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Emergency Trolley (Abc) Checklist

This document is a checklist for checking the emergency trolley located in various departments of a hospital on a monthly basis. It lists the medications, equipment, and supplies stored in the trolley and includes columns to record the current stock quantity, used quantity, remaining stock, and expiration dates on a monthly basis to ensure the trolley is fully stocked.

Uploaded by

N.K. Ayu Suksmawati
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as XLSX, PDF, TXT or read online on Scribd
349 views64 pages

Emergency Trolley (Abc) Checklist

This document is a checklist for checking the emergency trolley located in various departments of a hospital on a monthly basis. It lists the medications, equipment, and supplies stored in the trolley and includes columns to record the current stock quantity, used quantity, remaining stock, and expiration dates on a monthly basis to ensure the trolley is fully stocked.

Uploaded by

N.K. Ayu Suksmawati
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLSX, PDF, TXT or read online on Scribd
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EMERGENCY TROLLEY (ABC) CHECKLIST

Diperiksa sebulan sekali / setelah dipakai

LOKASI TROLEY :
Tgl : No. Segel :
No Nama Obat/Alkes Jumlah Jumlah Sesuai/Tidak Tanggal
Sisa Stok
Terpakai (ü / - ) Kadaluarsa

LACI OBAT
1 Aminophyllin inj 3
2 Amiodaron 50 mg/ml 5
3 Aquabides 25 ml 3
Aspirin 80 mg tab
4 10
(Miniaspi/Aspilet)
5 Atropin inj 0,25 mg/ml 5
6 Calcium Gluconate inj 3
7 Combivent nebules 3
8 Dexamethasone inj 5 mg/ml 5
9 Dextrosa 40% 25 ml 3
10 Diazepam inj 5 mg/ml 5
11 Digoxin inj 3
12 Diphenhidramin inj 10 mg/ml 5
13 Dobutamin inj 50 mg/ml 5
14 Dopamin inj 40 mg/ml 3
15 Epineprine inj 1 mg/ml 5
16 Furosemide inj 3
17 ISDN tab 10
18 KCL 7.46% 25 ml 3
19 Ketorolac inj 30 mg/ml 5
20 Lidocain inj 2% 5
21 Metilprednisolon inj 3
22 MgSO4 40% 25 ml 3
23 Midazolam inj 1 mg/ml 3
24 Natrium Bikarbonat 8,4% 25 ml 3
25 Nicardipin inj 3
26 Norepineprine inj 1 mg/ml 3
27 Phenitoin inj 3
28 Phenobarbital inj 50 mg/ml 5
29 Stesolid sup 10 mg (Diazepam) 3
30 Stesolid supp 5 mg (Diazepam) 0
31 Ventolin nebules 3
LACI AIRWAY
1 ETT 3 1
2 ETT 3.5 1
3 ETT 4 1
4 ETT 4.5 1
5 ETT 5 1
6 ETT 5.5 1
7 ETT 6 1
8 ETT 6.5 1
9 ETT 7 1
10 ETT 7.5 1
11 ETT 8 1
12 Gudel Biru 1
13 Gudel Hijau 1
14 Gudel Hitam 1
15 Gudel Kuning 0
16 Gudel Merah 1
17 Gudel Orange 1
18 Gudel Pink 1
19 Gudel Putih 1
20 Laryngoscope 1
21 Suction Catheter No 10 1
22 Suction Catheter No 12 1
23 Suction Catheter No 14 1
24 Suction Catheter No 16 1
25 Suction Catheter No 18 0
26 Suction Catheter No 20 0
27 Suction Catheter No 6 1
28 Suction Catheter No 8 1
29 Valve Bag Mask 1
LACI BREATHING
1 Nasal Canul Anak 1
2 Nasal Canul Bayi 1
3 Nasal Canul Dewasa 1
4 Nebules Mask Anak 1
5 Nebules Mask Dewasa 1
Non Rebreathing Mask Anak
6 1
(Oxygen Mask with Reservoir)
Non Rebreathing Mask Dewasa
7 1
(Oxygen Mask with Reservoir)
Sungkup Muka Sederhana (Oxygen
8 1
Mask) Anak
Sungkup Muka Sederhana (Oxygen
9 1
Mask) Bayi
Sungkup Muka Sederhana (Oxygen
10 1
Mask) Dewasa
LACI CIRCULASI
1 Alkohol Swab 1
2 Blood Set 1
3 Elektrode 20
4 Foley Catheter 12 1
5 Foley Catheter 14 1
6 Foley Catheter 16 1
7 Foley Catheter 18 1
8 Foley Catheter 20 1
9 Foley Catheter 22 1
10 Handscoon Steril 6.5 2
11 Handscoon Steril 7 2
12 Handscoon Steril 7.5 2
13 Infus Set Mikro 2
14 Infus Set Makro 2
15 IV Catheter No 18 3
16 IV Catheter No 20 3
17 IV Catheter No 22 3
18 IV Catheter No 24 3
19 IV Catheter No 26 3
20 IVFD D10% 1
21 IVFD D5 ¼ NS 1
22 IVFD D5 ½ NS 1
23 IVFD D5% 1
24 IVFD NaCl 0,9% 100 ml 1
25 IVFD NaCl 0,9% 500 ml 1
26 IVFD RL 1
27 Needle 24G 2
28 NGT 5 1
29 NGT 6 1
30 NGT 8 1
31 NGT 10 1
32 NGT 12 1
33 NGT 14 1
34 NGT 16 1
35 NGT 18 1
36 Perfusor/Extension Tube 1
37 Syringe Disposibe 1 cc 5
38 Syringe Disposibe 3 cc 5
39 Syringe Disposibe 5 cc 5
40 Syringe Disposibe 10 cc 2
41 Syringe Disposibe 20 cc 2
42 Syringe Disposibe 50 cc 2
43 Three Way Stop Cock 2
44 Three Way with Tube (Berekor) 2
45 Torniquiet 1
46 Urine Bag 1
47 Wing Needle 25G 3
48 Wing Needle 27G 3

Alasan Dibuka

Waktu Segel Dibuka


Nama :
Identitas Pasien
No. RM :
Petugas Ruangan :

Diperiksa oleh :
(Paraf & Nama Terang) Petugas Farmasi :
MOHON MENGHUBUNGI BAGIAN
FARMASI DAN MENGISI FORM TROLLEY
EMERGENCY APABILA TROLLEY
EMERGENCY DIGUNAKAN

MOHON MENGHUBUNGI BAGIAN


FARMASI DAN MENGISI FORM TROLLEY
EMERGENCY APABILA TROLLEY
EMERGENCY DIGUNAKAN

MOHON MENGHUBUNGI BAGIAN


FARMASI DAN MENGISI FORM TROLLEY
EMERGENCY APABILA TROLLEY
EMERGENCY DIGUNAKAN

MOHON MENGHUBUNGI BAGIAN


FARMASI DAN MENGISI FORM TROLLEY
EMERGENCY APABILA TROLLEY
EMERGENCY DIGUNAKAN
EMERGENCY APABILA TROLLEY
EMERGENCY DIGUNAKAN

MOHON MENGHUBUNGI BAGIAN


FARMASI DAN MENGISI FORM TROLLEY
EMERGENCY APABILA TROLLEY
EMERGENCY DIGUNAKAN
No NAMA JML VK ED RNP ED IGD ED OT1 ED OT2
LACI OBAT
1 Aminophyllin inj 3 3 0 Jun-22 3 0 Jun-22 3 0 Jul-21 3 0 Jun-22 3
2 Amiodaron 50 mg/ml 5 5 0 Apr-21 5 0 Apr-21 5 0 Apr-21 5 0 Apr-21 5
3 Aquabides 25 ml 3 3 0 Dec-22 3 0 Dec-22 3 0 Dec-22 3 0 Dec-22 3
Aspirin 80 mg tab
4 10 10 0 Jan-22 10 0 Jan-22 10 0 Nov-21 10 0 Nov-21 10
(Miniaspi/Aspilet)
5 Atropin inj 0,25 mg/ml 5 5 0 Jun-21 5 0 Jun-21 5 0 Sep-21 5 0 Jun-21 5
6 Calcium Gluconate inj 3 3 0 Sep-21 3 0 Oct-21 3 0 Oct-21 3 0 Oct-21 3
7 Combivent nebules 3 3 0 Jul-21 3 0 Aug-21 3 0 Feb-21 3 0 Jul-21 3

8 Dexamethasone inj 5 mg/ml 5 5 0 Sep-21 5 0 Nov-22 5 0 Sep-21 5 0 Sep-21 5

9 Dextrosa 40% 25 ml 3 3 0 Oct-21 3 0 Oct-21 3 0 Mar-21 3 0 Oct-21 3


10 Diazepam inj 5 mg/ml 5 5 0 Jan-23 5 0 Apr-23 5 0 Jul-21 5 0 Jan-23 5
11 Digoxin inj 3 3 0 Nov-22 3 0 Nov-22 3 0 May-21 3 0 Nov-22 3
Diphenhidramin inj 10
12 5 5 0 Jan-22 5 0 Dec-21 5 0 Jan-22 5 0 Jan-22 5
mg/ml

13 Dobutamin inj 50 mg/ml 5 5 0 Nov-22 5 0 Jun-21 5 0 Jun-21 5 0 Nov-22 5

14 Dopamin inj 40 mg/ml 3 3 0 Sep-21 3 0 Sep-21 3 0 Sep-21 3 0 Sep-21 3


15 Epineprine inj 1 mg/ml 5 5 0 Jan-21 5 0 Dec-21 5 0 Mar-21 5 0 May-22 5
16 Furosemide inj 3 3 0 Dec-21 3 0 Dec-21 3 0 Jun-21 3 0 Dec-21 3
17 ISDN tab 10 10 0 Nov-21 10 0 Nov-21 10 0 Sep-21 10 0 Apr-21 10
18 KCL 7.46% 25 ml 3 3 0 Mar-22 3 0 Apr-22 3 0 Mar-22 3 0 Mar-22 3
19 Ketorolac inj 30 mg/ml 5 5 0 May-22 5 0 May-22 5 0 May-22 5 0 May-22 5
20 Lidocain inj 2% 5 5 0 Oct-22 5 0 Oct-22 5 0 Oct-22 5 0 Oct-22 5
21 Metilprednisolon inj 3 3 0 Jul-22 3 0 Jan-22 3 0 Nov-21 3 0 Jul-22 3
22 MgSO4 40% 25 ml 3 3 0 Feb-22 3 0 Feb-22 3 0 Feb-22 3 0 Jun-21 3
23 Midazolam inj 1 mg/ml 3 3 0 Oct-22 3 0 Oct-22 3 0 Sep-22 3 0 Oct-22 3
Natrium Bikarbonat 8,4%
24 3 3 0 Aug-21 3 0 Aug-21 3 0 Aug-21 3 0 Aug-21 3
25 ml
25 Nicardipin inj 3 3 0 Jul-21 3 0 Jul-21 3 0 Jul-21 3 0 Jul-21 3

26 Norepineprine inj 1 mg/ml 3 3 0 Mar-22 3 0 Mar-22 3 0 Mar-22 3 0 Mar-22 3

27 Phenitoin inj 3 3 0 Sep-23 3 0 Sep-23 3 0 Sep-23 3 0 Sep-23 3

28 Phenobarbital inj 50 mg/ml 5 5 0 Apr-23 5 0 Apr-23 5 0 Apr-23 5 0 Apr-23 5

Stesolid sup 10 mg
29 3 3 0 Aug-22 3 0 Aug-22 3 0 Aug-22 3 0 Aug-22 3
(Diazepam)
Stesolid supp 5 mg
30 0 0 0 - 0 0 0 0 0 0 - 0
(Diazepam)
31 Ventolin nebules 3 3 0 Sep-22 3 0 Feb-23 3 0 Aug-22 3 0 Sep-22 3
LACI AIRWAY 0 0 0 0
1 ETT 3 1 1 0 Apr-24 1 0 Apr-24 1 0 Apr-24 1 0 Apr-24 1
2 ETT 3.5 1 1 0 Apr-24 1 0 Apr-24 1 0 Apr-24 1 0 Apr-24 1
3 ETT 4 1 1 0 Sep-24 1 0 Sep-24 1 0 Sep-24 1 0 Sep-24 1
4 ETT 4.5 1 1 0 Jul-22 1 0 Sep-24 1 0 Jul-22 1 0 Sep-24 1
5 ETT 5 1 1 0 Apr-24 1 0 Apr-24 1 0 Apr-24 1 0 Apr-24 1
6 ETT 5.5 1 1 0 May-23 1 0 May-23 1 0 Jan-24 1 0 Apr-24 1
7 ETT 6 1 1 0 Feb-22 1 0 Feb-22 1 0 Apr-24 1 0 Apr-24 1
8 ETT 6.5 1 1 0 Apr-24 1 0 Feb-22 1 0 Feb-22 1 0 Apr-24 1
9 ETT 7 1 1 0 Aug-22 1 0 Feb-23 1 0 Feb-23 1 0 Jul-23 1
10 ETT 7.5 1 1 0 Apr-23 1 0 Apr-23 1 0 Jul-23 1 0 May-23 1
11 ETT 8 1 1 0 Apr-24 1 0 Apr-24 1 0 Apr-24 1 0 Apr-24 1
12 Gudel Biru 1 1 0 Sep-22 1 0 Sep-22 1 0 Sep-22 1 0 Sep-22 1
13 Gudel Hijau 1 1 0 Oct-22 1 0 Jun-23 1 0 Oct-22 1 0 Jun-23 1
14 Gudel Hitam 1 1 0 Dec-22 1 0 Dec-22 1 0 Dec-22 1 0 Dec-22 1
15 Gudel Kuning 1 0 0 - 0 0 - 0 0 - 1 0 Feb-24 1
16 Gudel Merah 1 1 0 Jul-24 1 0 - 0 1 Sep-22 1 0 Jul-24 1
17 Gudel Orange 1 1 0 Dec-22 1 0 Dec-22 1 0 Jul-24 1 0 Dec-22 1
18 Gudel Pink 1 1 0 Sep-22 1 0 Sep-22 1 0 Sep-22 1 0 Sep-22 1
19 Gudel Putih 1 1 0 Sep-22 1 0 Sep-22 1 0 Sep-22 1 0 Sep-22 1
20 Laryngoscope 1 0 0 - 0 0 - 1 0 0 0 - 0
21 Suction Catheter No 10 1 1 0 Jan-25 1 0 Oct-20 1 0 Jan-25 1 0 Jan-25 1
22 Suction Catheter No 12 1 1 0 Sep-24 1 0 - 1 0 Sep-24 1 0 Sep-24 1
23 Suction Catheter No 14 1 1 0 Mar-23 1 0 Mar-23 0 1 Jun-25 1 0 Mar-23 1
24 Suction Catheter No 16 1 1 0 Mar-21 1 0 Mar-21 0 1 Mar-21 1 0 Mar-21 1
25 Suction Catheter No 18 0 0 0 - 0 0 - 0 0 - 0 0 - 0
26 Suction Catheter No 20 0 0 0 - 0 0 - 0 0 - 0 0 - 0
27 Suction Catheter No 6 1 1 0 Sep-24 1 0 Sep-24 1 0 Sep-24 1 0 Sep-24 1
28 Suction Catheter No 8 1 1 0 Sep-24 1 0 Sep-24 1 0 Dec-24 1 0 Sep-24 1
29 Valve Bag Mask 1 0 0 - 0 0 1 0 0 0 - 0
LACI BREATHING 0 0 0 0
1 Nasal Canul Anak 1 1 0 Dec-23 1 0 Dec-23 1 0 Dec-23 1 0 Dec-23 1
2 Nasal Canul Bayi 1 1 0 - 1 0 - 1 0 - 1 0 - 1
3 Nasal Canul Dewasa 1 1 0 Mar-24 1 0 Mar-24 1 0 Jan-24 1 0 Jan-24 1
4 Nebules Mask Anak 1 1 0 Oct-24 1 0 Oct-24 1 0 Oct-24 1 0 - 1
5 Nebules Mask Dewasa 1 1 0 Oct-24 1 0 Oct-24 1 0 - 1 0 Oct-24 1
Non Rebreathing Mask
6 Anak (Oxygen Mask with 1 1 0 - 1 0 - 1 0 - 1 0 - 1
Reservoir)

Non Rebreathing Mask


7 Dewasa (Oxygen Mask 1 1 0 Mar-24 1 0 Mar-24 1 0 Nov-24 1 0 Mar-24 1
with Reservoir)

Sungkup Muka Sederhana


8 1 1 0 - 1 0 - 1 0 - 1 0 - 1
(Oxygen Mask) Anak

Sungkup Muka Sederhana


9 1 1 0 - 1 0 - 1 0 - 1 0 - 1
(Oxygen Mask) Bayi

Sungkup Muka Sederhana


10 1 1 0 Aug-23 1 0 May-24 1 0 May-24 1 0 Sep-23 1
(Oxygen Mask) Dewasa

LACI CIRCULASI 0 0 0 0
1 Alkohol Swab 1 1 0 Dec-22 1 0 Dec-22 1 0 Dec-22 1 0 Dec-22 1
2 Blood Set 1 1 0 Sep-24 1 0 Sep-24 1 0 Jun-21 1 0 Jun-21 1
3 Elektrode 20 20 0 - 20 0 - 20 0 - 20 0 - 20
4 Foley Catheter 12 1 1 0 Nov-24 1 0 Nov-24 1 0 Nov-24 1 0 Nov-24 1
5 Foley Catheter 14 1 1 0 Nov-23 1 0 Nov-21 1 0 Nov-23 1 0 Aug-24 1
6 Foley Catheter 16 1 1 0 Nov-24 1 0 Nov-24 1 0 Nov-24 1 0 Nov-24 1
7 Foley Catheter 18 1 1 0 Jan-24 1 0 Jan-24 1 0 Jan-24 1 0 Jan-24 1
8 Foley Catheter 20 1 1 0 Feb-23 1 0 Feb-23 1 0 Feb-23 1 0 Feb-23 1
9 Foley Catheter 22 1 1 0 Jan-23 1 0 Jan-23 1 0 Jan-23 1 0 Jan-23 1
10 Handscoon Steril 6.5 2 2 0 Apr-25 2 0 Apr-25 2 0 Aug-24 2 0 Aug-24 2
11 Handscoon Steril 7 2 2 0 Mar-25 2 0 Mar-25 2 0 Jul-24 2 0 Mar-25 2
12 Handscoon Steril 7.5 2 2 0 Jul-24 2 0 Jul-24 2 0 Jan-25 2 0 Jul-24 2
13 Infus Set Mikro 2 2 0 Jan-24 2 0 Jan-24 2 0 Jan-24 2 0 Sep-21 2
14 Infus Set Makro 2 2 0 Sep-23 2 0 Sep-23 2 0 Aug-24 2 0 Dec-24 2
15 IV Catheter No 18 3 3 0 Jan-23 3 0 Jan-23 3 0 Jan-23 3 0 Jan-23 3
16 IV Catheter No 20 3 3 0 Dec-24 3 0 Dec-24 3 0 Apr-23 3 0 Apr-23 3
17 IV Catheter No 22 3 3 0 Jul-24 3 0 Jul-24 3 0 Jul-24 3 0 Jul-24 3
18 IV Catheter No 24 3 3 0 Jan-24 3 0 Jul-24 3 0 Jul-24 3 0 Jul-24 3
19 IV Catheter No 26 3 3 0 Jun-24 3 0 Sep-23 3 0 Sep-23 3 0 Sep-23 3
20 IVFD D10% 1 1 0 Oct-22 1 0 Oct-22 1 0 Feb-22 1 0 Oct-22 1
21 IVFD D5 ¼ NS 1 1 0 Mar-21 1 0 Mar-21 1 0 Dec-21 1 0 Mar-21 1
22 IVFD D5 ½ NS 1 1 0 Dec-21 1 0 Dec-21 1 0 Mar-21 1 0 Dec-21 1
23 IVFD D5% 1 1 0 Dec-22 1 0 Nov-22 1 0 Jul-22 1 0 Dec-22 1

