CEKLIST PEMELIHARAAN PERALATAN NON MEDIS

PUSKESMAS SIRAMPOG

Merek Bahan
No Item yang dipelihara Jumlah Jan Feb Mar Apr Mei Juni Juli Agst Sep Okt Nov Des Ket

B R B R B R B R B R B R B R B R B R B R B R B R
A RUANG KAPUS
Note book Lenovo 1 1 1 1 1 1 1 1 1
Kursi direktur fiber 1 1 1 1 1 1 1 1 1
Meja fiber 1 1 1 1 1 1 1 1 1
meja tamu kayu 1 1 1 1 1 1 1 1 1
lemari kayu 1 1 1 1 1 1 1 1 1

B RUANG TU
1 lemari arsip yamato besi 1 1 1 1 1 1 1 1 1
filing kabinet safeguard besi 1 1 1 1 1 1 1 1 1
filing kabinet importa besi 1 1 1 1 1 1 1 1 1
filling kabinet krisbow besi 2 2 2 2 2 2 2 2 2
filling kabinet brother besi 1 1 1 1 1 1 1 1 1
2 kursi kerja busa busa 2 2 2 2 2 2 2 2 2
kursi busa brother busa 2 2 2 2 2 2 2 2 2
3 meja kayu 2 2 2 2 2 2 2 2 2
meja kayu 2 2 2 2 2 2 2 2 2
meja datafile kayu 1 1 1 1 1 1 1 1 1
4 komputer hp fiber 1 1 1 1 1 1 1 1 1
 komputer acer fiber 1 1 1 1 1 1 1 1 1
komputer philips fiber 1 1 1 1 1 1 1 1 1
komputer del fiber 1 1 1 1 1 1 1 1 1
5 printer canon fiber 1 1 1 1 1 1 1 1 1
printer hp fiber 1 1 1 1 1 1 1 1 1
printer canon fiber 1 1 1 1 1 1 1 1 1
printer epson fiber 1 1 1 1 1 1 1 1 1
6 Ac samsung fiber
7 rool kabel plastik 1 1 1 1 1 1 1 1 1
8 kipasangin besi 1 1 1 1 1 1 1 1 1
9 stabilisator fiber 2 2 2 2 2 2 2 2 2
10 ups fiber 1 1 1 1 1 1 1 1 1

C. RUANG PENDAFTARAN
1 Kursi 3 3 3 3 3 3 3 3 3
2 Meja 3 3 3 3 3 3 3 3 3
3 Rak status 2 2 2 2 2 2 2 2 2
4 Printer HP 1 1 1 1 1 1 1 1 1
5 kipas angin miyako 1 1 1 1 1 1 1 1 1
6 dekstop asus 1 1 1 1 1 1 1 1 1
7 mesin tik facit 1 1 1 1 1 1 1 1 1
8 filling kabinet krisbow 1 1 1 1 1 1 1 1 1
9 komputer PC del 1 1 1 1 1 1 1 1 1

D RUANG OBAT
1 Almari kayu 1 1 1 1 1 1 1 1 1
2 Kursi kayu besi 4 4 4 4 4 4 4 4 4
 3 Meja kayu 3 3 3 3 3 3 3 3 3
4 Dispenser miyako Fiber 1 1 1 1 1 1 1 1 1
5 ac samsung Fiber 1 1 1 1 1 1 1 1 1
6 lemari gris kaca 1 1 1 1 1 1 1 1 1
7 pulverizer sci besi 1 1 1 1 1 1 1 1 1
8 sealing mechine sci besi 1 1 1 1 1 1 1 1 1
9 kulkas Fiber 1 1 1 1 1 1 1 1 1
10 stabilizer 1 1 1 1 1 1 1 1 1
11 filling kabinet krisbow 1 1 1 1 1 1 1 1 1

E RUANG KIA
1 Almari gris besikaca 1 1 1 1 1 1 1 1 1
2 kursi kayubesi 1 1 1 1 1 1 1 1 1
3 meja kayu 1 1 1 1 1 1 1 1 1
4 paramount MAK besikaca 1 1 1 1 1 1 1 1 1
5 komputer del 1 1 1 1 1 1 1 1 1
stabilizer 1 1 1 1 1 1 1 1 1
ups 1 1 1 1 1 1 1 1 1
printer epson 1 1 1 1 1 1 1 1 1

F RUANG GIGI
1 meja duma besi 1 1 1 1 1 1 1 1 1
meja datafile kayu 1 1 1 1 1 1 1 1 1
2 lemari intrument brother kaca 1 1 1 1 1 1 1 1 1
3 kursi chitose chitose besi 1 1 1 1 1 1 1 1 1
4 kursi chitose chitose besi 1 1 1 1 1 1 1 1 1
 5 kursi putar innola busa 1 1 1 1 1 1 1 1 1
6 komputer pc del fiber 1 1 1 1 1 1 1 1 1
stabilizer lexos 1 1 1 1 1 1 1 1 1
ups fiber 1 1 1 1 1 1 1 1 1
printer epson fiber 1 1 1 1 1 1 1 1 1

G RUANG IGD
1 Kursi besi 2 2 2 2 2 2 2 2 2
2 meja kayu 1 1 1 1 1 1 1 1 1
5 almari besi 1 1 1 1 1 1 1 1 1
8 almari infus besi 1 1 1 1 1 1 1 1 1
9 bed pasien paramount besi 1 1 1 1 1 1 1 1 1
bed pasien besi 1 1 1 1 1 1 1 1 1
10 kipas angin cosmos fiber 1 1 1 1 1 1 1 1 1
11 clock aneroid mobile 1 1 1 1 1 1 1 1 1
12 Komputer pc dell 1 1 1 1 1 1 1 1 1
13 stabilizer lexos 1 1 1 1 1 1 1 1 1
14 ups uper 1 1 1 1 1 1 1 1 1
15 printer epson 1 1 1 1 1 1 1 1 1

