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CHECKLIST EMERGENCY

RUMAH SAKIT KHUSUS PARU PROVINSI SUMATERA SELATAN

JL.MERDEKA NO.10 PALEMBANG

LACI 1 LACI 4
FIRST DRAWER (EMERGENCY MEDICATIONS FORTH DRAWER (AIRWAY)
JUMLAH YANG JUMLAH YANG
NO ITEM EXP NO ITEM EXP
TERDISTRIBUSI TERDISTRIBUSI
1 Lidocain inj 5 ampul 2021 1 ETT size 6 2 pcs
2 Dextrose 40% 2 ampul 2020 2 ETT size 7 2 pcs
3 Diazepam inj 2 ampul 3 ETT size 7,5 2 pcs
4 Sodium Bicarbonat 8,4% 5 ampul 4 Rectal tube size 16 2 pcs
5 Magnesium Sulfate 40% 5 ampul 5 Rectal tube size 20 2 pcs
6 Epinefrine inj 5 ampul 2020 6 Suction Catheter size 6 2 pcs 2022
7 Atropine Sulfat inj 5 ampul 2020 7 Suction Catheter size 16 2 pcs 2021
8 Aminofilin inj 5 ampul 2022 8 Oropharyngeal airway size 1 2 pcs
9 Ca Gluconas inj 3 ampul 2019 9 Oropharyngeal airway size 3 2 pcs
10 Dexamethasone inj 5 ampul 2021
11 Dobutamin inj 1 vial 2019 LACI 5
12 Dopamin inj 1 ampul 2019 FIFTH DRAWER (BREATHING)
13 Phytomenadione inj 2 ampul 2020 JUMLAH YANG
NO ITEM EXP
14 Aqua pro inj 5 ampul 2021 TERDISTRIBUSI
15 Potassium Chloride 7,46% 5 ampul 1 Masker Oksigen Anak 5 pcs
2 Masker Oksigen Dewasa 5 pcs
LACI 2 3 Masker Nebu Anak 5 pcs 2022
SECOND DRAWER (SYRINGES) 4 Masker Nebu Dewasa 5 pcs 2023
JUMLAH YANG 5 Nasal Canul Anak 5 pcs
NO ITEM EXP
TERDISTRIBUSI 6 Nasal Canul Dewasa 5 pcs 2020
1 Syringe 1 cc 5 pcs 2022
3 Syringe 3 cc 5 pcs 2023 LACI 6
4 Syringe 5 cc 5 pcs 2021 SIXTH DRAWER (CIRCULATION) FIFTH DRAWER (BREATHING)
5 Syringe 10 cc 5 pcs 2023 JUMLAH YANG
NO ITEM EXP
6 Syringe 20 cc 5 pcs 2020 TERDISTRIBUSI
7 Syringe 50 cc 5 pcs 2020 1 IV Cath size 20 5 pcs 2021
2 IV Cath size 22 5 pcs 2023
LACI 3 3 Infus set makro 5 pcs 2023
THRID DRAWER (MEDICAL SUPPLIES) 4 Infus set mikro 5 pcs 2021
JUMLAH YANG 5 Alcohol Swab 10 pcs
NO ITEM EXP
TERDISTRIBUSI 6 Plester 1 pcs
1 NGT size 8 2 pcs 2021 7 Natrium Chlorida 0,9% 500ml 3 pcs 2021
2 NGT size 14 2 pcs 2019 8 Dextrose 5 % 500 ml 3 pcs 2020
3 NGT size 16 2 pcs 2021
4 NGT size 18 2 pcs 2021
5 Foley Catheter size 10 2 pcs 2020
6 Foley Catheter size 14 2 pcs 2020
7 Foley Catheter size 16 2 pcs 2022
8 Foley Catheter size 18 2 pcs 2020

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