24 IVFD NaCl 0,9% 100 ml 1 1 0 Nov-22 1 0 Nov-22 1 0 Nov-22 1 0 Nov-22 1

25 IVFD NaCl 0,9% 500 ml 1 1 0 Dec-24 1 0 Feb-21 1 0 Dec-24 1 0 Dec-24 1

26 IVFD RL 1 1 0 Nov-24 1 0 Mar-22 1 0 Nov-24 1 0 Nov-24 1


27 Needle 24G 2 2 0 Dec-23 2 0 Dec-23 2 0 Dec-23 2 0 Dec-23 2
28 NGT 5 1 1 0 May-24 1 0 May-24 1 0 May-24 1 0 Jun-22 1
29 NGT 6 1 1 0 Dec-24 1 0 Dec-24 1 0 Dec-24 1 0 Dec-24 1
30 NGT 8 1 1 0 May-24 1 0 May-24 1 0 May-24 1 0 May-24 1
31 NGT 10 1 1 0 May-24 1 0 May-24 1 0 May-24 1 0 May-24 1
32 NGT 12 1 1 0 Aug-23 1 0 Aug-23 1 0 Aug-23 1 0 Aug-23 1
33 NGT 14 1 1 0 May-24 1 0 May-24 1 0 May-24 1 0 May-24 1
34 NGT 16 1 1 0 Aug-24 1 0 Mar-24 1 0 Jul-24 1 0 Aug-24 1
35 NGT 18 1 1 0 Aug-24 1 0 Aug-24 1 0 Aug-24 1 0 Aug-24 1

36 Perfusor/Extension Tube 1 1 0 Jan-22 1 0 Jan-22 1 0 Jan-22 1 0 Jan-22 1

37 Syringe Disposibe 1 cc 5 5 0 Sep-24 5 0 Sep-24 5 0 Sep-24 5 0 Sep-24 5


38 Syringe Disposibe 3 cc 5 5 0 Sep-24 5 0 Sep-24 5 0 Sep-24 5 0 Feb-25 5
39 Syringe Disposibe 5 cc 5 5 0 Sep-24 5 0 Sep-24 5 0 Sep-24 5 0 Sep-24 5
40 Syringe Disposibe 10 cc 2 2 0 Aug-24 2 0 Sep-24 2 0 Aug-24 2 0 Aug-24 2
41 Syringe Disposibe 20 cc 2 2 0 Apr-24 2 0 Apr-24 2 0 Apr-24 2 0 Apr-24 2
42 Syringe Disposibe 50 cc 2 2 0 Oct-24 2 0 Oct-24 2 0 Oct-24 2 0 Oct-24 2
43 Three Way Stop Cock 2 2 0 Jul-24 2 0 Dec-24 2 0 Jun-24 2 0 Mar-24 2
Three Way with Tube
44 2 2 0 Jul-24 2 0 Jul-24 2 0 Dec-24 2 0 Jun-24 2
(Berekor)
45 Torniquiet 1 1 0 - 1 0 - 1 0 - 1 0 - 1
46 Urine Bag 1 1 0 Jul-22 1 0 Nov-24 1 0 Aug-24 1 0 Aug-24 1
47 Wing Needle 25G 3 3 0 Nov-24 3 0 Nov-24 3 0 Jul-24 3 0 Jul-24 3
48 Wing Needle 27G 3 3 0 Jan-25 3 0 Jan-25 3 0 Jan-25 3 0 Jan-25 3
ED ICU ED

0 Jun-22 3 0 Jun-22
0 Apr-21 5 0 Apr-21
0 Dec-22 3 0 Mar-23

0 Nov-21 10 0 Nov-21

0 Jun-21 5 0 Jun-21
0 Oct-21 3 0 Oct-21
0 Jul-21 3 0 Jul-21

0 Aug-21 5 0 Sep-21

0 Oct-21 3 0 Oct-21
0 Jan-23 5 0 Jan-23
0 Nov-22 3 0 Nov-22

0 Nov-22 5 0 Jan-22

0 Nov-22 5 0 Jun-21

0 Sep-21 3 0 Sep-21
0 May-22 5 0 Mar-21
0 Dec-21 3 0 Dec-21
0 Sep-21 10 0 Nov-21
0 Mar-22 3 0 Mar-22
0 May-22 5 0 May-22
0 Oct-22 5 0 Oct-22
0 Jul-22 3 0 Jul-22
0 Feb-22 3 0 Feb-22
0 Oct-22 3 0 Jan-22

0 Aug-21 3 0 Aug-21

0 Jul-21 3 0 Jul-21

0 Mar-22 3 0 Mar-22

0 Sep-23 3 0 Sep-23

0 Apr-23 5 0 Apr-23

0 Aug-22 3 0 Aug-22

0 - 0 0

0 Sep-22 3 0 Aug-22
0 0
0 Apr-24 1 0 Apr-24
0 Apr-24 1 0 Apr-24
0 Sep-24 1 0 Sep-24
0 Sep-24 1 0 Sep-24
0 Apr-24 1 0 Apr-24
0 Apr-24 1 0 Apr-24
0 Apr-24 1 0 Apr-24
0 May-24 1 0 Apr-24
0 Apr-24 1 0 Apr-22
0 May-23 1 0 Apr-23
0 Apr-24 1 0 Apr-24
0 Sep-22 1 0 Sep-22
0 Mar-23 1 0 Jun-23
0 Dec-22 1 0 May-03
0 Feb-24 1 0 Jun-24
0 Jul-24 1 0 Jul-24
0 Dec-22 1 0 Dec-22
0 Sep-22 1 0 Sep-22
0 Sep-22 1 0 Sep-22
0 - 1 0 -
0 Jan-25 1 0 Jan-25
0 Sep-24 1 0 Sep-24
0 Mar-23 1 0 Mar-23
0 Mar-21 1 0 Mar-21
0 - 0 0 -
0 - 0 0 -
0 Sep-24 1 0 Sep-24
0 Sep-24 1 0 Sep-24
0 - 1 0 -
0 0
0 Dec-23 1 0 Jun-22
0 - 1 0 -
0 Jan-24 1 0 Jan-24
0 - 1 0 Oct-24
0 Oct-24 1 0 Oct-24

0 - 1 0 -

0 Mar-24 1 0 May-24

0 - 1 0 -

0 - 1 0 -

0 Sep-23 1 0 Jul-24

0 0
0 Dec-22 1 0 Dec-22
0 Jun-21 1 0 Jun-21
0 - 20 0 -
0 Nov-24 1 0 Nov-24
0 Nov-23 1 0 Nov-23
0 Nov-24 1 0 Nov-24
0 Jan-24 1 0 Jan-24
0 Feb-23 1 0 Feb-23
0 Jan-23 1 0 Jan-23
0 Aug-24 2 0 Aug-24
0 Mar-25 2 0 Mar-25
0 Aug-24 2 0 Jul-24
0 Sep-21 2 0 Sep-21
0 Dec-24 2 0 Dec-24
0 Jan-23 3 0 Jan-23
0 Apr-23 3 0 Sep-23
0 Jul-24 3 0 Jul-24
0 Jul-24 3 0 Jul-24
0 Sep-23 3 0 Sep-23
0 Dec-22 1 0 Oct-22
0 Mar-21 1 0 Mar-21
0 Dec-21 1 0 Dec-21
0 Dec-22 1 0 Dec-22

0 Nov-22 1 0 Mar-23

0 Dec-24 1 0 Dec-24

0 Nov-24 1 0 Nov-24
0 Dec-23 2 0 Dec-23
0 Jun-22 1 0 Dec-21
0 Dec-24 1 0 Dec-24
0 May-24 1 0 May-24
0 May-24 1 0 May-24
0 Aug-23 1 0 Aug-23
0 May-24 1 0 May-24
0 Mar-24 1 0 Mar-24
0 Aug-24 1 0 Aug-24

0 Jan-22 1 0 Jan-22

0 Sep-24 5 0 Sep-24
0 Feb-25 5 0 Feb-25
0 Sep-24 5 0 Sep-24
0 Aug-24 2 0 Aug-24
0 Apr-24 2 0 Apr-24
0 Oct-24 2 0 Oct-24
0 Mar-24 2 0 Mar-24

0 Jun-24 2 0 Jun-24

0 - 1 0 -
0 Aug-24 1 0 Aug-24
0 Jul-24 3 0 Jul-24
0 Jan-25 3 0 Jan-25
No NAMA JML VK ED RNP ED IGD ED OT1 ED OT2 ED ICU ED

LACI OBAT
1 Aminophyllin inj 3 3 0 Jun-22 3 0 Jun-22 3 0 Jul-21 3 0 Jun-22 3 0 Jun-22 3 0 Jun-22

2 Amiodaron 50 mg/ml 5 5 0 Apr-21 5 0 Apr-21 5 0 Apr-21 5 0 Apr-21 5 0 Apr-21 5 0 Apr-21

3 Aquabides 25 ml 3 3 0 Dec-22 3 0 Dec-22 3 0 Dec-22 3 0 Dec-22 3 0 Dec-22 3 0 Mar-23

Aspirin 80 mg tab
4 10 10 0 Jan-22 10 0 Jan-22 10 0 Nov-21 10 0 Nov-21 10 0 Nov-21 10 0 Nov-21
(Miniaspi/Aspilet)

5 Atropin inj 0,25 mg/ml 5 5 0 Jun-21 5 0 Jun-21 5 0 Sep-21 5 0 Jun-21 5 0 Jun-21 5 0 Jun-21

6 Calcium Gluconate inj 3 3 0 Sep-21 3 0 Oct-21 3 0 Oct-21 3 0 Oct-21 3 0 Oct-21 3 0 Oct-21

7 Combivent nebules 3 3 0 Jul-21 3 0 Aug-21 3 0 Feb-21 3 0 Jul-21 3 0 Jul-21 3 0 Jul-21

Dexamethasone inj 5
8 5 5 0 Sep-21 5 0 Nov-22 5 0 Sep-21 5 0 Sep-21 5 0 Aug-21 5 0 Sep-21
mg/ml
9 Dextrosa 40% 25 ml 3 3 0 Oct-21 3 0 Oct-21 3 0 Mar-21 3 0 Oct-21 3 0 Oct-21 3 0 Oct-21

10 Diazepam inj 5 mg/ml 5 5 0 Jan-23 5 0 Apr-23 5 0 Jul-21 5 0 Jan-23 5 0 Jan-23 5 0 Jan-23

11 Digoxin inj 3 3 0 Nov-22 3 0 Nov-22 3 0 May-21 3 0 Nov-22 3 0 Nov-22 3 0 Nov-22

Diphenhidramin inj 10
12 5 5 0 Jan-22 5 0 Dec-21 5 0 Jan-22 5 0 Jan-22 5 0 Nov-22 5 0 Jan-22
mg/ml

13 Dobutamin inj 50 mg/ml 5 5 0 Nov-22 5 0 Jun-21 5 0 Jun-21 5 0 Nov-22 5 0 Nov-22 5 0 Jun-21

14 Dopamin inj 40 mg/ml 3 3 0 Sep-21 3 0 Sep-21 3 0 Sep-21 3 0 Sep-21 3 0 Sep-21 3 0 Sep-21

15 Epineprine inj 1 mg/ml 5 5 0 Mar-21 5 0 Dec-21 5 0 Mar-21 5 0 May-22 5 0 May-22 5 0 Mar-21

16 Furosemide inj 3 3 0 Dec-21 3 0 Dec-21 3 0 Jun-21 3 0 Dec-21 3 0 Dec-21 3 0 Dec-21

17 ISDN tab 10 10 0 Nov-21 10 0 Nov-21 10 0 Sep-21 10 0 Apr-21 10 0 Sep-21 10 0 Nov-21

18 KCL 7.46% 25 ml 3 3 0 Mar-22 3 0 Apr-22 3 0 Mar-22 3 0 Mar-22 3 0 Mar-22 3 0 Mar-22

19 Ketorolac inj 30 mg/ml 5 5 0 May-22 5 0 May-22 5 0 May-22 5 0 May-22 5 0 May-22 5 0 May-22

20 Lidocain inj 2% 5 5 0 Oct-22 5 0 Oct-22 5 0 Oct-22 5 0 Oct-22 5 0 Oct-22 5 0 Oct-22

21 Metilprednisolon inj 3 3 0 Jul-22 3 0 Jan-22 3 0 Nov-21 3 0 Jul-22 3 0 Jul-22 3 0 Jul-22

22 MgSO4 40% 25 ml 3 3 0 Feb-22 3 0 Feb-22 3 0 Feb-22 3 0 Jun-21 3 0 Feb-22 3 0 Feb-22

23 Midazolam inj 1 mg/ml 3 3 0 Oct-22 3 0 Oct-22 3 0 Sep-22 3 0 Oct-22 3 0 Oct-22 3 0 Jan-22

Natrium Bikarbonat 8,4%


24 3 3 0 Aug-21 3 0 Aug-21 3 0 Aug-21 3 0 Aug-21 3 0 Aug-21 3 0 Aug-21
25 ml
25 Nicardipin inj 3 3 0 Jul-21 3 0 Jul-21 3 0 Jul-21 3 0 Jul-21 3 0 Jul-21 3 0 Jul-21

Norepineprine inj 1
26 3 3 0 Mar-22 3 0 Mar-22 3 0 Mar-22 3 0 Mar-22 3 0 Mar-22 3 0 Mar-22
mg/ml
27 Phenitoin inj 3 3 0 Sep-23 3 0 Sep-23 3 0 Sep-23 3 0 Sep-23 3 0 Sep-23 3 0 Sep-23

Phenobarbital inj 50
28 5 5 0 Apr-23 5 0 Apr-23 5 0 Apr-23 5 0 Apr-23 5 0 Apr-23 5 0 Apr-23
mg/ml
Stesolid sup 10 mg
29 3 3 0 Aug-22 3 0 Aug-22 3 0 Aug-22 3 0 Aug-22 3 0 Aug-22 3 0 Aug-22
(Diazepam)
Stesolid supp 5 mg
30 0 0 0 - 0 0 0 0 0 0 - 0 0 - 0 0
(Diazepam)
31 Ventolin nebules 3 3 0 Sep-22 3 0 Feb-23 3 0 Aug-22 3 0 Sep-22 3 0 Sep-22 3 0 Aug-22

LACI AIRWAY 0 0 0 0 0 0

1 ETT 3 1 1 0 Apr-24 1 0 Apr-24 1 0 Apr-24 1 0 Apr-24 1 0 Apr-24 1 0 Apr-24

2 ETT 3.5 1 1 0 Apr-24 1 0 Apr-24 1 0 Apr-24 1 0 Apr-24 1 0 Apr-24 1 0 Apr-24

3 ETT 4 1 1 0 Sep-24 1 0 Sep-24 1 0 Sep-24 1 0 Sep-24 1 0 Sep-24 1 0 Sep-24

4 ETT 4.5 1 1 0 Jul-22 1 0 Sep-24 1 0 Jul-22 1 0 Sep-24 1 0 Sep-24 1 0 Sep-24

5 ETT 5 1 1 0 Apr-24 1 0 Apr-24 1 0 Apr-24 1 0 Apr-24 1 0 Apr-24 1 0 Apr-24

6 ETT 5.5 1 1 0 May-23 1 0 May-23 1 0 Jan-24 1 0 Apr-24 1 0 Apr-24 1 0 Apr-24


7 ETT 6 1 1 0 Feb-22 1 0 Feb-22 1 0 Apr-24 1 0 Apr-24 1 0 Apr-24 1 0 Apr-24

8 ETT 6.5 1 1 0 Apr-24 1 0 Feb-22 1 0 Feb-22 1 0 Apr-24 1 0 May-24 1 0 Apr-24

9 ETT 7 1 1 0 Aug-22 1 0 Feb-23 1 0 Feb-23 1 0 Jul-23 1 0 Apr-24 1 0 Apr-22

10 ETT 7.5 1 1 0 Apr-23 1 0 Apr-23 1 0 Jul-23 1 0 May-23 1 0 May-23 1 0 Apr-23

11 ETT 8 1 1 0 Apr-24 1 0 Apr-24 1 0 Apr-24 1 0 Apr-24 1 0 Apr-24 1 0 Apr-24

12 Gudel Biru 1 1 0 Sep-22 1 0 Sep-22 1 0 Sep-22 1 0 Sep-22 1 0 Sep-22 1 0 Sep-22

13 Gudel Hijau 1 1 0 Oct-22 1 0 Jun-23 1 0 Oct-22 1 0 Jun-23 1 0 Mar-23 1 0 Jun-23

14 Gudel Hitam 1 1 0 Dec-22 1 0 Dec-22 1 0 Dec-22 1 0 Dec-22 1 0 Dec-22 1 0 May-03

15 Gudel Kuning 1 0 0 - 0 0 - 0 0 - 1 0 Feb-24 1 0 Feb-24 1 0 Jun-24

16 Gudel Merah 1 1 0 Jul-24 1 0 - 0 1 Sep-22 1 0 Jul-24 1 0 Jul-24 1 0 Jul-24

17 Gudel Orange 1 1 0 Dec-22 1 0 Dec-22 1 0 Jul-24 1 0 Dec-22 1 0 Dec-22 1 0 Dec-22

18 Gudel Pink 1 1 0 Sep-22 1 0 Sep-22 1 0 Sep-22 1 0 Sep-22 1 0 Sep-22 1 0 Sep-22

19 Gudel Putih 1 1 0 Sep-22 1 0 Sep-22 1 0 Sep-22 1 0 Sep-22 1 0 Sep-22 1 0 Sep-22

20 Laryngoscope 1 0 0 - 0 0 - 1 0 0 0 - 0 0 - 1 0 -

21 Suction Catheter No 10 1 1 0 Jan-25 1 0 Oct-20 1 0 Jan-25 1 0 Jan-25 1 0 Jan-25 1 0 Jan-25

22 Suction Catheter No 12 1 1 0 Sep-24 1 0 - 1 0 Sep-24 1 0 Sep-24 1 0 Sep-24 1 0 Sep-24

23 Suction Catheter No 14 1 1 0 Mar-23 1 0 Mar-23 1 0 Jun-25 1 0 Mar-23 1 0 Mar-23 1 0 Mar-23

24 Suction Catheter No 16 1 1 0 Mar-21 1 0 Mar-21 1 0 Mar-21 1 0 Mar-21 1 0 Mar-21 1 0 Mar-21

25 Suction Catheter No 18 0 0 0 - 0 0 - 0 0 - 0 0 - 0 0 - 0 0 -

26 Suction Catheter No 20 0 0 0 - 0 0 - 0 0 - 0 0 - 0 0 - 0 0 -

27 Suction Catheter No 6 1 1 0 Sep-24 1 0 Sep-24 1 0 Sep-24 1 0 Sep-24 1 0 Sep-24 1 0 Sep-24

28 Suction Catheter No 8 1 1 0 Sep-24 1 0 Sep-24 1 0 Dec-24 1 0 Sep-24 1 0 Sep-24 1 0 Sep-24

29 Valve Bag Mask 1 0 0 - 0 0 1 0 0 0 - 0 0 - 1 0 -

LACI BREATHING 0 0 0 0 0 0

1 Nasal Canul Anak 1 1 0 Dec-23 1 0 Dec-23 1 0 Dec-23 1 0 Dec-23 1 0 Dec-23 1 0 Jun-22

2 Nasal Canul Bayi 1 1 0 - 1 0 - 1 0 - 1 0 - 1 0 - 1 0 -

3 Nasal Canul Dewasa 1 1 0 Mar-24 1 0 Mar-24 1 0 Jan-24 1 0 Jan-24 1 0 Jan-24 1 0 Jan-24

4 Nebules Mask Anak 1 1 0 Oct-24 1 0 Oct-24 1 0 Oct-24 1 0 - 1 0 - 1 0 Oct-24

5 Nebules Mask Dewasa 1 1 0 Oct-24 1 0 Oct-24 1 0 - 1 0 Oct-24 1 0 Oct-24 1 0 Oct-24

Non Rebreathing Mask


6 Anak (Oxygen Mask with 1 1 0 - 1 0 - 1 0 - 1 0 - 1 0 - 1 0 -
Reservoir)

Non Rebreathing Mask


7 Dewasa (Oxygen Mask 1 1 0 Mar-24 1 0 Mar-24 1 0 Nov-24 1 0 Mar-24 1 0 Mar-24 1 0 May-24
with Reservoir)

Sungkup Muka
8 Sederhana (Oxygen 1 1 0 - 1 0 - 1 0 - 1 0 - 1 0 - 1 0 -
Mask) Anak