H RUANG BP UMUM
 1 bed pasien besi 1 1 1 1 1 1 1 1 1
2 kursi besi 3 3 3 3 3 3 3 3 3
kursi futura busa 1 1 1 1 1 1 1 1 1
kursi putar innola busa
3 meja kayu 1 1 1 1 1 1 1 1 1
4 tempat tidur periksa mak busa 2 2 2 2 2 2 2 2 2
5 alamari obat gris busa 2 2 2 2 2 2 2 2 2
6 kipas angin cosmos 1 1 1 1 1 1 1 1 1
7 Komputer pc dell 1 1 1 1 1 1 1 1 1
8 stabilizer lexos 1 1 1 1 1 1 1 1 1
9 ups uper 1 1 1 1 1 1 1 1 1
10 printer epson 1 1 1 1 1 1 1 1 1

I RUANG GIZI
1 frezer electroluk 1 1 1 1 1 1 1 1 1
2 filing kabinet safeguard 1 1 1 1 1 1 1 1 1
3 meja oscar 2 2 2 2 2 2 2 2 2
4 meja kayu 1 1 1 1 1 1 1 1 1
5 kursi chitose 1 1 1 1 1 1 1 1 1
6 Komputer pc 2 2 2 2 2 2 2 2 2
7 stabilizer 2 2 2 2 2 2 2 2 2
8 ups 2 2 2 2 2 2 2 2 2
9 printer 1 1 1 1 1 1 1 1 1
10 filing kabinet krisbow besi 1 1 1 1 1 1 1 1 1

J RUANG JAGA PERAWAT

1 Lemari kaca kaca 1 1 1 1 1 1 1 1 1
2 kursi chitose besi 4 4 4 4 4 4 4 4 4
3 kursi chitose besi 1 1 1 1 1 1 1 1 1
4 kursi futura besi 1 1 1 1 1 1 1 1 1
5 meja duma besi 1 1 1 1 1 1 1 1 1
 6 kipas angin miyako besi 1 1 1 1 1 1 1 1 1
7 tv 1 1 1 1 1 1 1 1 1

K RUANG LABORAT
1 kursi besi 3 3 3 3 3 3 3 3 3
2 meja besi 1 1 1 1 1 1 1 1 1
3 ac besi 1 1 1 1 1 1 1 1 1
4 mutiple chek nesco fiber 1 1 1 1 1 1 1 1 1
5 ac samsung 1 1 1 1 1 1 1 1 1
6 kulkas polytron 1 1 1 1 1 1 1 1 1

Mengetahui sirampog juni 2017

Kepala Puskesmas Sirampog Pengurus Barang Puskesmas Sirampog

Imam Tauchid, SKM Nuning Agustiyanan wati

NIP. 19690820 200604 1 008 NIP. 19780825 200501 2 011
 JADWAL PEMELIHARAAN PERALATAN MEDIS
PUSKESMAS Bentar

BULAN : 2017
Item yang Jumla
No TANGGAL
dipelihara h
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
A. RUANG BP
Sterilisator 1
tensimeter 1
Timbangan 1
Termometer 1
B RUANG KIA
Sterilisator 1
tensimeter 1
Termometer 1
Dopler 1
Implant Kit(18alat) 1
Timbangan Bayi 1
Timbangan Dewasa 1
C IGD
Brancard Beroda 1
Kursi Roda 1
tabung oksigen 1
tabung oksigen 1
pompa penghisap lend 1
sterilisator kering 1
Tensimeter Air Raks 1
stetoskope 1
trolley oxygen d tab 1
trolley oxygen d tab 1
 Regulator oxygen 1
Heating set 1
stretcher pasien 1
tensimeter dws digit 1
nebulasi 1
D POLI GIGI
ultrasonic scaler 1
tang cabut gigi dws 1
tang cabut gigi anak 1
bein lucasor 1
dental unit 1
light curing 1
diagnostik set 1
Sterilisator 1
Tensimeter Air Raks 1
Dental Chair 1
E POLI KIA
tensimeter 1
stetoskop 1
dopler 1
Timer Digital 1
F PONED
Tensimeter 1
tensimeter bayi 1
tensimeter neonatus 1
stetoskop 1
stetoskop bayi 1
stetoskop neonatus 1
meja instrument 1
nebulizer 1
section pump 1
Genecologe Bad 1
Genecologe Bad 1
tempat tidur priksa 1
bak instrumen tertut 1
nierbekken 1
nierbekken 1
standar infus 1
Lampu periksa halog 1
kit resusitasi dewasa 1
beacham aminiotome 1
episiotomy scisoor 1
umbilical cord scisso 1
Tc metzenbaum scis 1
Mayo hegar needle h 1
kidney tray 275mm 1
Aspirator vakum ma 1
klem kelly 1
Klem Fencer 1
needle holder 1
pinset anatomis 1
pinset anatomis 1
Termometer klinik 1
ARI Timer Standar 1
lampu emergensi 1
Laringoskop 1

Mengetahui Bentar,
Kepala Puskesmas Bentar Pengurus Barang Puskesmas Bentar
 dr.Riana Harsana Daslim
NIP. 19751231 200701 1 022 NIP. 19650810 199103 1 023
Keterangan