M P S M
1 CHANGHONG ANYELIR 1
2 PANASONIC LILI 1
3 CHANGHONG NUSA INDAH 1
4 DAIKIN CENDRAWASIH 1
5 DAIKIN DAHLIA 1
6 DAIKIN EDELWEIS 1
7 AC DAIKIN KENARI 1
8 DAIKIN KUTILANG 1
9 DAIKIN SAKURA 1
10 SAMSUNG ANGGREK 1
11 SAMSUNG SAKURA 1
12 SHARP LILI 1
13 SHARP MAWAR 2
14 APAR 1
PARAMOUNT ANGGREK 2

PARAMOUNT ANYELIR 1
21
PARAMOUNT DAHLIA 2

PARAMOUNT EDELWEIS 1

PARAMOUNT KENARI 1
15 BED PASIEN 2 CRANK

PARAMOUNT KUTILANG 2

PARAMOUNT LILI 2

PARAMOUNT MAWAR 3

PARAMOUNT NUSA INDAH

1
PARAMOUNT CENDRAWASIH 1
16 BAD PASIEN 3 CRANK
PARAMOUNT SAKURA 5

17
BAK INSTRUMEN
BESAR 1
18
BAK INSTRUMEN
KECIL 1
19 BASKOM 2
20 CPU 1
21 DEFIBRILATOR PHILLIPS TE 1
22 DOPPLER BISTOS 1
23 GAYUNG 11
24 GLUKOMETRI FREESTYLE 1
25 GUNTING VERBAN 1
26 HANDPHONE & XIAOMI
CHARGER 1
29 JAM DINDING KAMAR PASIEN 12
30 JOLLY BOX NO.200 LION STAR LEMARI OBAT 47
31 LION STAR LEMARI ETALASE
JOLLY BOX NO.300 2
32 JOLLY BOX NO.400 LION STAR LEMARI OBAT 3
33 KIPAS ANGIN COSMOS NURSE STATION
1
34 KOMPUTER I HP NURSE STATION
1
35 KOMPUTER II SAMSUNG NURSE STATION
1
36 KULKAS 1 PINTU CENDRAWASIH 1
37 KULKAS OBAT GEA NURSE STATION
1
38
KURSI BERODA BIRU 1
39 KURSI BERODA
COKELAT 2
40 KURSI BERODA
HITAM 1
41 KURSI PASIEN
42 LEMARI ETALASE 1
43 LEMARI LINEN 1
44 LEMARI KAYU DAHLIA 3
45 PASIEN NUSA INDAH 1
46 MEJA NURSE KAYU 1
47
MEJA 3 SUSUN KAYU 1
48 MEJA NAKAS BESI KUTILANG 3
49 MEJA NAKAS BESI ANGGREK 3
50 MEJA NAKAS BESI EDELWEIS 2
51 MEJA NAKAS BESI MAWAR 5
52 MEJA NAKAS BESI LILI 3
53
MEJA NAKAS PARAMOUNT KENANGA
PARAMOUNT 1
54
MEJA NAKAS PARAMOUNT CENDRAWASIH
PARAMOUNT 1
MEJA NAKAS
55 PARAMOUNT ANYELIR
PARAMOUNT 2
MEJA NAKAS
56 PARAMOUNT KENARI
PARAMOUNT 2
MEJA NAKAS
57 PARAMOUNT SAKURA
PARAMOUNT 2
MOSQUITO KILLER
58
(LAMPU) KRISBOW KENANGA
1
59 NEBULIZER PHILLIPS 1
60 NEBULIZER PHILLIPS 1
61 NEIRBEKEN 4
62
PISPOT ALUMUNIUM 3
63 PISPOT PLASTIK 2
64 POT URINE
ALUMUNIUM 2
65 POT URINE (GELAS
UKUR) PLASTIK 4
66
REGULATOR
OKSIGEN 2
67 ROLL KABEL 3
68 SACTION ONEMED 1
69 SENTER 1
70 SET LARINGOSCOPE RIESTER
1
74 TABUNG O2 KECIL 1
75 TELPON PANASONIC 1
76
TERMOMETER
KULKAS 1
77
TIANG INFUS
BERODA 12
78 TROLI 2 SUSUN 1
79 TROLLY WASKOM
MANDI 1
80 TROLY EMERGENCY
1
81 TROLY TINDAKAN
STAINLIS 1
82 TROMOL KECIL 1
LG ANYELIR 1
LG MAWAR 1
PANASONIC EDELWEIS 1
SAMSUNG ANGGREK 1
SHARP KENANGA 1
83 TV
TOSHIBA KENARI 1
TOSHIBA ANGGREK 1
TOSHIBA SAKURA 2
TOSHIBA DAHLIA 1
TOSHIBA NUSA INDAH 1
NAMA & PARAF Inventor
NAMA & PARAF Ka.Unit