Sungkup Muka
9 Sederhana (Oxygen 1 1 0 - 1 0 - 1 0 - 1 0 - 1 0 - 1 0 -
Mask) Bayi

Sungkup Muka
10 Sederhana (Oxygen 1 1 0 Aug-23 1 0 May-24 1 0 May-24 1 0 Sep-23 1 0 Sep-23 1 0 Jul-24
Mask) Dewasa
LACI CIRCULASI 0 0 0 0 0 0

1 Alkohol Swab 1 1 0 Dec-22 1 0 Dec-22 1 0 Dec-22 1 0 Dec-22 1 0 Dec-22 1 0 Dec-22

2 Blood Set 1 1 0 Sep-24 1 0 Sep-24 1 0 Jun-21 1 0 Jun-21 1 0 Jun-21 1 0 Jun-21


3 Elektrode 20 20 0 - 20 0 - 20 0 - 20 0 - 20 0 - 20 0 -

4 Foley Catheter 12 1 1 0 Nov-24 1 0 Nov-24 1 0 Nov-24 1 0 Nov-24 1 0 Nov-24 1 0 Nov-24

5 Foley Catheter 14 1 1 0 Nov-23 1 0 Nov-21 1 0 Nov-23 1 0 Aug-24 1 0 Nov-23 1 0 Nov-23

6 Foley Catheter 16 1 1 0 Nov-24 1 0 Nov-24 1 0 Nov-24 1 0 Nov-24 1 0 Nov-24 1 0 Nov-24

7 Foley Catheter 18 1 1 0 Jan-24 1 0 Jan-24 1 0 Jan-24 1 0 Jan-24 1 0 Jan-24 1 0 Jan-24

8 Foley Catheter 20 1 1 0 Feb-23 1 0 Feb-23 1 0 Feb-23 1 0 Feb-23 1 0 Feb-23 1 0 Feb-23

9 Foley Catheter 22 1 1 0 Jan-23 1 0 Jan-23 1 0 Jan-23 1 0 Jan-23 1 0 Jan-23 1 0 Jan-23

10 Handscoon Steril 6.5 2 2 0 Apr-25 2 0 Apr-25 2 0 Aug-24 2 0 Aug-24 2 0 Aug-24 2 0 Aug-24

11 Handscoon Steril 7 2 2 0 Mar-25 2 0 Mar-25 2 0 Jul-24 2 0 Mar-25 2 0 Mar-25 2 0 Mar-25

12 Handscoon Steril 7.5 2 2 0 Jul-24 2 0 Jul-24 2 0 Jan-25 2 0 Jul-24 2 0 Aug-24 2 0 Jul-24

13 Infus Set Mikro 2 2 0 Jan-24 2 0 Jan-24 2 0 Jan-24 2 0 Sep-21 2 0 Sep-21 2 0 Sep-21

14 Infus Set Makro 2 2 0 Sep-23 2 0 Sep-23 2 0 Aug-24 2 0 Dec-24 2 0 Dec-24 2 0 Dec-24

15 IV Catheter No 18 3 3 0 Jan-23 3 0 Jan-23 3 0 Jan-23 3 0 Jan-23 3 0 Jan-23 3 0 Jan-23

16 IV Catheter No 20 3 3 0 Dec-24 3 0 Dec-24 3 0 Apr-23 3 0 Apr-23 3 0 Apr-23 3 0 Sep-23

17 IV Catheter No 22 3 3 0 Jul-24 3 0 Jul-24 3 0 Jul-24 3 0 Jul-24 3 0 Jul-24 3 0 Jul-24

18 IV Catheter No 24 3 3 0 Jan-24 3 0 Jul-24 3 0 Jul-24 3 0 Jul-24 3 0 Jul-24 3 0 Jul-24

19 IV Catheter No 26 3 3 0 Jun-24 3 0 Sep-23 3 0 Sep-23 3 0 Sep-23 3 0 Sep-23 3 0 Sep-23

20 IVFD D10% 1 1 0 Oct-22 1 0 Oct-22 1 0 Feb-22 1 0 Oct-22 1 0 Dec-22 1 0 Oct-22

21 IVFD D5 ¼ NS 1 1 0 Mar-21 1 0 Mar-21 1 0 Dec-21 1 0 Mar-21 1 0 Mar-21 1 0 Mar-21

22 IVFD D5 ½ NS 1 1 0 Dec-21 1 0 Dec-21 1 0 Mar-21 1 0 Dec-21 1 0 Dec-21 1 0 Dec-21

23 IVFD D5% 1 1 0 Dec-22 1 0 Nov-22 1 0 Jul-22 1 0 Dec-22 1 0 Dec-22 1 0 Dec-22

24 IVFD NaCl 0,9% 100 ml 1 1 0 Nov-22 1 0 Nov-22 1 0 Nov-22 1 0 Nov-22 1 0 Nov-22 1 0 Mar-23

25 IVFD NaCl 0,9% 500 ml 1 1 0 Dec-24 1 0 Mar-21 1 0 Dec-24 1 0 Dec-24 1 0 Dec-24 1 0 Dec-24

26 IVFD RL 1 1 0 Nov-24 1 0 Mar-22 1 0 Nov-24 1 0 Nov-24 1 0 Nov-24 1 0 Nov-24

27 Needle 24G 2 2 0 Dec-23 2 0 Dec-23 2 0 Dec-23 2 0 Dec-23 2 0 Dec-23 2 0 Dec-23

28 NGT 5 1 1 0 May-24 1 0 May-24 1 0 May-24 1 0 Jun-22 1 0 Jun-22 1 0 Dec-21

29 NGT 6 1 1 0 Dec-24 1 0 Dec-24 1 0 Dec-24 1 0 Dec-24 1 0 Dec-24 1 0 Dec-24

30 NGT 8 1 1 0 May-24 1 0 May-24 1 0 May-24 1 0 May-24 1 0 May-24 1 0 May-24

31 NGT 10 1 1 0 May-24 1 0 May-24 1 0 May-24 1 0 May-24 1 0 May-24 1 0 May-24

32 NGT 12 1 1 0 Aug-23 1 0 Aug-23 1 0 Aug-23 1 0 Aug-23 1 0 Aug-23 1 0 Aug-23

33 NGT 14 1 1 0 May-24 1 0 May-24 1 0 May-24 1 0 May-24 1 0 May-24 1 0 May-24

34 NGT 16 1 1 0 Aug-24 1 0 Mar-24 1 0 Jul-24 1 0 Aug-24 1 0 Mar-24 1 0 Mar-24

35 NGT 18 1 1 0 Aug-24 1 0 Aug-24 1 0 Aug-24 1 0 Aug-24 1 0 Aug-24 1 0 Aug-24

36 Perfusor/Extension Tube 1 1 0 Jan-22 1 0 Jan-22 1 0 Jan-22 1 0 Jan-22 1 0 Jan-22 1 0 Jan-22

37 Syringe Disposibe 1 cc 5 5 0 Sep-24 5 0 Sep-24 5 0 Sep-24 5 0 Sep-24 5 0 Sep-24 5 0 Sep-24

38 Syringe Disposibe 3 cc 5 5 0 Sep-24 5 0 Sep-24 5 0 Sep-24 5 0 Feb-25 5 0 Feb-25 5 0 Feb-25

39 Syringe Disposibe 5 cc 5 5 0 Sep-24 5 0 Sep-24 5 0 Sep-24 5 0 Sep-24 5 0 Sep-24 5 0 Sep-24

40 Syringe Disposibe 10 cc 2 2 0 Aug-24 2 0 Sep-24 2 0 Aug-24 2 0 Aug-24 2 0 Aug-24 2 0 Aug-24

41 Syringe Disposibe 20 cc 2 2 0 Apr-24 2 0 Apr-24 2 0 Apr-24 2 0 Apr-24 2 0 Apr-24 2 0 Apr-24

42 Syringe Disposibe 50 cc 2 2 0 Oct-24 2 0 Oct-24 2 0 Oct-24 2 0 Oct-24 2 0 Oct-24 2 0 Oct-24

43 Three Way Stop Cock 2 2 0 Jul-24 2 0 Dec-24 2 0 Jun-24 2 0 Mar-24 2 0 Mar-24 2 0 Mar-24

Three Way with Tube


44 2 2 0 Jul-24 2 0 Jul-24 2 0 Dec-24 2 0 Jun-24 2 0 Jun-24 2 0 Jun-24
(Berekor)
45 Torniquiet 1 1 0 - 1 0 - 1 0 - 1 0 - 1 0 - 1 0 -
46 Urine Bag 1 1 0 Jul-22 1 0 Nov-24 1 0 Aug-24 1 0 Aug-24 1 0 Aug-24 1 0 Aug-24

47 Wing Needle 25G 3 3 0 Nov-24 3 0 Nov-24 3 0 Jul-24 3 0 Jul-24 3 0 Jul-24 3 0 Jul-24

48 Wing Needle 27G 3 3 0 Jan-25 3 0 Jan-25 3 0 Jan-25 3 0 Jan-25 3 0 Jan-25 3 0 Jan-25


No NAMA JML VK ED RNP ED IGD ED OT1 ED OT2 ED ICU ED RNP3

LACI OBAT
1 Aminophyllin inj 3 3 0 Jun-22 3 0 Jun-22 3 0 Jul-21 3 0 Jun-22 3 0 Jun-22 3 0 Jun-22 3

2 Amiodaron 50 mg/ml 5 5 0 Apr-21 5 0 Apr-21 0 5 Apr-21 5 0 Apr-21 5 0 Apr-21 5 0 Apr-21 0

3 Aquabides 25 ml 3 3 0 Dec-22 3 0 Dec-22 3 0 Dec-22 3 0 Dec-22 3 0 Dec-22 3 0 Mar-23 3

Aspirin 80 mg tab
4 10 10 0 Jan-22 10 0 Jan-22 10 0 Nov-21 10 0 Nov-21 10 0 Nov-21 10 0 Nov-21 10
(Miniaspi/Aspilet)

5 Atropin inj 0,25 mg/ml 5 5 0 Jun-21 5 0 Jun-21 5 0 Sep-21 5 0 Jun-21 5 0 Jun-21 5 0 Jun-21 5

6 Calcium Gluconate inj 3 3 0 Sep-21 3 0 Oct-21 3 0 Oct-21 3 0 Oct-21 3 0 Oct-21 3 0 Oct-21 3

7 Combivent nebules 3 3 0 Jul-21 3 0 Aug-21 3 0 Feb-21 3 0 Jul-21 3 0 Jul-21 3 0 Jul-21 3

Dexamethasone inj 5
8 5 5 0 Sep-21 5 0 Nov-22 5 0 Sep-21 5 0 Sep-21 5 0 Aug-21 5 0 Sep-21 5
mg/ml
9 Dextrosa 40% 25 ml 3 3 0 Oct-21 0 3 Oct-21 3 0 Mar-21 3 0 Oct-21 3 0 Oct-21 3 0 Oct-21 3

10 Diazepam inj 5 mg/ml 5 5 0 Jan-23 5 0 Apr-23 5 0 Jul-21 5 0 Jan-23 5 0 Jan-23 5 0 Jan-23 5

11 Digoxin inj 3 3 0 Nov-22 3 0 Nov-22 3 0 May-21 3 0 Nov-22 3 0 Nov-22 3 0 Nov-22 3

Diphenhidramin inj 10
12 5 5 0 Jan-22 5 0 Dec-21 5 0 Jan-22 5 0 Jan-22 5 0 Nov-22 5 0 Jan-22 5
mg/ml

13 Dobutamin inj 50 mg/ml 5 5 0 Nov-22 5 0 Jun-21 5 0 Jun-21 5 0 Nov-22 5 0 Nov-22 5 0 Jun-21 5

14 Dopamin inj 40 mg/ml 3 3 0 Sep-21 3 0 Sep-21 3 0 Sep-21 3 0 Sep-21 3 0 Sep-21 3 0 Sep-21 3

15 Epineprine inj 1 mg/ml 5 5 0 Mar-21 5 0 Dec-21 5 0 Mar-21 5 0 May-22 5 0 May-22 5 0 Mar-21 5

16 Furosemide inj 3 3 0 Dec-21 3 0 Dec-21 3 0 Jun-21 3 0 Dec-21 3 0 Dec-21 3 0 Dec-21 3

17 ISDN tab 10 10 0 Nov-21 10 0 Nov-21 10 0 Sep-21 10 0 Apr-21 10 0 Sep-21 10 0 Nov-21 10

18 KCL 7.46% 25 ml 3 3 0 Mar-22 0 3 Apr-22 3 0 Mar-22 3 0 Mar-22 3 0 Mar-22 3 0 Mar-22 3

19 Ketorolac inj 30 mg/ml 5 5 0 May-22 4 1 May-22 5 0 May-22 5 0 May-22 5 0 May-22 5 0 May-22 5

20 Lidocain inj 2% 5 5 0 Oct-22 5 0 Oct-22 5 0 Oct-22 5 0 Oct-22 5 0 Oct-22 5 0 Oct-22 5

21 Metilprednisolon inj 3 3 0 Jul-22 3 0 Jan-22 3 0 Nov-21 3 0 Jul-22 3 0 Jul-22 3 0 Jul-22 3

22 MgSO4 40% 25 ml 3 3 0 Feb-22 3 0 Feb-22 3 0 Feb-22 3 0 Jun-21 3 0 Feb-22 3 0 Feb-22 3

23 Midazolam inj 1 mg/ml 3 3 0 Oct-22 3 0 Oct-22 3 0 Sep-22 3 0 Oct-22 3 0 Oct-22 3 0 Jan-22 3

Natrium Bikarbonat 8,4%


24 3 3 0 Aug-21 3 0 Aug-21 3 0 Aug-21 3 0 Aug-21 3 0 Aug-21 3 0 Aug-21 3
25 ml
25 Nicardipin inj 3 3 0 Jul-21 3 0 Jul-21 3 0 Jul-21 3 0 Jul-21 3 0 Jul-21 3 0 Jul-21 3

Norepineprine inj 1
26 3 3 0 Mar-22 1 0 Mar-22 3 0 Mar-22 3 0 Mar-22 3 0 Mar-22 3 0 Mar-22 3
mg/ml
27 Phenitoin inj 3 3 0 Sep-23 3 0 Sep-23 3 0 Sep-23 3 0 Sep-23 3 0 Sep-23 3 0 Sep-23 3

Phenobarbital inj 50
28 5 5 0 Apr-23 5 0 Apr-23 5 0 Apr-23 5 0 Apr-23 5 0 Apr-23 5 0 Apr-23 5
mg/ml
Stesolid sup 10 mg
29 3 3 0 Aug-22 3 0 Aug-22 3 0 Aug-22 3 0 Aug-22 3 0 Aug-22 3 0 Aug-22 3
(Diazepam)
Stesolid supp 5 mg
30 0 0 0 - 0 0 0 0 0 0 - 0 0 - 0 0 0
(Diazepam)
31 Ventolin nebules 3 3 0 Sep-22 3 0 Feb-23 3 0 Aug-22 3 0 Sep-22 3 0 Sep-22 3 0 Aug-22 3

LACI AIRWAY 0 0 0 0 0 0

1 ETT 3 1 1 0 Apr-24 1 0 Apr-24 1 0 Apr-24 1 0 Apr-24 1 0 Apr-24 1 0 Apr-24 1

2 ETT 3.5 1 1 0 Apr-24 1 0 Apr-24 1 0 Apr-24 1 0 Apr-24 1 0 Apr-24 1 0 Apr-24 1

3 ETT 4 1 1 0 Sep-24 1 0 Sep-24 1 0 Sep-24 1 0 Sep-24 1 0 Sep-24 1 0 Sep-24 1


4 ETT 4.5 1 1 0 Jul-22 1 0 Sep-24 1 0 Jul-22 1 0 Sep-24 1 0 Sep-24 1 0 Sep-24 1

5 ETT 5 1 1 0 Apr-24 1 0 Apr-24 1 0 Apr-24 1 0 Apr-24 1 0 Apr-24 1 0 Apr-24 1

6 ETT 5.5 1 1 0 May-23 1 0 May-23 1 0 Jan-24 1 0 Apr-24 1 0 Apr-24 1 0 Apr-24 1

7 ETT 6 1 1 0 Feb-22 1 0 Feb-22 1 0 Apr-24 1 0 Apr-24 1 0 Apr-24 1 0 Apr-24 1

8 ETT 6.5 1 1 0 Apr-24 1 0 Feb-22 1 0 Feb-22 1 0 Apr-24 1 0 May-24 1 0 Apr-24 1

9 ETT 7 1 1 0 Aug-22 1 0 Feb-23 1 0 Feb-23 1 0 Jul-23 1 0 Apr-24 1 0 Apr-22 1

10 ETT 7.5 1 1 0 Apr-23 1 0 Apr-23 1 0 Jul-23 1 0 May-23 1 0 May-23 1 0 Apr-23 1

11 ETT 8 1 1 0 Apr-24 1 0 Apr-24 1 0 Apr-24 1 0 Apr-24 1 0 Apr-24 1 0 Apr-24 1

12 Gudel Biru 1 1 0 Sep-22 1 0 Sep-22 1 0 Sep-22 1 0 Sep-22 1 0 Sep-22 1 0 Sep-22 1

13 Gudel Hijau 1 1 0 Oct-22 1 0 Jun-23 0 1 Oct-22 1 0 Jun-23 1 0 Mar-23 1 0 Jun-23 1

14 Gudel Hitam 1 1 0 Dec-22 1 0 Dec-22 1 0 Dec-22 1 0 Dec-22 1 0 Dec-22 1 0 May-03 1

15 Gudel Kuning 1 0 0 - 0 0 - 0 0 - 1 0 Feb-24 1 0 Feb-24 1 0 Jun-24 0

16 Gudel Merah 1 1 0 Jul-24 1 0 - 0 1 Sep-22 1 0 Jul-24 1 0 Jul-24 1 0 Jul-24 1

17 Gudel Orange 1 1 0 Dec-22 1 0 Dec-22 0 1 Jul-24 1 0 Dec-22 1 0 Dec-22 1 0 Dec-22 1

18 Gudel Pink 1 1 0 Sep-22 1 0 Sep-22 1 0 Sep-22 1 0 Sep-22 1 0 Sep-22 1 0 Sep-22 1

19 Gudel Putih 1 1 0 Sep-22 1 0 Sep-22 1 0 Sep-22 1 0 Sep-22 1 0 Sep-22 1 0 Sep-22 1

20 Laryngoscope 1 0 0 - 0 0 - 1 0 0 0 - 0 0 - 1 0 - 0

21 Suction Catheter No 10 1 1 0 Jan-25 1 0 Oct-20 1 0 Jan-25 1 0 Jan-25 1 0 Jan-25 1 0 Jan-25 1

22 Suction Catheter No 12 1 1 0 Sep-24 1 0 - 1 0 Sep-24 1 0 Sep-24 1 0 Sep-24 1 0 Sep-24 1

23 Suction Catheter No 14 1 1 0 Mar-23 1 0 Mar-23 1 0 Jun-25 1 0 Mar-23 1 0 Mar-23 1 0 Mar-23 1

24 Suction Catheter No 16 1 1 0 Mar-21 1 0 Mar-21 0 1 Mar-21 1 0 Mar-21 1 0 Mar-21 1 0 Mar-21 1

25 Suction Catheter No 18 0 0 0 - 0 0 - 0 0 - 0 0 - 0 0 - 0 0 - 0

26 Suction Catheter No 20 0 0 0 - 0 0 - 0 0 - 0 0 - 0 0 - 0 0 - 0

27 Suction Catheter No 6 1 1 0 Sep-24 1 0 Sep-24 1 0 Sep-24 1 0 Sep-24 1 0 Sep-24 1 0 Sep-24 1

28 Suction Catheter No 8 1 1 0 Sep-24 1 0 Sep-24 1 0 Dec-24 1 0 Sep-24 1 0 Sep-24 1 0 Sep-24 1

29 Valve Bag Mask 1 0 0 - 0 0 1 0 0 0 - 0 0 - 1 0 - 0

LACI BREATHING 0 0 0 0 0 0

1 Nasal Canul Anak 1 1 0 Dec-23 0 1 Dec-23 1 0 Dec-23 1 0 Dec-23 1 0 Dec-23 1 0 Jun-22 1

2 Nasal Canul Bayi 1 1 0 - 1 0 - 1 0 - 1 0 - 1 0 - 1 0 - 1

3 Nasal Canul Dewasa 1 1 0 Mar-24 0 1 Mar-24 1 0 Jan-24 1 0 Jan-24 1 0 Jan-24 1 0 Jan-24 1

4 Nebules Mask Anak 1 1 0 Oct-24 1 0 Oct-24 1 0 Oct-24 1 0 - 1 0 - 1 0 Oct-24 1

5 Nebules Mask Dewasa 1 1 0 Oct-24 1 0 Oct-24 0 1 - 1 0 Oct-24 1 0 Oct-24 1 0 Oct-24 1

Non Rebreathing Mask


6 Anak (Oxygen Mask with 1 1 0 - 1 0 - 0 1 - 1 0 - 1 0 - 1 0 - 1
Reservoir)

Non Rebreathing Mask


7 Dewasa (Oxygen Mask 1 1 0 Mar-24 0 1 Mar-24 1 0 Nov-24 1 0 Mar-24 1 0 Mar-24 1 0 May-24 1
with Reservoir)

Sungkup Muka
8 Sederhana (Oxygen 1 1 0 - 1 0 - 1 0 - 1 0 - 1 0 - 1 0 - 1
Mask) Anak
Sungkup Muka
9 Sederhana (Oxygen 1 1 0 - 1 0 - 1 0 - 1 0 - 1 0 - 1 0 - 1
Mask) Bayi

Sungkup Muka
10 Sederhana (Oxygen 1 1 0 Aug-23 1 0 May-24 0 1 May-24 1 0 Sep-23 1 0 Sep-23 1 0 Jul-24 1
Mask) Dewasa
LACI CIRCULASI 0 0 0 0 0 0

1 Alkohol Swab 1 1 0 Dec-22 1 0 Dec-22 1 0 Dec-22 1 0 Dec-22 1 0 Dec-22 1 0 Dec-22 1

2 Blood Set 1 1 0 Sep-24 0 1 Sep-24 1 0 Jun-21 1 0 Jun-21 1 0 Jun-21 1 0 Jun-21 1

3 Elektrode 20 20 0 - 20 0 - 20 0 - 20 0 - 20 0 - 20 0 - 20

4 Foley Catheter 12 1 1 0 Nov-24 0 1 Nov-24 1 0 Nov-24 1 0 Nov-24 1 0 Nov-24 1 0 Nov-24 1

5 Foley Catheter 14 1 1 0 Nov-23 1 0 Nov-21 1 0 Nov-23 1 0 Aug-24 1 0 Nov-23 1 0 Nov-23 1

6 Foley Catheter 16 1 1 0 Nov-24 1 0 Nov-24 1 0 Nov-24 1 0 Nov-24 1 0 Nov-24 1 0 Nov-24 1

7 Foley Catheter 18 1 1 0 Jan-24 1 0 Jan-24 1 0 Jan-24 1 0 Jan-24 1 0 Jan-24 1 0 Jan-24 1

8 Foley Catheter 20 1 1 0 Feb-23 1 0 Feb-23 1 0 Feb-23 1 0 Feb-23 1 0 Feb-23 1 0 Feb-23 1

9 Foley Catheter 22 1 1 0 Jan-23 1 0 Jan-23 1 0 Jan-23 1 0 Jan-23 1 0 Jan-23 1 0 Jan-23 1

10 Handscoon Steril 6.5 2 2 0 Apr-25 2 0 Apr-25 2 0 Aug-24 2 0 Aug-24 2 0 Aug-24 2 0 Aug-24 2

11 Handscoon Steril 7 2 2 0 Mar-25 1 1 Mar-25 2 0 Jul-24 2 0 Mar-25 2 0 Mar-25 2 0 Mar-25 2

12 Handscoon Steril 7.5 2 2 0 Jul-24 2 0 Jul-24 2 0 Jan-25 2 0 Jul-24 2 0 Aug-24 2 0 Jul-24 2

13 Infus Set Mikro 2 2 0 Jan-24 1 1 Jan-24 2 0 Jan-24 2 0 Sep-21 2 0 Sep-21 2 0 Sep-21 2

14 Infus Set Makro 2 2 0 Sep-23 2 0 Sep-23 2 0 Aug-24 2 0 Dec-24 2 0 Dec-24 2 0 Dec-24 2

15 IV Catheter No 18 3 3 0 Jan-23 3 0 Jan-23 3 0 Jan-23 3 0 Jan-23 3 0 Jan-23 3 0 Jan-23 3

16 IV Catheter No 20 3 3 0 Dec-24 0 3 Dec-24 3 0 Apr-23 3 0 Apr-23 3 0 Apr-23 3 0 Sep-23 3

17 IV Catheter No 22 3 3 0 Jul-24 0 3 Jul-24 3 0 Jul-24 3 0 Jul-24 3 0 Jul-24 3 0 Jul-24 3

18 IV Catheter No 24 3 3 0 Jan-24 3 0 Jul-24 3 0 Jul-24 3 0 Jul-24 3 0 Jul-24 3 0 Jul-24 3

19 IV Catheter No 26 3 3 0 Jun-24 3 0 Sep-23 3 0 Sep-23 3 0 Sep-23 3 0 Sep-23 3 0 Sep-23 3

20 IVFD D10% 1 1 0 Oct-22 1 0 Oct-22 1 0 Feb-22 1 0 Oct-22 1 0 Dec-22 1 0 Oct-22 1

21 IVFD D5 ¼ NS 1 1 0 Mar-21 1 0 Mar-21 1 0 Dec-21 1 0 Mar-21 1 0 Mar-21 1 0 Mar-21 1

22 IVFD D5 ½ NS 1 1 0 Dec-21 1 0 Dec-21 1 0 Mar-21 1 0 Dec-21 1 0 Dec-21 1 0 Dec-21 1

23 IVFD D5% 1 1 0 Dec-22 1 0 Nov-22 1 0 Jul-22 1 0 Dec-22 1 0 Dec-22 1 0 Dec-22 1

24 IVFD NaCl 0,9% 100 ml 1 1 0 Nov-22 1 0 Nov-22 1 0 Nov-22 1 0 Nov-22 1 0 Nov-22 1 0 Mar-23 1

25 IVFD NaCl 0,9% 500 ml 1 1 0 Dec-24 1 0 Mar-21 1 0 Dec-24 1 0 Dec-24 1 0 Dec-24 1 0 Dec-24 1

26 IVFD RL 1 1 0 Nov-24 0 0 Mar-22 1 0 Nov-24 1 0 Nov-24 1 0 Nov-24 1 0 Nov-24 1

27 Needle 24G 2 2 0 Dec-23 2 0 Dec-23 2 0 Dec-23 2 0 Dec-23 2 0 Dec-23 2 0 Dec-23 2

28 NGT 5 1 1 0 May-24 1 0 May-24 1 0 May-24 1 0 Jun-22 1 0 Jun-22 1 0 Dec-21 1

29 NGT 6 1 1 0 Dec-24 1 0 Dec-24 1 0 Dec-24 1 0 Dec-24 1 0 Dec-24 1 0 Dec-24 1

30 NGT 8 1 1 0 May-24 1 0 May-24 1 0 May-24 1 0 May-24 1 0 May-24 1 0 May-24 1

31 NGT 10 1 1 0 May-24 1 0 May-24 1 0 May-24 1 0 May-24 1 0 May-24 1 0 May-24 1

32 NGT 12 1 1 0 Aug-23 1 0 Aug-23 1 0 Aug-23 1 0 Aug-23 1 0 Aug-23 1 0 Aug-23 1

33 NGT 14 1 1 0 May-24 1 0 May-24 1 0 May-24 1 0 May-24 1 0 May-24 1 0 May-24 1

34 NGT 16 1 1 0 Aug-24 1 0 Mar-24 1 0 Jul-24 1 0 Aug-24 1 0 Mar-24 1 0 Mar-24 1

35 NGT 18 1 1 0 Aug-24 1 0 Aug-24 1 0 Aug-24 1 0 Aug-24 1 0 Aug-24 1 0 Aug-24 1

36 Perfusor/Extension Tube 1 1 0 Jan-22 1 0 Jan-22 1 0 Jan-22 1 0 Jan-22 1 0 Jan-22 1 0 Jan-22 0

37 Syringe Disposibe 1 cc 5 5 0 Sep-24 1 4 Sep-24 5 0 Sep-24 5 0 Sep-24 5 0 Sep-24 5 0 Sep-24 5


38 Syringe Disposibe 3 cc 5 5 0 Sep-24 5 0 Sep-24 5 0 Sep-24 5 0 Feb-25 5 0 Feb-25 5 0 Feb-25 4

39 Syringe Disposibe 5 cc 5 5 0 Sep-24 5 0 Sep-24 5 0 Sep-24 5 0 Sep-24 5 0 Sep-24 5 0 Sep-24 5

40 Syringe Disposibe 10 cc 2 2 0 Aug-24 2 0 Sep-24 2 0 Aug-24 2 0 Aug-24 2 0 Aug-24 2 0 Aug-24 1

41 Syringe Disposibe 20 cc 2 2 0 Apr-24 2 0 Apr-24 2 0 Apr-24 2 0 Apr-24 2 0 Apr-24 2 0 Apr-24 2

42 Syringe Disposibe 50 cc 2 2 0 Oct-24 0 2 Oct-24 2 0 Oct-24 2 0 Oct-24 2 0 Oct-24 2 0 Oct-24 2

43 Three Way Stop Cock 2 2 0 Jul-24 2 0 Dec-24 2 0 Jun-24 2 0 Mar-24 2 0 Mar-24 2 0 Mar-24 2

Three Way with Tube


44 2 2 0 Jul-24 0 2 Jul-24 2 0 Dec-24 2 0 Jun-24 2 0 Jun-24 2 0 Jun-24 2
(Berekor)
45 Torniquiet 1 1 0 - 1 0 - 1 0 - 1 0 - 1 0 - 1 0 - 1

46 Urine Bag 1 1 0 Jul-22 1 0 Nov-24 1 0 Aug-24 1 0 Aug-24 1 0 Aug-24 1 0 Aug-24 1

47 Wing Needle 25G 3 3 0 Nov-24 3 0 Nov-24 3 0 Jul-24 3 0 Jul-24 3 0 Jul-24 3 0 Jul-24 3

48 Wing Needle 27G 3 3 0 Jan-25 3 0 Jan-25 3 0 Jan-25 3 0 Jan-25 3 0 Jan-25 3 0 Jan-25 3


RNP3 ED

TOTAL
0 Jun-22 21
0 Apr-21 25
0 Dec-22 21
0 Jan-22
70
0 Jun-21
35
0 Oct-21
21
0 Aug-21 21
0 Nov-22
35
0 Oct-21 18
0 Apr-23
35
0 Nov-22 21
0 Dec-21
35
0 Jun-21
35
0 Sep-21
21
0 Dec-21
35
0 Dec-21 21
0 Nov-21 70
0 Apr-22 18
0 May-22
34
0 Oct-22 35
0 Jan-22 21
0 Feb-22 21
0 Oct-22
21
0 Aug-21
21
0 Jul-21 21
0 Mar-22
19
0 Sep-23 21
0 Apr-23
35
0 Aug-22
21
0
0
0 Feb-23 21
0 0
0 Apr-24 7
0 Apr-24 7
0 Sep-24 7
0 Sep-24 7
0 Apr-24 7
0 May-23 7
0 Feb-22 7
0 Feb-22 7
0 Feb-23 7
0 Apr-23 7
0 Apr-24 7
0 Sep-22 7
0 Jun-23 6
0 Dec-22 7
0 - 3
0 - 6
0 Dec-22 6
0 Sep-22 7
0 Sep-22 7
0 - 2
0 Oct-20
7
0 -
7
0 Mar-23
7
0 Mar-21
6
0 -
0
0 -
0
0 Sep-24
7
0 Sep-24
7
0 2
0 0
0 Dec-23 6
0 - 7
0 Mar-24 6
0 Oct-24 7
0 Oct-24 6

0 -
6

0 Mar-24

0 -
7
0 -
7

0 May-24
6
0 0
0 Dec-22 7
0 Sep-24 6
0 - 140
0 Nov-24 6
0 Nov-21 7
0 Nov-24 7
0 Jan-24 7
0 Feb-23 7
0 Jan-23 7
0 Apr-25 14
0 Mar-25 13
0 Jul-24 14
0 Jan-24 13
0 Sep-23 14
0 Jan-23 21
0 Dec-24 18
0 Jul-24 18
0 Jul-24 21
0 Sep-23 21
0 Oct-22 7
0 Mar-21 7
0 Dec-21 7
0 Nov-22 7
0 Nov-22
7
0 Mar-21
7
0 Mar-22 6
0 Dec-23 14
0 May-24 7
0 Dec-24 7
0 May-24 7
0 May-24 7
0 Aug-23 7
0 May-24 7
0 Mar-24 7
0 Aug-24 7
1 Jan-22
6
0 Sep-24
31
1 Sep-24
34
0 Sep-24
35
1 Sep-24
13
0 Apr-24
14
0 Oct-24
12
0 Dec-24
14
0 Jul-24
12
0 - 7
0 Nov-24 7
0 Nov-24 21
0 Jan-25 21
No NAMA JML VK ED RNP ED IGD ED OT1 ED OT2 ED ICU ED

LACI OBAT
1 Aminophyllin inj 3 3 Jun-22 3 Jun-22 3 Jul-21 Jun-22 Jun-22 Jun-22

2 Amiodaron 50 mg/ml 5 0 5 Apr-21 0 5 Apr-21 0 5 Apr-21 Apr-21 Apr-21 Apr-21

3 Aquabides 25 ml 3 3 Dec-22 3 Dec-22 3 Mar-23 Dec-22 Dec-22 Mar-23

Aspirin 80 mg tab
4 10 10 Jan-22 10 Jan-22 10 Nov-21 Nov-21 Nov-21 Nov-21
(Miniaspi/Aspilet)

5 Atropin inj 0,25 mg/ml 5 5 Jun-21 5 Jun-21 5 Sep-21 Jun-21 Jun-21 Jun-21

6 Calcium Gluconate inj 3 3 Sep-21 3 Sep-21 3 Oct-21 Oct-21 Oct-21 Oct-21

7 Combivent nebules 3 3 Jul-21 3 Aug-21 3 Feb-21 Jul-21 Jul-21 Jul-21

Dexamethasone inj 5
8 5 5 Sep-21 5 Nov-22 5 Sep-21 Sep-21 Aug-21 Sep-21
mg/ml
9 Dextrosa 40% 25 ml 3 3 Oct-21 3 Apr-22 3 Sep-21 Oct-21 Oct-21 Oct-21

10 Diazepam inj 5 mg/ml 5 5 Jan-23 5 Apr-23 5 Jul-21 Jan-23 Jan-23 Jan-23

11 Digoxin inj 3 3 Nov-22 3 Nov-22 3 May-21 Nov-22 Nov-22 Nov-22

Diphenhidramin inj 10
12 5 5 Jan-22 5 Dec-21 5 Jan-22 Jan-22 Nov-22 Jan-22
mg/ml

13 Dobutamin inj 50 mg/ml 5 5 Nov-22 5 Jun-21 5 Jun-21 Nov-22 Nov-22 Jun-21

14 Dopamin inj 40 mg/ml 3 3 Sep-21 3 Sep-21 3 Sep-21 Sep-21 Sep-21 Sep-21

15 Epineprine inj 1 mg/ml 5 5 Dec-21 1 4 Dec-21 5 Dec-21 May-22 May-22 Mar-21

16 Furosemide inj 3 3 Dec-21 3 Dec-21 3 Jun-21 Dec-21 Dec-21 Dec-21

17 ISDN tab 10 10 Nov-21 9 1 Nov-21 10 Sep-21 Apr-21 Sep-21 Nov-21

18 KCL 7.46% 25 ml 3 3 Mar-22 3 Jul-22 3 Mar-22 Mar-22 Mar-22 Mar-22

19 Ketorolac inj 30 mg/ml 5 5 May-22 5 May-22 5 May-22 May-22 May-22 May-22

20 Lidocain inj 2% 5 5 Oct-22 5 Oct-22 5 Oct-22 Oct-22 Oct-22 Oct-22

21 Metilprednisolon inj 3 3 Jul-22 3 Jan-22 3 Nov-21 Jul-22 Jul-22 Jul-22

22 MgSO4 40% 25 ml 3 3 Feb-22 3 Feb-22 3 Feb-22 Jun-21 Feb-22 Feb-22

23 Midazolam inj 1 mg/ml 3 3 Oct-22 3 Oct-22 3 Sep-22 Oct-22 Oct-22 Jan-22

Natrium Bikarbonat 8,4%


24 3 3 Aug-21 3 Aug-21 3 Aug-21 Aug-21 Aug-21 Aug-21
25 ml
25 Nicardipin inj 3 3 Jun-22 3 Jun-22 3 Jun-22 Jul-21 Jul-21 Jul-21

Norepineprine inj 1
26 3 3 Mar-22 3 Mar-22 3 Mar-22 Mar-22 Mar-22 Mar-22
mg/ml
27 Phenitoin inj 3 3 Sep-23 3 Sep-23 3 Sep-23 Sep-23 Sep-23 Sep-23

Phenobarbital inj 50
28 5 5 Apr-23 5 Apr-23 5 Apr-23 Apr-23 Apr-23 Apr-23
mg/ml
Stesolid sup 10 mg
29 3 3 Aug-22 3 Aug-22 3 Aug-22 Aug-22 Aug-22 Aug-22
(Diazepam)
Stesolid supp 5 mg
30 0 - - -
(Diazepam)
31 Ventolin nebules 3 3 Sep-22 3 Feb-23 3 Aug-22 Sep-22 Sep-22 Aug-22

LACI AIRWAY
1 ETT 3 1 1 Apr-24 1 Apr-24 1 Apr-24 Apr-24 Apr-24 Apr-24

2 ETT 3.5 1 1 Apr-24 1 Apr-24 1 Apr-24 Apr-24 Apr-24 Apr-24

3 ETT 4 1 1 Sep-24 1 Sep-24 1 Sep-24 Sep-24 Sep-24 Sep-24

4 ETT 4.5 1 1 Jul-22 1 Sep-24 1 Jul-22 Sep-24 Sep-24 Sep-24

5 ETT 5 1 1 Apr-24 1 Apr-24 1 Apr-24 Apr-24 Apr-24 Apr-24

6 ETT 5.5 1 1 May-23 1 May-23 1 Jan-24 Apr-24 Apr-24 Apr-24


7 ETT 6 1 1 Feb-22 1 Feb-22 1 Apr-24 Apr-24 Apr-24 Apr-24

8 ETT 6.5 1 1 Apr-24 1 Feb-22 1 Feb-22 Apr-24 May-24 Apr-24

9 ETT 7 1 1 Aug-22 1 Feb-23 1 Feb-23 Jul-23 Apr-24 Apr-22

10 ETT 7.5 1 1 Apr-23 1 Apr-23 1 Jul-23 May-23 May-23 Apr-23

11 ETT 8 1 1 Apr-24 1 Apr-24 1 Apr-24 Apr-24 Apr-24 Apr-24

12 Gudel Biru 1 1 Sep-22 1 Sep-22 1 Sep-22 Sep-22 Sep-22 Sep-22

13 Gudel Hijau 1 1 Oct-22 0 1 Jun-23 1 Oct-22 Jun-23 Mar-23 Jun-23

14 Gudel Hitam 1 1 Dec-22 1 Dec-22 1 Dec-22 Dec-22 Dec-22 May-03

15 Gudel Kuning 1 0 - 0 - 0 - Feb-24 Feb-24 Jun-24

16 Gudel Merah 1 1 Jul-24 1 Sep-22 1 Sep-22 Jul-24 Jul-24 Jul-24

17 Gudel Orange 1 1 Dec-22 1 Dec-22 1 Jul-24 Dec-22 Dec-22 Dec-22

18 Gudel Pink 1 1 Sep-22 1 Sep-22 1 Sep-22 Sep-22 Sep-22 Sep-22

19 Gudel Putih 1 1 Sep-22 1 Sep-22 1 Sep-22 Sep-22 Sep-22 Sep-22

20 Laryngoscope 1 - - - - -

21 Suction Catheter No 10 1 1 Jan-25 1 Oct-20 1 Jan-25 Jan-25 Jan-25 Jan-25

22 Suction Catheter No 12 1 1 Sep-24 1 - 1 Sep-24 Sep-24 Sep-24 Sep-24

23 Suction Catheter No 14 1 1 Mar-23 1 Mar-23 1 Jun-25 Mar-23 Mar-23 Mar-23

24 Suction Catheter No 16 1 1 Mar-21 1 Mar-21 1 Mar-21 Mar-21 Mar-21 Mar-21

25 Suction Catheter No 18 0 - - - - - -

26 Suction Catheter No 20 0 - - - - - -

27 Suction Catheter No 6 1 1 Sep-24 1 Sep-24 1 Sep-24 Sep-24 Sep-24 Sep-24

28 Suction Catheter No 8 1 1 Sep-24 1 Sep-24 1 Dec-24 Sep-24 Sep-24 Sep-24

29 Valve Bag Mask 1 - - - -

LACI BREATHING
1 Nasal Canul Anak 1 1 Dec-23 1 Dec-23 1 Dec-23 Dec-23 Dec-23 Jun-22

2 Nasal Canul Bayi 1 1 - 1 - 1 - - - -

3 Nasal Canul Dewasa 1 1 Mar-24 1 May-24 1 Jan-24 Jan-24 Jan-24 Jan-24

4 Nebules Mask Anak 1 1 Oct-24 1 Oct-24 1 Oct-24 - - Oct-24

5 Nebules Mask Dewasa 1 1 Oct-24 1 Oct-24 1 Nov-23 Oct-24 Oct-24 Oct-24

Non Rebreathing Mask


6 Anak (Oxygen Mask with 1 1 - 1 - 1 - - - -
Reservoir)

Non Rebreathing Mask


7 Dewasa (Oxygen Mask 1 1 Mar-24 1 Mar-24 1 Feb-24 Mar-24 Mar-24 May-24
with Reservoir)

Sungkup Muka
8 Sederhana (Oxygen 1 1 - 1 - 1 - - - -
Mask) Anak

Sungkup Muka
9 Sederhana (Oxygen 1 1 - 1 - 1 - - - -
Mask) Bayi

Sungkup Muka
10 Sederhana (Oxygen 1 1 Aug-23 1 May-24 1 Aug-24 Sep-23 Sep-23 Jul-24
Mask) Dewasa
LACI CIRCULASI
1 Alkohol Swab 1 Dec-22 Dec-22 Dec-22 Dec-22 Dec-22 Dec-22

2 Blood Set 1 Sep-24 Sep-24 Jun-21 Jun-21 Jun-21 Jun-21


3 Elektrode 20 - - - - - -

4 Foley Catheter 12 1 Nov-24 Nov-24 Nov-24 Nov-24 Nov-24 Nov-24

5 Foley Catheter 14 1 Nov-23 Nov-21 Nov-23 Aug-24 Nov-23 Nov-23

6 Foley Catheter 16 1 Nov-24 Nov-24 Nov-24 Nov-24 Nov-24 Nov-24

7 Foley Catheter 18 1 Jan-24 Jan-24 Jan-24 Jan-24 Jan-24 Jan-24

8 Foley Catheter 20 1 Feb-23 Feb-23 Feb-23 Feb-23 Feb-23 Feb-23

9 Foley Catheter 22 1 Jan-23 Jan-23 Jan-23 Jan-23 Jan-23 Jan-23

10 Handscoon Steril 6.5 2 Apr-25 Apr-25 Aug-24 Aug-24 Aug-24 Aug-24

11 Handscoon Steril 7 2 Mar-25 Mar-25 Jul-24 Mar-25 Mar-25 Mar-25

12 Handscoon Steril 7.5 2 Jul-24 Jul-24 Jan-25 Jul-24 Aug-24 Jul-24

13 Infus Set Mikro 2 Jan-24 Jan-24 Jan-24 Sep-21 Sep-21 Sep-21

14 Infus Set Makro 2 Sep-23 Sep-23 Aug-24 Dec-24 Dec-24 Dec-24

15 IV Catheter No 18 3 Jan-23 Jan-23 Jan-23 Jan-23 Jan-23 Jan-23

16 IV Catheter No 20 3 Dec-24 Dec-24 Apr-23 Apr-23 Apr-23 Sep-23

17 IV Catheter No 22 3 Jul-24 Jul-24 Jul-24 Jul-24 Jul-24 Jul-24

18 IV Catheter No 24 3 Jan-24 Jul-24 Jul-24 Jul-24 Jul-24 Jul-24

19 IV Catheter No 26 3 Jun-24 Sep-23 Sep-23 Sep-23 Sep-23 Sep-23

20 IVFD D10% 1 Oct-22 Oct-22 Feb-22 Oct-22 Dec-22 Oct-22

21 IVFD D5 ¼ NS 1 Mar-21 Mar-21 Dec-21 Mar-21 Mar-21 Mar-21

22 IVFD D5 ½ NS 1 Dec-21 Dec-21 Mar-21 Dec-21 Dec-21 Dec-21

23 IVFD D5% 1 Dec-22 Nov-22 Jul-22 Dec-22 Dec-22 Dec-22

24 IVFD NaCl 0,9% 100 ml 1 Nov-22 Nov-22 Nov-22 Nov-22 Nov-22 Mar-23

25 IVFD NaCl 0,9% 500 ml 1 Dec-24 Mar-21 Dec-24 Dec-24 Dec-24 Dec-24

26 IVFD RL 1 Nov-24 Mar-22 Nov-24 Nov-24 Nov-24 Nov-24

27 Needle 24G 2 Dec-23 Dec-23 Dec-23 Dec-23 Dec-23 Dec-23

28 NGT 5 1 May-24 May-24 May-24 Jun-22 Jun-22 Dec-21

29 NGT 6 1 Dec-24 Dec-24 Dec-24 Dec-24 Dec-24 Dec-24

30 NGT 8 1 May-24 May-24 May-24 May-24 May-24 May-24

31 NGT 10 1 May-24 May-24 May-24 May-24 May-24 May-24

32 NGT 12 1 Aug-23 Aug-23 Aug-23 Aug-23 Aug-23 Aug-23

33 NGT 14 1 May-24 May-24 May-24 May-24 May-24 May-24

34 NGT 16 1 Aug-24 Mar-24 Jul-24 Aug-24 Mar-24 Mar-24

35 NGT 18 1 Aug-24 Aug-24 Aug-24 Aug-24 Aug-24 Aug-24

36 Perfusor/Extension Tube 1 Jan-22 Jan-22 Jan-22 Jan-22 Jan-22 Jan-22

37 Syringe Disposibe 1 cc 5 Sep-24 Sep-24 Sep-24 Sep-24 Sep-24 Sep-24

38 Syringe Disposibe 3 cc 5 Sep-24 Sep-24 Sep-24 Feb-25 Feb-25 Feb-25

39 Syringe Disposibe 5 cc 5 Sep-24 Sep-24 Sep-24 Sep-24 Sep-24 Sep-24

40 Syringe Disposibe 10 cc 2 Aug-24 Sep-24 Aug-24 Aug-24 Aug-24 Aug-24

41 Syringe Disposibe 20 cc 2 Apr-24 Apr-24 Apr-24 Apr-24 Apr-24 Apr-24

42 Syringe Disposibe 50 cc 2 Oct-24 Oct-24 Oct-24 Oct-24 Oct-24 Oct-24

43 Three Way Stop Cock 2 Jul-24 Dec-24 Jun-24 Mar-24 Mar-24 Mar-24

Three Way with Tube


44 2 Jul-24 Jul-24 Dec-24 Jun-24 Jun-24 Jun-24
(Berekor)
45 Torniquiet 1 - - - - - -
46 Urine Bag 1 Jul-22 Nov-24 Aug-24 Aug-24 Aug-24 Aug-24

47 Wing Needle 25G 3 Nov-24 Nov-24 Jul-24 Jul-24 Jul-24 Jul-24

48 Wing Needle 27G 3 Jan-25 Jan-25 Jan-25 Jan-25 Jan-25 Jan-25


RNP3 ED

3 Jun-22

0 5 Apr-21

3 May-23

10 Mar-22

5 Oct-21

3 Sep-22

3 Aug-21

5 Oct-22

3 Apr-22

5 Jan-23

3 Nov-22

5 Apr-22

5 Apr-23

3 Sep-21

5 Dec-21

3 Jun-22

10 Nov-21

3 Jul-22

5 Apr-23

5 Oct-22

3 Jan-22

3 Feb-22

3 Oct-22

3 Aug-21

3 Jun-22

3 Mar-22

3 May-22

5 May-23

3 Mar-23

3 Sep-22

3 Feb-23

1 Apr-24

1 Apr-24

1 Sep-24

1 Sep-24

1 Apr-24

1 May-23
1 Feb-22

1 Feb-22

1 Feb-23

1 Apr-23

1 Apr-24

1 Sep-22

1 Jun-23

1 Dec-22

1 -

1 -

1 Dec-22

1 Sep-22

1 Sep-22

1 Oct-20

1 -

1 Mar-23

1 Mar-21

0 1 Sep-24

1 Sep-24

0 1 Mar-25

1 Mar-25

1 May-24

1 Oct-24

1 Oct-24

1 -

1 Feb-24

1 -

1 -

1 Aug-24

Dec-22

Sep-24
-

Nov-24

Nov-21

Nov-24

Jan-24

Feb-23

Jan-23

Apr-25

Mar-25

Jul-24

Jan-24

Sep-23

Jan-23

Dec-24

Jul-24

Jul-24

Sep-23

Oct-22

Mar-21

Dec-21

Nov-22

Nov-22

Mar-21

Mar-22

Dec-23

May-24

Dec-24

May-24

May-24

Aug-23

May-24

Mar-24

Aug-24

Jan-22

Sep-24

Sep-24

Sep-24

Sep-24

Apr-24

Oct-24

Dec-24

Jul-24

-
Nov-24

Nov-24

Jan-25
No NAMA JML VK ED RNP ED IGD ED OT1 ED OT2 ED ICU ED RNP3

LACI OBAT
1 Aminophyllin inj 3 3 0 Jun-22 3 0 Jun-22 3 0 Jul-21 3 0 Jun-22 3 0 Jun-22 3 0 Jun-22 3

2 Amiodaron 50 mg/ml 0 0 ### - 0 0 - 0 0 - 0 0 - 0 0 - 0 0 - 0

3 Aquabides 25 ml 3 3 0 Dec-22 2 1 Dec-22 3 0 Dec-22 3 0 Dec-22 3 0 Dec-22 3 0 Mar-23 3

Aspirin 80 mg tab
4 10 10 0 Jan-22 10 0 Jan-22 10 0 Nov-21 10 0 Nov-21 10 0 Nov-21 10 0 Nov-21 10
(Miniaspi/Aspilet)

5 Atropin inj 0,25 mg/ml 5 5 0 Jun-21 5 0 Jun-21 5 0 Sep-21 5 0 Jun-21 5 0 Jun-21 5 0 Jun-21 5

6 Calcium Gluconate inj 3 3 0 Sep-21 3 0 Oct-21 3 0 Oct-21 3 0 Oct-21 3 0 Oct-21 3 0 Oct-21 3

7 Combivent nebules 3 3 0 Jul-21 3 0 Aug-21 3 0 Feb-21 3 0 Jul-21 3 0 Jul-21 3 0 Jul-21 3

Dexamethasone inj 5
8 5 5 0 Sep-21 3 2 Nov-22 5 0 Sep-21 5 0 Sep-21 5 0 Aug-21 5 0 Sep-21 5
mg/ml
9 Dextrosa 40% 25 ml 3 3 0 Oct-21 0 3 Oct-21 3 0 Mar-21 3 0 Oct-21 3 0 Oct-21 3 0 Oct-21 3

10 Diazepam inj 5 mg/ml 5 5 0 Jan-23 5 0 Apr-23 5 0 Jul-21 5 0 Jan-23 5 0 Jan-23 5 0 Jan-23 5

11 Digoxin inj 3 3 0 Nov-22 3 0 Nov-22 3 0 May-21 3 0 Nov-22 3 0 Nov-22 3 0 Nov-22 3

Diphenhidramin inj 10
12 5 5 0 Jan-22 5 0 Dec-21 5 0 Jan-22 5 0 Jan-22 5 0 Nov-22 5 0 Jan-22 5
mg/ml

13 Dobutamin inj 50 mg/ml 5 5 0 Nov-22 5 0 Jun-21 5 0 Jun-21 5 0 Nov-22 5 0 Nov-22 5 0 Jun-21 5

14 Dopamin inj 40 mg/ml 3 3 0 Sep-21 3 0 Sep-21 3 0 Sep-21 3 0 Sep-21 3 0 Sep-21 3 0 Sep-21 3

15 Epineprine inj 1 mg/ml 5 5 0 Mar-21 2 3 Dec-21 5 0 Mar-21 5 0 May-22 5 0 May-22 5 0 Mar-21 5

16 Furosemide inj 3 3 0 Dec-21 3 0 Dec-21 3 0 Jun-21 3 0 Dec-21 3 0 Dec-21 3 0 Dec-21 3

17 ISDN tab 10 10 0 Nov-21 10 0 Nov-21 10 0 Sep-21 10 0 Apr-21 10 0 Sep-21 10 0 Nov-21 10

18 KCL 7.46% 25 ml 3 3 0 Mar-22 0 3 Apr-22 3 0 Mar-22 3 0 Mar-22 3 0 Mar-22 3 0 Mar-22 3

19 Ketorolac inj 30 mg/ml 5 5 0 May-22 4 1 May-22 5 0 May-22 5 0 May-22 5 0 May-22 5 0 May-22 5

20 Lidocain inj 2% 5 5 0 Oct-22 5 0 Oct-22 5 0 Oct-22 5 0 Oct-22 5 0 Oct-22 5 0 Oct-22 5

21 Metilprednisolon inj 3 3 0 Jul-22 3 0 Jan-22 3 0 Nov-21 3 0 Jul-22 3 0 Jul-22 3 0 Jul-22 3

22 MgSO4 40% 25 ml 3 3 0 Feb-22 3 0 Feb-22 3 0 Feb-22 3 0 Jun-21 3 0 Feb-22 3 0 Feb-22 3

23 Midazolam inj 1 mg/ml 3 3 0 Oct-22 3 0 Oct-22 3 0 Sep-22 3 0 Oct-22 3 0 Oct-22 3 0 Jan-22 3

Natrium Bikarbonat 8,4%


24 3 3 0 Aug-21 3 0 Aug-21 3 0 Aug-21 3 0 Aug-21 3 0 Aug-21 3 0 Aug-21 3
25 ml
25 Nicardipin inj 3 3 0 Jul-21 3 0 Jul-21 3 0 Jul-21 3 0 Jul-21 3 0 Jul-21 3 0 Jul-21 3

Norepineprine inj 1
26 3 3 0 Mar-22 0 3 Mar-22 3 0 Mar-22 3 0 Mar-22 3 0 Mar-22 3 0 Mar-22 3
mg/ml
27 Phenitoin inj 3 3 0 Sep-23 3 0 Sep-23 3 0 Sep-23 3 0 Sep-23 3 0 Sep-23 3 0 Sep-23 3

Phenobarbital inj 50
28 5 5 0 Apr-23 5 0 Apr-23 5 0 Apr-23 5 0 Apr-23 5 0 Apr-23 5 0 Apr-23 5
mg/ml
Stesolid sup 10 mg
29 3 3 0 Aug-22 3 0 Aug-22 3 0 Aug-22 3 0 Aug-22 3 0 Aug-22 3 0 Aug-22 3
(Diazepam)
Stesolid supp 5 mg
30 0 0 0 - 0 0 0 0 0 0 - 0 0 - 0 0 0
(Diazepam)
31 Ventolin nebules 3 3 0 Sep-22 3 0 Feb-23 3 0 Aug-22 3 0 Sep-22 3 0 Sep-22 3 0 Aug-22 3

LACI AIRWAY 0 0 0 0 0 0

1 ETT 3 1 1 0 Apr-24 1 0 Apr-24 1 0 Apr-24 1 0 Apr-24 1 0 Apr-24 1 0 Apr-24 1

2 ETT 3.5 1 1 0 Apr-24 1 0 Apr-24 1 0 Apr-24 1 0 Apr-24 1 0 Apr-24 1 0 Apr-24 1

3 ETT 4 1 1 0 Sep-24 1 0 Sep-24 1 0 Sep-24 1 0 Sep-24 1 0 Sep-24 1 0 Sep-24 1


4 ETT 4.5 1 1 0 Jul-22 1 0 Sep-24 1 0 Jul-22 1 0 Sep-24 1 0 Sep-24 1 0 Sep-24 1

5 ETT 5 1 1 0 Apr-24 1 0 Apr-24 1 0 Apr-24 1 0 Apr-24 1 0 Apr-24 1 0 Apr-24 1

6 ETT 5.5 1 1 0 May-23 1 0 May-23 1 0 Jan-24 1 0 Apr-24 1 0 Apr-24 1 0 Apr-24 1

7 ETT 6 1 1 0 Feb-22 1 0 Feb-22 1 0 Apr-24 1 0 Apr-24 1 0 Apr-24 1 0 Apr-24 1

8 ETT 6.5 1 1 0 Apr-24 1 0 Feb-22 1 0 Feb-22 1 0 Apr-24 1 0 May-24 1 0 Apr-24 1

9 ETT 7 1 1 0 Aug-22 1 0 Feb-23 1 0 Feb-23 1 0 Jul-23 1 0 Apr-24 1 0 Apr-22 1

10 ETT 7.5 1 1 0 Apr-23 1 0 Apr-23 1 0 Jul-23 1 0 May-23 1 0 May-23 1 0 Apr-23 1

11 ETT 8 1 1 0 Apr-24 1 0 Apr-24 1 0 Apr-24 1 0 Apr-24 1 0 Apr-24 1 0 Apr-24 1

12 Gudel Biru 1 1 0 Sep-22 1 0 Sep-22 1 0 Sep-22 1 0 Sep-22 1 0 Sep-22 1 0 Sep-22 1

13 Gudel Hijau 1 1 0 Oct-22 1 0 Jun-23 0 1 Oct-22 1 0 Jun-23 1 0 Mar-23 1 0 Jun-23 1

14 Gudel Hitam 1 1 0 Dec-22 1 0 Dec-22 1 0 Dec-22 1 0 Dec-22 1 0 Dec-22 1 0 May-03 1

15 Gudel Kuning 1 0 0 - 0 0 - 0 0 - 1 0 Feb-24 1 0 Feb-24 1 0 Jun-24 0

16 Gudel Merah 1 1 0 Jul-24 1 0 - 0 1 Sep-22 1 0 Jul-24 1 0 Jul-24 1 0 Jul-24 1

17 Gudel Orange 1 1 0 Dec-22 1 0 Dec-22 0 1 Jul-24 1 0 Dec-22 1 0 Dec-22 1 0 Dec-22 1

18 Gudel Pink 1 1 0 Sep-22 1 0 Sep-22 1 0 Sep-22 1 0 Sep-22 1 0 Sep-22 1 0 Sep-22 1

19 Gudel Putih 1 1 0 Sep-22 1 0 Sep-22 1 0 Sep-22 1 0 Sep-22 1 0 Sep-22 1 0 Sep-22 1

20 Laryngoscope 1 0 0 - 0 0 - 1 0 0 0 - 0 0 - 1 0 - 0

21 Suction Catheter No 10 1 1 0 Jan-25 1 0 Oct-20 1 0 Jan-25 1 0 Jan-25 1 0 Jan-25 1 0 Jan-25 1

22 Suction Catheter No 12 1 1 0 Sep-24 1 0 - 1 0 Sep-24 1 0 Sep-24 1 0 Sep-24 1 0 Sep-24 1

23 Suction Catheter No 14 1 1 0 Mar-23 1 0 Mar-23 1 0 Jun-25 1 0 Mar-23 1 0 Mar-23 1 0 Mar-23 1

24 Suction Catheter No 16 1 1 0 Mar-21 1 0 Mar-21 0 1 Mar-21 1 0 Mar-21 1 0 Mar-21 1 0 Mar-21 1

25 Suction Catheter No 18 0 0 0 - 0 0 - 0 0 - 0 0 - 0 0 - 0 0 - 0

26 Suction Catheter No 20 0 0 0 - 0 0 - 0 0 - 0 0 - 0 0 - 0 0 - 0

27 Suction Catheter No 6 1 1 0 Sep-24 1 0 Sep-24 1 0 Sep-24 1 0 Sep-24 1 0 Sep-24 1 0 Sep-24 1

28 Suction Catheter No 8 1 1 0 Sep-24 1 0 Sep-24 1 0 Dec-24 1 0 Sep-24 1 0 Sep-24 1 0 Sep-24 1

29 Valve Bag Mask 1 0 0 - 0 0 1 0 0 0 - 0 0 - 1 0 - 0

LACI BREATHING 0 0 0 0 0 0

1 Nasal Canul Anak 1 1 0 Dec-23 0 1 Dec-23 1 0 Dec-23 1 0 Dec-23 1 0 Dec-23 1 0 Jun-22 1

2 Nasal Canul Bayi 1 1 0 - 1 0 - 1 0 - 1 0 - 1 0 - 1 0 - 1

3 Nasal Canul Dewasa 1 1 0 Mar-24 0 1 Mar-24 1 0 Jan-24 1 0 Jan-24 1 0 Jan-24 1 0 Jan-24 1

4 Nebules Mask Anak 1 1 0 Oct-24 1 0 Oct-24 1 0 Oct-24 1 0 - 1 0 - 1 0 Oct-24 1

5 Nebules Mask Dewasa 1 1 0 Oct-24 1 0 Oct-24 0 1 - 1 0 Oct-24 1 0 Oct-24 1 0 Oct-24 1

Non Rebreathing Mask


6 Anak (Oxygen Mask with 1 1 0 - 1 0 - 0 1 - 1 0 - 1 0 - 1 0 - 1
Reservoir)

Non Rebreathing Mask


7 Dewasa (Oxygen Mask 1 1 0 Mar-24 0 1 Mar-24 1 0 Nov-24 1 0 Mar-24 1 0 Mar-24 1 0 May-24 1
with Reservoir)

Sungkup Muka
8 Sederhana (Oxygen 1 1 0 - 1 0 - 1 0 - 1 0 - 1 0 - 1 0 - 1
Mask) Anak
Sungkup Muka
9 Sederhana (Oxygen 1 1 0 - 1 0 - 1 0 - 1 0 - 1 0 - 1 0 - 1
Mask) Bayi

Sungkup Muka
10 Sederhana (Oxygen 1 1 0 Aug-23 1 0 May-24 0 1 May-24 1 0 Sep-23 1 0 Sep-23 1 0 Jul-24 1
Mask) Dewasa
LACI CIRCULASI 0 0 0 0 0 0

1 Alkohol Swab 1 1 0 Dec-22 1 0 Dec-22 1 0 Dec-22 1 0 Dec-22 1 0 Dec-22 1 0 Dec-22 1

2 Blood Set 1 1 0 Sep-24 0 1 Sep-24 1 0 Jun-21 1 0 Jun-21 1 0 Jun-21 1 0 Jun-21 1

3 Elektrode 20 20 0 - 20 0 - 20 0 - 20 0 - 20 0 - 20 0 - 20

4 Foley Catheter 12 1 1 0 Nov-24 0 1 Nov-24 1 0 Nov-24 1 0 Nov-24 1 0 Nov-24 1 0 Nov-24 1

5 Foley Catheter 14 1 1 0 Nov-23 1 0 Nov-21 1 0 Nov-23 1 0 Aug-24 1 0 Nov-23 1 0 Nov-23 1

6 Foley Catheter 16 1 1 0 Nov-24 1 0 Nov-24 1 0 Nov-24 1 0 Nov-24 1 0 Nov-24 1 0 Nov-24 1

7 Foley Catheter 18 1 1 0 Jan-24 1 0 Jan-24 1 0 Jan-24 1 0 Jan-24 1 0 Jan-24 1 0 Jan-24 1

8 Foley Catheter 20 1 1 0 Feb-23 1 0 Feb-23 1 0 Feb-23 1 0 Feb-23 1 0 Feb-23 1 0 Feb-23 1

9 Foley Catheter 22 1 1 0 Jan-23 1 0 Jan-23 1 0 Jan-23 1 0 Jan-23 1 0 Jan-23 1 0 Jan-23 1

10 Handscoon Steril 6.5 2 2 0 Apr-25 2 0 Apr-25 2 0 Aug-24 2 0 Aug-24 2 0 Aug-24 2 0 Aug-24 2

11 Handscoon Steril 7 2 2 0 Mar-25 1 1 Mar-25 2 0 Jul-24 2 0 Mar-25 2 0 Mar-25 2 0 Mar-25 2

12 Handscoon Steril 7.5 2 2 0 Jul-24 2 0 Jul-24 2 0 Jan-25 2 0 Jul-24 2 0 Aug-24 2 0 Jul-24 2

13 Infus Set Mikro 2 2 0 Jan-24 1 1 Jan-24 2 0 Jan-24 2 0 Sep-21 2 0 Sep-21 2 0 Sep-21 2

14 Infus Set Makro 2 2 0 Sep-23 2 0 Sep-23 2 0 Aug-24 2 0 Dec-24 2 0 Dec-24 2 0 Dec-24 2

15 IV Catheter No 18 3 3 0 Jan-23 3 0 Jan-23 3 0 Jan-23 3 0 Jan-23 3 0 Jan-23 3 0 Jan-23 3

16 IV Catheter No 20 3 3 0 Dec-24 0 3 Dec-24 3 0 Apr-23 3 0 Apr-23 3 0 Apr-23 3 0 Sep-23 3

17 IV Catheter No 22 3 3 0 Jul-24 0 3 Jul-24 3 0 Jul-24 3 0 Jul-24 3 0 Jul-24 3 0 Jul-24 3

18 IV Catheter No 24 3 3 0 Jan-24 3 0 Jul-24 3 0 Jul-24 3 0 Jul-24 3 0 Jul-24 3 0 Jul-24 3

19 IV Catheter No 26 3 3 0 Jun-24 3 0 Sep-23 3 0 Sep-23 3 0 Sep-23 3 0 Sep-23 3 0 Sep-23 3

20 IVFD D10% 1 1 0 Oct-22 1 0 Oct-22 1 0 Feb-22 1 0 Oct-22 1 0 Dec-22 1 0 Oct-22 1

21 IVFD D5 ¼ NS 1 1 0 Mar-21 1 0 Mar-21 1 0 Dec-21 1 0 Mar-21 1 0 Mar-21 1 0 Mar-21 1

22 IVFD D5 ½ NS 1 1 0 Dec-21 1 0 Dec-21 1 0 Mar-21 1 0 Dec-21 1 0 Dec-21 1 0 Dec-21 1

23 IVFD D5% 1 1 0 Dec-22 1 0 Nov-22 1 0 Jul-22 1 0 Dec-22 1 0 Dec-22 1 0 Dec-22 1

24 IVFD NaCl 0,9% 100 ml 1 1 0 Nov-22 1 0 Nov-22 1 0 Nov-22 1 0 Nov-22 1 0 Nov-22 1 0 Mar-23 1

25 IVFD NaCl 0,9% 500 ml 1 1 0 Dec-24 1 0 Mar-21 1 0 Dec-24 1 0 Dec-24 1 0 Dec-24 1 0 Dec-24 1

26 IVFD RL 1 1 0 Nov-24 0 0 Mar-22 1 0 Nov-24 1 0 Nov-24 1 0 Nov-24 1 0 Nov-24 1

27 Needle 24G 2 2 0 Dec-23 2 0 Dec-23 2 0 Dec-23 2 0 Dec-23 2 0 Dec-23 2 0 Dec-23 2

28 NGT 5 1 1 0 May-24 1 0 May-24 1 0 May-24 1 0 Jun-22 1 0 Jun-22 1 0 Dec-21 1

29 NGT 6 1 1 0 Dec-24 1 0 Dec-24 1 0 Dec-24 1 0 Dec-24 1 0 Dec-24 1 0 Dec-24 1

30 NGT 8 1 1 0 May-24 1 0 May-24 1 0 May-24 1 0 May-24 1 0 May-24 1 0 May-24 1

31 NGT 10 1 1 0 May-24 1 0 May-24 1 0 May-24 1 0 May-24 1 0 May-24 1 0 May-24 1

32 NGT 12 1 1 0 Aug-23 1 0 Aug-23 1 0 Aug-23 1 0 Aug-23 1 0 Aug-23 1 0 Aug-23 1

33 NGT 14 1 1 0 May-24 1 0 May-24 1 0 May-24 1 0 May-24 1 0 May-24 1 0 May-24 1

34 NGT 16 1 1 0 Aug-24 1 0 Mar-24 1 0 Jul-24 1 0 Aug-24 1 0 Mar-24 1 0 Mar-24 1

35 NGT 18 1 1 0 Aug-24 1 0 Aug-24 1 0 Aug-24 1 0 Aug-24 1 0 Aug-24 1 0 Aug-24 1

36 Perfusor/Extension Tube 1 1 0 Jan-22 1 0 Jan-22 1 0 Jan-22 1 0 Jan-22 1 0 Jan-22 1 0 Jan-22 0

37 Syringe Disposibe 1 cc 5 5 0 Sep-24 1 4 Sep-24 5 0 Sep-24 5 0 Sep-24 5 0 Sep-24 5 0 Sep-24 5


38 Syringe Disposibe 3 cc 5 5 0 Sep-24 5 0 Sep-24 5 0 Sep-24 5 0 Feb-25 5 0 Feb-25 5 0 Feb-25 4

39 Syringe Disposibe 5 cc 5 5 0 Sep-24 5 0 Sep-24 5 0 Sep-24 5 0 Sep-24 5 0 Sep-24 5 0 Sep-24 5

40 Syringe Disposibe 10 cc 2 2 0 Aug-24 2 0 Sep-24 2 0 Aug-24 2 0 Aug-24 2 0 Aug-24 2 0 Aug-24 1

41 Syringe Disposibe 20 cc 2 2 0 Apr-24 2 0 Apr-24 2 0 Apr-24 2 0 Apr-24 2 0 Apr-24 2 0 Apr-24 2

42 Syringe Disposibe 50 cc 2 2 0 Oct-24 0 2 Oct-24 2 0 Oct-24 2 0 Oct-24 2 0 Oct-24 2 0 Oct-24 2

43 Three Way Stop Cock 2 2 0 Jul-24 2 0 Dec-24 2 0 Jun-24 2 0 Mar-24 2 0 Mar-24 2 0 Mar-24 2

Three Way with Tube


44 2 2 0 Jul-24 0 2 Jul-24 2 0 Dec-24 2 0 Jun-24 2 0 Jun-24 2 0 Jun-24 2
(Berekor)
45 Torniquiet 1 1 0 - 1 0 - 1 0 - 1 0 - 1 0 - 1 0 - 1

46 Urine Bag 1 1 0 Jul-22 1 0 Nov-24 1 0 Aug-24 1 0 Aug-24 1 0 Aug-24 1 0 Aug-24 1

47 Wing Needle 25G 3 3 0 Nov-24 3 0 Nov-24 3 0 Jul-24 3 0 Jul-24 3 0 Jul-24 3 0 Jul-24 3

48 Wing Needle 27G 3 3 0 Jan-25 3 0 Jan-25 3 0 Jan-25 3 0 Jan-25 3 0 Jan-25 3 0 Jan-25 3


RNP3 ED

0 Jun-22 21
0 - 0
0 Dec-22 20
0 Jan-22
70
0 Jun-21
35
0 Oct-21
21
0 Aug-21 21
0 Nov-22
33
0 Oct-21 18
0 Apr-23
35
0 Nov-22 21
0 Dec-21
35
0 Jun-21
35
0 Sep-21
21
0 Dec-21
32
0 Dec-21 21
0 Nov-21 70
0 Apr-22 18
0 May-22
34
0 Oct-22 35
0 Jan-22 21
0 Feb-22 21
0 Oct-22
21
0 Aug-21
21
0 Jul-21 21
0 Mar-22
18
0 Sep-23 21
0 Apr-23
35
0 Aug-22
21
0
0
0 Feb-23 21
0 0
0 Apr-24 7
0 Apr-24 7
0 Sep-24 7
0 Sep-24 7
0 Apr-24 7
0 May-23 7
0 Feb-22 7
0 Feb-22 7
0 Feb-23 7
0 Apr-23 7
0 Apr-24 7
0 Sep-22 7
0 Jun-23 6
0 Dec-22 7
0 - 3
0 - 6
0 Dec-22 6
0 Sep-22 7
0 Sep-22 7
0 - 2
0 Oct-20
7
0 -
7
0 Mar-23
7
0 Mar-21
6
0 -
0
0 -
0
0 Sep-24
7
0 Sep-24
7
0 2
0 0
0 Dec-23 6
0 - 7
0 Mar-24 6
0 Oct-24 7
0 Oct-24 6

0 -
6

0 Mar-24

0 -
7
0 -
7

0 May-24
6
0 0
0 Dec-22 7
0 Sep-24 6
0 - 140
0 Nov-24 6
0 Nov-21 7
0 Nov-24 7
0 Jan-24 7
0 Feb-23 7
0 Jan-23 7
0 Apr-25 14
0 Mar-25 13
0 Jul-24 14
0 Jan-24 13
0 Sep-23 14
0 Jan-23 21
0 Dec-24 18
0 Jul-24 18
0 Jul-24 21
0 Sep-23 21
0 Oct-22 7
0 Mar-21 7
0 Dec-21 7
0 Nov-22 7
0 Nov-22
7
0 Mar-21
7
0 Mar-22 6
0 Dec-23 14
0 May-24 7
0 Dec-24 7
0 May-24 7
0 May-24 7
0 Aug-23 7
0 May-24 7
0 Mar-24 7
0 Aug-24 7
1 Jan-22
6
0 Sep-24
31
1 Sep-24
34
0 Sep-24
35
1 Sep-24
13
0 Apr-24
14
0 Oct-24
12
0 Dec-24
14
0 Jul-24
12
0 - 7
0 Nov-24 7
0 Nov-24 21
0 Jan-25 21
No NAMA JML VK ED RNP ED IGD ED OT1 ED OT2 ED ICU ED RNP3

LACI OBAT
1 Aminophyllin inj 3 3 0 Jun-22 3 0 Jun-22 3 0 Jun-22 3 0 Jun-22 3 0 Jun-22 3 0 Jun-22 3

2 Amiodaron 50 mg/ml 0 0 - 0 0 - 0 0 - 0 0 - 0 0 - 0 0 - 0

3 Aquabides 25 ml 3 3 0 Dec-22 3 0 Dec-22 3 0 Dec-23 3 0 Dec-22 3 0 Dec-22 3 0 Mar-23 3

Aspirin 80 mg tab
4 10 10 0 Nov-21 10 0 Jan-22 10 0 Nov-21 10 0 Nov-21 10 0 Nov-21 10 0 Nov-21 10
(Miniaspi/Aspilet)

5 Atropin inj 0,25 mg/ml 5 5 0 Oct-21 5 0 Oct-21 5 0 Oct-21 5 0 Oct-21 5 0 Oct-21 5 0 Oct-21 5

6 Calcium Gluconate inj 3 0 3 Nov-23 3 0 Oct-21 3 0 Nov-23 3 0 Oct-21 3 0 Oct-21 3 0 Oct-21 3

7 Combivent nebules 3 3 0 Jan-22 3 0 Jan-22 0 3 Jan-22 3 0 Jan-22 3 0 Jan-22 3 0 Jan-22 3

Dexamethasone inj 5
8 5 5 0 Sep-21 5 0 Jan-24 5 0 Sep-21 5 0 Sep-21 5 0 Sep-21 5 0 Aug-21 5
mg/ml
9 Dextrosa 40% 25 ml 3 3 0 Oct-21 0 3 Jun-22 3 0 Oct-21 3 0 Oct-21 3 0 Oct-21 3 0 Oct-21 3

10 Diazepam inj 5 mg/ml 5 5 0 Jan-23 5 0 Apr-23 5 0 Apr-23 5 0 Jan-23 5 0 Jan-23 5 0 Jan-23 5

11 Digoxin inj 3 3 0 Nov-22 3 0 Nov-22 3 0 Nov-22 3 0 Nov-22 3 0 Nov-22 3 0 Nov-22 3

Diphenhidramin inj 10
12 5 5 0 Jan-22 5 0 Jan-22 5 0 Jan-22 5 0 Jan-22 5 0 Jan-22 5 0 Jan-22 5
mg/ml

13 Dobutamin inj 50 mg/ml 5 5 0 Nov-22 5 0 Nov-22 5 0 Nov-22 5 0 Nov-22 5 0 Nov-22 5 0 Jun-21 5

14 Dopamin inj 40 mg/ml 3 3 0 Sep-21 3 0 Sep-21 3 0 Sep-21 3 0 Sep-21 3 0 Sep-21 3 0 Sep-21 3

15 Epineprine inj 1 mg/ml 5 5 0 May-22 4 1 Dec-21 5 0 Dec-21 5 0 Dec-21 5 0 May-22 3 2 Dec-21 5

16 Furosemide inj 3 3 0 Dec-21 3 0 Dec-21 3 0 Jun-22 3 0 Dec-21 3 0 Dec-21 3 0 Dec-21 3

17 ISDN tab 10 10 0 Nov-21 10 0 Nov-21 10 0 Sep-21 10 0 Sep-21 10 0 Sep-21 10 0 Nov-21 10

18 KCL 7.46% 25 ml 3 3 0 Mar-22 3 0 Jul-22 3 0 Mar-22 3 0 Mar-22 3 0 Mar-22 3 0 Jul-22 3

19 Ketorolac inj 30 mg/ml 5 5 0 May-22 4 1 May-22 5 0 May-22 5 0 May-22 5 0 May-22 5 0 May-22 5

20 Lidocain inj 2% 5 5 0 Oct-22 5 0 Apr-23 5 0 Oct-22 5 0 Oct-22 5 0 Oct-22 5 0 Oct-22 5

21 Metilprednisolon inj 3 3 0 Jul-22 3 0 Jan-22 3 0 Nov-21 3 0 Jul-22 3 0 Jul-22 3 0 Jul-22 3

22 MgSO4 40% 25 ml 3 3 0 Feb-22 3 0 Feb-22 3 0 Feb-22 3 0 Jun-21 3 0 Feb-22 3 0 Feb-22 3

23 Midazolam inj 1 mg/ml 3 3 0 Oct-22 3 0 Oct-22 3 0 Sep-22 3 0 Oct-22 3 0 Oct-22 3 0 Jan-22 3

Natrium Bikarbonat 8,4%


24 3 3 0 Aug-21 3 0 Aug-21 3 0 Aug-21 3 0 Aug-21 3 0 Aug-21 3 0 Aug-21 3
25 ml
25 Nicardipin inj 3 0 3 Apr-23 0 3 Apr-23 0 3 Apr-23 3 0 Apr-23 3 0 Apr-23 0 3 Apr-23 0

Norepineprine inj 1
26 3 3 0 Mar-22 0 3 Mar-22 3 0 Mar-22 3 0 Mar-22 3 0 Mar-22 3 0 Mar-22 2
mg/ml
27 Phenitoin inj 3 3 0 Sep-23 3 0 Sep-23 3 0 Sep-23 3 0 Sep-23 3 0 Sep-23 3 0 Sep-23 3

Phenobarbital inj 50
28 5 5 0 Sep-23 5 0 Sep-23 5 0 Sep-23 5 0 Sep-23 5 0 Sep-23 5 0 Sep-23 5
mg/ml
Stesolid sup 10 mg
29 3 3 0 Aug-22 3 0 Aug-22 3 0 Aug-22 3 0 Aug-22 3 0 Aug-22 3 0 Aug-22 3
(Diazepam)
Stesolid supp 5 mg
30 0 0 0 - 0 0 0 0 0 0 - 0 0 - 0 0 0
(Diazepam)
31 Ventolin nebules 3 3 0 Sep-22 3 0 Feb-23 3 0 Aug-22 3 0 Sep-22 3 0 Sep-22 3 0 Sep-21 3

LACI AIRWAY 0 0 0 0 0 0

1 ETT 3 1 1 0 Apr-24 1 0 Apr-24 1 0 Apr-24 1 0 Apr-24 1 0 Apr-24 1 0 Apr-24 1

2 ETT 3.5 1 1 0 Apr-24 1 0 Apr-24 1 0 Apr-24 1 0 Apr-24 1 0 Apr-24 1 0 Apr-24 1

3 ETT 4 1 1 0 Sep-24 1 0 Sep-24 1 0 Sep-24 1 0 Sep-24 1 0 Sep-24 1 0 Sep-24 1


4 ETT 4.5 1 1 0 Jul-22 1 0 Sep-24 1 0 Jul-22 1 0 Sep-24 1 0 Sep-24 1 0 Sep-24 1

5 ETT 5 1 1 0 Apr-24 1 0 Apr-24 1 0 Apr-24 1 0 Apr-24 1 0 Apr-24 1 0 Apr-24 1

6 ETT 5.5 1 1 0 May-23 1 0 May-23 1 0 Jan-24 1 0 Apr-24 1 0 Apr-24 1 0 Apr-24 1

7 ETT 6 1 1 0 Feb-22 1 0 Feb-22 1 0 Apr-24 1 0 Apr-24 1 0 Apr-24 1 0 Apr-24 1

8 ETT 6.5 1 1 0 Apr-24 1 0 Feb-22 1 0 Feb-22 1 0 Apr-24 1 0 May-24 1 0 Apr-24 1

9 ETT 7 1 1 0 Aug-22 1 0 Feb-23 1 0 Feb-23 1 0 Jul-23 1 0 Apr-24 1 0 Apr-22 1

10 ETT 7.5 1 1 0 Apr-23 1 0 Apr-23 1 0 Jul-23 1 0 May-23 1 0 May-23 1 0 Apr-23 1

11 ETT 8 1 1 0 Apr-24 1 0 Apr-24 1 0 Apr-24 1 0 Apr-24 1 0 Apr-24 1 0 Apr-24 1

12 Gudel Biru 1 1 0 Sep-22 1 0 Sep-22 1 0 Sep-22 1 0 Sep-22 1 0 Sep-22 1 0 Sep-22 1

13 Gudel Hijau 1 1 0 Oct-22 1 0 Jun-23 0 1 Oct-22 1 0 Jun-23 1 0 Mar-23 1 0 Jun-23 1

14 Gudel Hitam 1 1 0 Dec-22 1 0 Dec-22 1 0 Dec-22 1 0 Dec-22 1 0 Dec-22 1 0 May-03 1

15 Gudel Kuning 1 0 0 - 0 0 - 0 0 - 1 0 Feb-24 1 0 Feb-24 1 0 Jun-24 0

16 Gudel Merah 1 1 0 Jul-24 1 0 - 0 1 Sep-22 1 0 Jul-24 1 0 Jul-24 1 0 Jul-24 1

17 Gudel Orange 1 1 0 Dec-22 1 0 Dec-22 0 1 Jul-24 1 0 Dec-22 1 0 Dec-22 1 0 Dec-22 1

18 Gudel Pink 1 1 0 Sep-22 1 0 Sep-22 1 0 Sep-22 1 0 Sep-22 1 0 Sep-22 1 0 Sep-22 1

19 Gudel Putih 1 1 0 Sep-22 1 0 Sep-22 1 0 Sep-22 1 0 Sep-22 1 0 Sep-22 1 0 Sep-22 1

20 Laryngoscope 1 0 0 - 0 0 - 1 0 0 0 - 0 0 - 1 0 - 0

21 Suction Catheter No 10 1 1 0 Jan-25 1 0 Oct-20 1 0 Jan-25 1 0 Jan-25 1 0 Jan-25 1 0 Jan-25 1

22 Suction Catheter No 12 1 1 0 Sep-24 1 0 - 1 0 Sep-24 1 0 Sep-24 1 0 Sep-24 1 0 Sep-24 1

23 Suction Catheter No 14 1 1 0 Mar-23 1 0 Mar-23 1 0 Jun-25 1 0 Mar-23 1 0 Mar-23 1 0 Mar-23 1

24 Suction Catheter No 16 1 1 0 Mar-21 1 0 Mar-21 0 1 Mar-21 1 0 Mar-21 1 0 Mar-21 1 0 Mar-21 1

25 Suction Catheter No 18 0 0 0 - 0 0 - 0 0 - 0 0 - 0 0 - 0 0 - 0

26 Suction Catheter No 20 0 0 0 - 0 0 - 0 0 - 0 0 - 0 0 - 0 0 - 0

27 Suction Catheter No 6 1 1 0 Sep-24 1 0 Sep-24 1 0 Sep-24 1 0 Sep-24 1 0 Sep-24 1 0 Sep-24 1

28 Suction Catheter No 8 1 1 0 Sep-24 1 0 Sep-24 1 0 Dec-24 1 0 Sep-24 1 0 Sep-24 1 0 Sep-24 1

29 Valve Bag Mask 1 0 0 - 0 0 1 0 0 0 - 0 0 - 1 0 - 0

LACI BREATHING 0 0 0 0 0 0

1 Nasal Canul Anak 1 1 0 Dec-23 0 1 Dec-23 1 0 Dec-23 1 0 Dec-23 1 0 Dec-23 1 0 Jun-22 1

2 Nasal Canul Bayi 1 1 0 - 1 0 - 1 0 - 1 0 - 1 0 - 1 0 - 1

3 Nasal Canul Dewasa 1 1 0 Mar-24 0 1 Mar-24 1 0 Jan-24 1 0 Jan-24 1 0 Jan-24 1 0 Jan-24 1

4 Nebules Mask Anak 1 1 0 Oct-24 1 0 Oct-24 1 0 Oct-24 1 0 - 1 0 - 1 0 Oct-24 1

5 Nebules Mask Dewasa 1 1 0 Oct-24 1 0 Oct-24 0 1 - 1 0 Oct-24 1 0 Oct-24 1 0 Oct-24 1

Non Rebreathing Mask


6 Anak (Oxygen Mask with 1 1 0 - 1 0 - 0 1 - 1 0 - 1 0 - 1 0 - 1
Reservoir)

Non Rebreathing Mask


7 Dewasa (Oxygen Mask 1 1 0 Mar-24 0 1 Mar-24 1 0 Nov-24 1 0 Mar-24 1 0 Mar-24 1 0 May-24 1
with Reservoir)

Sungkup Muka
8 Sederhana (Oxygen 1 1 0 - 1 0 - 1 0 - 1 0 - 1 0 - 1 0 - 1
Mask) Anak
Sungkup Muka
9 Sederhana (Oxygen 1 1 0 - 1 0 - 1 0 - 1 0 - 1 0 - 1 0 - 1
Mask) Bayi

Sungkup Muka
10 Sederhana (Oxygen 1 1 0 Aug-23 1 0 May-24 0 1 May-24 1 0 Sep-23 1 0 Sep-23 1 0 Jul-24 1
Mask) Dewasa
LACI CIRCULASI 0 0 0 0 0 0

1 Alkohol Swab 1 1 0 Dec-22 1 0 Dec-22 1 0 Dec-22 1 0 Dec-22 1 0 Dec-22 1 0 Dec-22 1

2 Blood Set 1 1 0 Sep-24 0 1 Sep-24 1 0 Jun-21 1 0 Jun-21 1 0 Jun-21 1 0 Jun-21 1

3 Elektrode 20 20 0 - 20 0 - 20 0 - 20 0 - 20 0 - 20 0 - 20

4 Foley Catheter 12 1 1 0 Nov-24 0 1 Nov-24 1 0 Nov-24 1 0 Nov-24 1 0 Nov-24 1 0 Nov-24 1

5 Foley Catheter 14 1 1 0 Nov-23 1 0 Nov-21 1 0 Nov-23 1 0 Aug-24 1 0 Nov-23 1 0 Nov-23 1

6 Foley Catheter 16 1 1 0 Nov-24 1 0 Nov-24 1 0 Nov-24 1 0 Nov-24 1 0 Nov-24 1 0 Nov-24 1

7 Foley Catheter 18 1 1 0 Jan-24 1 0 Jan-24 1 0 Jan-24 1 0 Jan-24 1 0 Jan-24 1 0 Jan-24 1

8 Foley Catheter 20 1 1 0 Feb-23 1 0 Feb-23 1 0 Feb-23 1 0 Feb-23 1 0 Feb-23 1 0 Feb-23 1

9 Foley Catheter 22 1 1 0 Jan-23 1 0 Jan-23 1 0 Jan-23 1 0 Jan-23 1 0 Jan-23 1 0 Jan-23 1

10 Handscoon Steril 6.5 2 2 0 Apr-25 2 0 Apr-25 2 0 Aug-24 2 0 Aug-24 2 0 Aug-24 2 0 Aug-24 2

11 Handscoon Steril 7 2 2 0 Mar-25 1 1 Mar-25 2 0 Jul-24 2 0 Mar-25 2 0 Mar-25 2 0 Mar-25 2

12 Handscoon Steril 7.5 2 2 0 Jul-24 2 0 Jul-24 2 0 Jan-25 2 0 Jul-24 2 0 Aug-24 2 0 Jul-24 2

13 Infus Set Mikro 2 2 0 Jan-24 1 1 Jan-24 2 0 Jan-24 2 0 Sep-21 2 0 Sep-21 2 0 Sep-21 2

14 Infus Set Makro 2 2 0 Sep-23 2 0 Sep-23 2 0 Aug-24 2 0 Dec-24 2 0 Dec-24 2 0 Dec-24 2

15 IV Catheter No 18 3 3 0 Jan-23 3 0 Jan-23 3 0 Jan-23 3 0 Jan-23 3 0 Jan-23 3 0 Jan-23 3

16 IV Catheter No 20 3 3 0 Dec-24 0 3 Dec-24 3 0 Apr-23 3 0 Apr-23 3 0 Apr-23 3 0 Sep-23 3

17 IV Catheter No 22 3 3 0 Jul-24 0 3 Jul-24 3 0 Jul-24 3 0 Jul-24 3 0 Jul-24 3 0 Jul-24 3

18 IV Catheter No 24 3 3 0 Jan-24 3 0 Jul-24 3 0 Jul-24 3 0 Jul-24 3 0 Jul-24 3 0 Jul-24 3

19 IV Catheter No 26 3 3 0 Jun-24 3 0 Sep-23 3 0 Sep-23 3 0 Sep-23 3 0 Sep-23 3 0 Sep-23 3

20 IVFD D10% 1 1 0 Oct-22 1 0 Oct-22 1 0 Feb-22 1 0 Oct-22 1 0 Dec-22 1 0 Oct-22 1

21 IVFD D5 ¼ NS 1 1 0 Mar-21 1 0 Mar-21 1 0 Dec-21 1 0 Mar-21 1 0 Mar-21 1 0 Mar-21 1

22 IVFD D5 ½ NS 1 1 0 Dec-21 1 0 Dec-21 1 0 Mar-21 1 0 Dec-21 1 0 Dec-21 1 0 Dec-21 1

23 IVFD D5% 1 1 0 Dec-22 1 0 Nov-22 1 0 Jul-22 1 0 Dec-22 1 0 Dec-22 1 0 Dec-22 1

24 IVFD NaCl 0,9% 100 ml 1 1 0 Nov-22 1 0 Nov-22 1 0 Nov-22 1 0 Nov-22 1 0 Nov-22 1 0 Mar-23 1

25 IVFD NaCl 0,9% 500 ml 1 1 0 Dec-24 1 0 Mar-21 1 0 Dec-24 1 0 Dec-24 1 0 Dec-24 1 0 Dec-24 1

26 IVFD RL 1 1 0 Nov-24 0 0 Mar-22 1 0 Nov-24 1 0 Nov-24 1 0 Nov-24 1 0 Nov-24 1

27 Needle 24G 2 2 0 Dec-23 2 0 Dec-23 2 0 Dec-23 2 0 Dec-23 2 0 Dec-23 2 0 Dec-23 2

28 NGT 5 1 1 0 May-24 1 0 May-24 1 0 May-24 1 0 Jun-22 1 0 Jun-22 1 0 Dec-21 1

29 NGT 6 1 1 0 Dec-24 1 0 Dec-24 1 0 Dec-24 1 0 Dec-24 1 0 Dec-24 1 0 Dec-24 1

30 NGT 8 1 1 0 May-24 1 0 May-24 1 0 May-24 1 0 May-24 1 0 May-24 1 0 May-24 1

31 NGT 10 1 1 0 May-24 1 0 May-24 1 0 May-24 1 0 May-24 1 0 May-24 1 0 May-24 1

32 NGT 12 1 1 0 Aug-23 1 0 Aug-23 1 0 Aug-23 1 0 Aug-23 1 0 Aug-23 1 0 Aug-23 1

33 NGT 14 1 1 0 May-24 1 0 May-24 1 0 May-24 1 0 May-24 1 0 May-24 1 0 May-24 1

34 NGT 16 1 1 0 Aug-24 1 0 Mar-24 1 0 Jul-24 1 0 Aug-24 1 0 Mar-24 1 0 Mar-24 1

35 NGT 18 1 1 0 Aug-24 1 0 Aug-24 1 0 Aug-24 1 0 Aug-24 1 0 Aug-24 1 0 Aug-24 1

36 Perfusor/Extension Tube 1 1 0 Jan-22 1 0 Jan-22 1 0 Jan-22 1 0 Jan-22 1 0 Jan-22 1 0 Jan-22 0

37 Syringe Disposibe 1 cc 5 5 0 Sep-24 1 4 Sep-24 5 0 Sep-24 5 0 Sep-24 5 0 Sep-24 5 0 Sep-24 5


38 Syringe Disposibe 3 cc 5 5 0 Sep-24 5 0 Sep-24 5 0 Sep-24 5 0 Feb-25 5 0 Feb-25 5 0 Feb-25 4

39 Syringe Disposibe 5 cc 5 5 0 Sep-24 5 0 Sep-24 5 0 Sep-24 5 0 Sep-24 5 0 Sep-24 5 0 Sep-24 5

40 Syringe Disposibe 10 cc 2 2 0 Aug-24 2 0 Sep-24 2 0 Aug-24 2 0 Aug-24 2 0 Aug-24 2 0 Aug-24 1

41 Syringe Disposibe 20 cc 2 2 0 Apr-24 2 0 Apr-24 2 0 Apr-24 2 0 Apr-24 2 0 Apr-24 2 0 Apr-24 2

42 Syringe Disposibe 50 cc 2 2 0 Oct-24 0 2 Oct-24 2 0 Oct-24 2 0 Oct-24 2 0 Oct-24 2 0 Oct-24 2

43 Three Way Stop Cock 2 2 0 Jul-24 2 0 Dec-24 2 0 Jun-24 2 0 Mar-24 2 0 Mar-24 2 0 Mar-24 2

Three Way with Tube


44 2 2 0 Jul-24 0 2 Jul-24 2 0 Dec-24 2 0 Jun-24 2 0 Jun-24 2 0 Jun-24 2
(Berekor)
45 Torniquiet 1 1 0 - 1 0 - 1 0 - 1 0 - 1 0 - 1 0 - 1

46 Urine Bag 1 1 0 Jul-22 1 0 Nov-24 1 0 Aug-24 1 0 Aug-24 1 0 Aug-24 1 0 Aug-24 1

47 Wing Needle 25G 3 3 0 Nov-24 3 0 Nov-24 3 0 Jul-24 3 0 Jul-24 3 0 Jul-24 3 0 Jul-24 3

48 Wing Needle 27G 3 3 0 Jan-25 3 0 Jan-25 3 0 Jan-25 3 0 Jan-25 3 0 Jan-25 3 0 Jan-25 3


RNP3 ED

0 Jun-22 27
0 - 0
0 Dec-23 27
0 Mar-22
90
0 Oct-21
45
0 Oct-21
24
0 Jan-22 24
0 Jan-22
45
0 Apr-22 24
0 Apr-23
45
0 Nov-22 27
0 Jan-22
45
0 Apr-23
45
0 Sep-21
27
0 Dec-21
40
0 Jun-22 27
0 Dec-21 90
0 Jul-22 27
0 May-22
44
0 Jun-22 45
0 Jan-22 27
0 Feb-22 27
0 Oct-22
27
0 Aug-21
27
3 Apr-23 6
1 Mar-22
22
0 Sep-23 27
0 Sep-23
45
0 Apr-23
27
0
0
0 Feb-23 27
0 0
0 Apr-24 9
0 Apr-24 9
0 Sep-24 9
0 Sep-24 9
0 Apr-24 9
0 May-23 9
0 Feb-22 9
0 Feb-22 9
0 Feb-23 9
0 Apr-23 9
0 Apr-24 9
0 Sep-22 9
0 Jun-23 8
0 Dec-22 9
0 - 4
0 - 8
0 Dec-22 8
0 Sep-22 9
0 Sep-22 9
0 - 3
0 Oct-20
9
0 -
9
0 Mar-23
9
0 Mar-21
8
0 -
0
0 -
0
0 Sep-24
9
0 Sep-24
9
0 3
0 0
0 Dec-23 8
0 - 9
0 Mar-24 8
0 Oct-24 9
0 Oct-24 8

0 -
8

0 Mar-24

0 -
9
0 -
9

0 May-24
8
0 0
0 Dec-22 9
0 Sep-24 8
0 - 180
0 Nov-24 8
0 Nov-21 9
0 Nov-24 9
0 Jan-24 9
0 Feb-23 9
0 Jan-23 9
0 Apr-25 18
0 Mar-25 17
0 Jul-24 18
0 Jan-24 17
0 Sep-23 18
0 Jan-23 27
0 Dec-24 24
0 Jul-24 24
0 Jul-24 27
0 Sep-23 27
0 Oct-22 9
0 Mar-21 9
0 Dec-21 9
0 Nov-22 9
0 Nov-22
9
0 Mar-21
9
0 Mar-22 8
0 Dec-23 18
0 May-24 9
0 Dec-24 9
0 May-24 9
0 May-24 9
0 Aug-23 9
0 May-24 9
0 Mar-24 9
0 Aug-24 9
1 Jan-22
7
0 Sep-24
41
1 Sep-24
43
0 Sep-24
45
1 Sep-24
16
0 Apr-24
18
0 Oct-24
16
0 Dec-24
18
0 Jul-24
16
0 - 9
0 Nov-24 9
0 Nov-24 27
0 Jan-25 27
No NAMA JMLVK ED RNP ED IGD ED OT1 ED OT2 ED ICU ED RNP3 ED

LACI OBAT
1 Aminophyllin inj 3 3 Jun-22 3 Jun-22 3 Jun-22 3 Jun-22 3 Jun-22 3 Jun-22 3 Jun-22

2 Amiodaron 50 mg/ml 0 0 - 0 - 0 - 0 - 0 - 0 - 0 -

3 Aquabides 25 ml 3 3 Dec-22 3 Dec-22 3 Dec-23 3 Dec-22 3 Dec-22 3 Mar-23 3 Dec-23

Aspirin 80 mg tab
4 10 10 Nov-21 10 Jan-22 10 Nov-21 10 Nov-21 10 Nov-21 10 Nov-21 10 Mar-22
(Miniaspi/Aspilet)

5 Atropin inj 0,25 mg/ml 5 5 Oct-21 5 Oct-21 5 Oct-21 5 Oct-21 5 Oct-21 5 Oct-21 5 Oct-21

6 Calcium Gluconate inj 3 3 Nov-23 3 Oct-23 3 Nov-23 3 Oct-21 3 Oct-21 3 Oct-21 3 Oct-21

7 Combivent nebules 3 3 Jan-22 0 3 Jan-22 3 Jan-22 3 Jan-22 3 Jan-22 3 Jan-22 3 Jan-22

Dexamethasone inj 5
8 5 5 Sep-21 5 Jan-24 5 Sep-21 5 Sep-21 5 Sep-21 5 Aug-21 5 Jan-22
mg/ml
9 Dextrosa 40% 25 ml 3 3 Oct-21 3 Jun-22 3 Oct-21 3 Oct-21 3 Oct-21 3 Oct-21 3 Apr-22

10 Diazepam inj 5 mg/ml 5 5 Jan-23 5 Apr-23 5 Apr-23 5 Jan-23 5 Jan-23 5 Jan-23 5 Apr-23

11 Digoxin inj 3 3 Nov-22 3 Nov-22 3 Nov-22 3 Nov-22 3 Nov-22 3 Nov-22 3 Nov-22

Diphenhidramin inj 10
12 5 5 Jan-22 5 Jan-22 5 Jan-22 5 Jan-22 5 Jan-22 5 Jan-22 5 Jan-22
mg/ml

13 Dobutamin inj 50 mg/ml 5 5 Nov-22 5 Nov-22 5 Nov-22 5 Nov-22 5 Nov-22 5 Jun-21 5 Apr-23

14 Dopamin inj 40 mg/ml 3 3 Sep-21 2 1 Sep-21 3 Sep-21 3 Sep-21 3 Sep-21 3 Sep-21 3 Sep-21

15 Epineprine inj 1 mg/ml 5 5 May-22 4 1 Dec-21 5 Dec-21 5 Dec-21 5 May-22 5 Dec-21 5 Dec-21

16 Furosemide inj 3 3 Dec-21 3 Dec-22 3 Jun-22 3 Dec-21 3 Dec-21 3 Dec-21 3 Jun-22

17 ISDN tab 10 10 Nov-21 10 Nov-23 10 Sep-21 10 Sep-21 10 Sep-21 10 Nov-21 10 Dec-21

18 KCL 7.46% 25 ml 3 3 Mar-22 2 1 Jul-22 3 Mar-22 3 Mar-22 3 Mar-22 3 Jul-22 3 Jul-22

19 Ketorolac inj 30 mg/ml 5 5 May-22 5 May-22 5 May-22 5 May-22 5 May-22 5 May-22 5 May-22

20 Lidocain inj 2% 5 5 Oct-22 5 Apr-23 5 Oct-22 5 Oct-22 5 Oct-22 5 Oct-22 5 Jun-22

21 Metilprednisolon inj 3 3 Jul-22 3 Jan-22 3 Nov-21 3 Jul-22 3 Jul-22 3 Jul-22 3 Jan-22

22 MgSO4 40% 25 ml 3 3 Feb-22 3 Feb-22 3 Feb-22 3 Jun-21 3 Feb-22 3 Feb-22 3 Feb-22

23 Midazolam inj 1 mg/ml 3 3 Oct-22 3 Oct-22 3 Sep-22 3 Oct-22 3 Oct-22 3 Jan-22 3 Oct-22

Natrium Bikarbonat 8,4%


24 3 3 Aug-21 3 Aug-21 3 Aug-21 3 Aug-21 3 Aug-21 3 Aug-21 3 Aug-21
25 ml
25 Nicardipin inj 3 3 Apr-23 3 Apr-23 3 Apr-23 3 Apr-23 3 Apr-23 3 Apr-23 3 Apr-23

Norepineprine inj 1
26 3 3 Mar-22 3 Mar-22 3 Mar-22 3 Mar-22 3 Mar-22 3 Mar-22 3 Mar-22
mg/ml
27 Phenitoin inj 3 3 Sep-23 3 Sep-23 3 Sep-23 3 Sep-23 3 Sep-23 3 Sep-23 3 Sep-23

Phenobarbital inj 50
28 5 5 Sep-23 5 Sep-23 5 Sep-23 5 Sep-23 5 Sep-23 5 Sep-23 5 Sep-23
mg/ml
Stesolid sup 10 mg
29 3 3 Aug-22 3 Aug-22 3 Aug-22 3 Aug-22 3 Aug-22 3 Aug-22 3 Apr-23
(Diazepam)
Stesolid supp 5 mg
30 0 0 - 0 0 0 - 0 - 0 0
(Diazepam)
31 Ventolin nebules 3 3 Sep-22 3 Feb-23 3 Aug-22 3 Sep-22 3 Sep-22 3 Sep-21 3 Feb-23

LACI AIRWAY
1 ETT 3 1 1 Apr-24 1 Apr-24 1 Apr-24 1 Apr-24 1 Apr-24 1 Apr-24 1 Apr-24

2 ETT 3.5 1 1 Apr-24 1 Apr-24 1 Apr-24 1 Apr-24 1 Apr-24 1 Apr-24 1 Apr-24

3 ETT 4 1 1 Sep-24 1 Sep-24 1 Sep-24 1 Sep-24 1 Sep-24 1 Sep-24 1 Sep-24


4 ETT 4.5 1 1 Jul-22 1 Sep-24 1 Jul-22 1 Sep-24 1 Sep-24 1 Sep-24 1 Sep-24

5 ETT 5 1 1 Apr-24 1 Apr-24 1 Apr-24 1 Apr-24 1 Apr-24 1 Apr-24 1 Apr-24

6 ETT 5.5 1 1 May-23 1 May-23 1 Jan-24 1 Apr-24 1 Apr-24 1 Apr-24 1 May-23

7 ETT 6 1 1 Feb-22 1 Feb-22 1 Apr-24 1 Apr-24 1 Apr-24 1 Apr-24 1 Feb-22

8 ETT 6.5 1 1 Apr-24 1 Feb-22 1 Feb-22 1 Apr-24 1 May-24 1 Apr-24 1 Feb-22

9 ETT 7 1 1 Aug-22 1 Feb-23 1 Feb-23 1 Jul-23 1 Apr-24 1 Apr-22 1 Feb-23

10 ETT 7.5 1 1 Apr-23 1 Apr-23 1 Jul-23 1 May-23 1 May-23 1 Apr-23 1 Apr-23

11 ETT 8 1 1 Apr-24 1 Apr-24 1 Apr-24 1 Apr-24 1 Apr-24 1 Apr-24 1 Apr-24

12 Gudel Biru 1 1 Sep-22 1 Sep-22 1 Sep-22 1 Sep-22 1 Sep-22 1 Sep-22 1 Sep-22

13 Gudel Hijau 1 1 Oct-22 1 Jun-23 1 Oct-22 1 Jun-23 1 Mar-23 1 Jun-23 1 Jun-23

14 Gudel Hitam 1 1 Dec-22 1 Dec-22 1 Dec-22 1 Dec-22 1 Dec-22 1 May-03 1 Dec-22

15 Gudel Kuning 1 1 - 1 - 1 - 1 Feb-24 1 Feb-24 1 Jun-24 1 -

16 Gudel Merah 1 1 Jul-24 1 - 1 Sep-22 1 Jul-24 1 Jul-24 1 Jul-24 1 -

17 Gudel Orange 1 1 Dec-22 1 Dec-22 1 Jul-24 1 Dec-22 1 Dec-22 1 Dec-22 1 Dec-22

18 Gudel Pink 1 1 Sep-22 1 Sep-22 1 Sep-22 1 Sep-22 1 Sep-22 1 Sep-22 1 Sep-22

19 Gudel Putih 1 1 Sep-22 1 Sep-22 1 Sep-22 1 Sep-22 1 Sep-22 1 Sep-22 1 Sep-22

20 Laryngoscope 1 1 - 1 - 1 1 - 1 - 1 - 1 -

21 Suction Catheter No 10 1 1 Jan-25 1 Oct-20 1 Jan-25 1 Jan-25 1 Jan-25 1 Jan-25 1 Oct-20

22 Suction Catheter No 12 1 1 Sep-24 1 - 1 Sep-24 1 Sep-24 1 Sep-24 1 Sep-24 1 -

23 Suction Catheter No 14 1 1 Mar-23 1 Mar-23 1 Jun-25 1 Mar-23 1 Mar-23 1 Mar-23 1 Mar-23

24 Suction Catheter No 16 1 1 Mar-21 1 Mar-21 1 Mar-21 1 Mar-21 1 Mar-21 1 Mar-21 1 Mar-21

25 Suction Catheter No 18 0 0 - 0 - 0 - 0 - 0 - 0 - 0 -

26 Suction Catheter No 20 0 0 - 0 - 0 - 0 - 0 - 0 - 0 -

27 Suction Catheter No 6 1 1 Sep-24 1 Sep-24 1 Sep-24 1 Sep-24 1 Sep-24 1 Sep-24 1 Sep-24

28 Suction Catheter No 8 1 1 Sep-24 1 Sep-24 1 Dec-24 1 Sep-24 1 Sep-24 1 Sep-24 1 Sep-24

29 Valve Bag Mask 1 1 - 1 1 1 - 1 - 1 - 1

LACI BREATHING
1 Nasal Canul Anak 1 1 Dec-23 1 Dec-23 1 Dec-23 1 Dec-23 1 Dec-23 1 Jun-22 1 Dec-23

2 Nasal Canul Bayi 1 1 - 1 - 1 - 1 - 1 - 1 - 1 -

3 Nasal Canul Dewasa 1 1 Mar-24 1 Mar-24 1 Jan-24 1 Jan-24 1 Jan-24 1 Jan-24 1 Mar-24

4 Nebules Mask Anak 1 1 Oct-24 1 Oct-24 1 Oct-24 1 - 1 - 1 Oct-24 1 Oct-24

5 Nebules Mask Dewasa 1 1 Oct-24 1 Oct-24 1 - 1 Oct-24 1 Oct-24 1 Oct-24 1 Oct-24

Non Rebreathing Mask


6 Anak (Oxygen Mask with 1 1 - 1 - 1 - 1 - 1 - 1 - 1 -
Reservoir)

Non Rebreathing Mask


7 Dewasa (Oxygen Mask 1 1 Mar-24 1 Mar-24 1 Nov-24 1 Mar-24 1 Mar-24 1 May-24 1 Mar-24
with Reservoir)

Sungkup Muka
8 Sederhana (Oxygen 1 1 - 1 - 1 - 1 - 1 - 1 - 1 -
Mask) Anak
Sungkup Muka
9 Sederhana (Oxygen 1 1 - 1 - 1 - 1 - 1 - 1 - 1 -
Mask) Bayi

Sungkup Muka
10 Sederhana (Oxygen 1 1 Aug-23 1 May-24 1 May-24 1 Sep-23 1 Sep-23 1 Jul-24 1 May-24
Mask) Dewasa
LACI CIRCULASI
1 Alkohol Swab 1 1 Dec-22 1 Dec-22 1 Dec-22 1 Dec-22 1 Dec-22 1 Dec-22 1 Dec-22

2 Blood Set 1 1 Sep-24 1 Sep-24 1 Jun-21 1 Jun-21 1 Jun-21 1 Jun-21 1 Sep-24

3 Elektrode 20 20 - 20 - 20 - 20 - 20 - 20 - 20 -

4 Foley Catheter 12 1 1 Nov-24 1 Nov-24 1 Nov-24 1 Nov-24 1 Nov-24 1 Nov-24 1 Nov-24

5 Foley Catheter 14 1 1 Nov-23 1 Nov-21 1 Nov-23 1 Aug-24 1 Nov-23 1 Nov-23 1 Nov-21

6 Foley Catheter 16 1 1 Nov-24 1 Nov-24 1 Nov-24 1 Nov-24 1 Nov-24 1 Nov-24 1 Nov-24

7 Foley Catheter 18 1 1 Jan-24 1 Jan-24 1 Jan-24 1 Jan-24 1 Jan-24 1 Jan-24 1 Jan-24

8 Foley Catheter 20 1 1 Feb-23 1 Feb-23 1 Feb-23 1 Feb-23 1 Feb-23 1 Feb-23 1 Feb-23

9 Foley Catheter 22 1 1 Jan-23 1 Jan-23 1 Jan-23 1 Jan-23 1 Jan-23 1 Jan-23 1 Jan-23

10 Handscoon Steril 6.5 2 2 Apr-25 2 Apr-25 2 Aug-24 2 Aug-24 2 Aug-24 2 Aug-24 2 Apr-25

11 Handscoon Steril 7 2 2 Mar-25 2 Mar-25 2 Jul-24 2 Mar-25 2 Mar-25 2 Mar-25 2 Mar-25

12 Handscoon Steril 7.5 2 2 Jul-24 2 Jul-24 2 Jan-25 2 Jul-24 2 Aug-24 2 Jul-24 2 Jul-24

13 Infus Set Mikro 2 2 Jan-24 2 Jan-24 2 Jan-24 2 Sep-21 2 Sep-21 2 Sep-21 2 Jan-24

14 Infus Set Makro 2 2 Sep-23 2 Sep-23 2 Aug-24 2 Dec-24 2 Dec-24 2 Dec-24 2 Sep-23

15 IV Catheter No 18 3 3 Jan-23 3 Jan-23 3 Jan-23 3 Jan-23 3 Jan-23 3 Jan-23 3 Jan-23

16 IV Catheter No 20 3 3 Dec-24 3 Dec-24 3 Apr-23 3 Apr-23 3 Apr-23 3 Sep-23 3 Dec-24

17 IV Catheter No 22 3 3 Jul-24 3 Jul-24 3 Jul-24 3 Jul-24 3 Jul-24 3 Jul-24 3 Jul-24

18 IV Catheter No 24 3 3 Jan-24 3 Jul-24 3 Jul-24 3 Jul-24 3 Jul-24 3 Jul-24 3 Jul-24

19 IV Catheter No 26 3 3 Jun-24 3 Sep-23 3 Sep-23 3 Sep-23 3 Sep-23 3 Sep-23 3 Sep-23

20 IVFD D10% 1 1 Oct-22 1 Oct-22 1 Feb-22 1 Oct-22 1 Dec-22 1 Oct-22 1 Oct-22

21 IVFD D5 ¼ NS 1 1 Mar-21 1 Mar-21 1 Dec-21 1 Mar-21 1 Mar-21 1 Mar-21 1 Mar-21

22 IVFD D5 ½ NS 1 1 Dec-21 1 Dec-21 1 Mar-21 1 Dec-21 1 Dec-21 1 Dec-21 1 Dec-21

23 IVFD D5% 1 1 Dec-22 1 Nov-22 1 Jul-22 1 Dec-22 1 Dec-22 1 Dec-22 1 Nov-22

24 IVFD NaCl 0,9% 100 ml 1 1 Nov-22 1 Nov-22 1 Nov-22 1 Nov-22 1 Nov-22 1 Mar-23 1 Nov-22

25 IVFD NaCl 0,9% 500 ml 1 1 Dec-24 1 Mar-21 1 Dec-24 1 Dec-24 1 Dec-24 1 Dec-24 1 Mar-21

26 IVFD RL 1 1 Nov-24 1 Mar-22 1 Nov-24 1 Nov-24 1 Nov-24 1 Nov-24 1 Mar-22

27 Needle 24G 2 2 Dec-23 2 Dec-23 2 Dec-23 2 Dec-23 2 Dec-23 2 Dec-23 2 Dec-23

28 NGT 5 1 1 May-24 1 May-24 1 May-24 1 Jun-22 1 Jun-22 1 Dec-21 1 May-24

29 NGT 6 1 1 Dec-24 1 Dec-24 1 Dec-24 1 Dec-24 1 Dec-24 1 Dec-24 1 Dec-24

30 NGT 8 1 1 May-24 1 May-24 1 May-24 1 May-24 1 May-24 1 May-24 1 May-24

31 NGT 10 1 1 May-24 1 May-24 1 May-24 1 May-24 1 May-24 1 May-24 1 May-24

32 NGT 12 1 1 Aug-23 1 Aug-23 1 Aug-23 1 Aug-23 1 Aug-23 1 Aug-23 1 Aug-23

33 NGT 14 1 1 May-24 1 May-24 1 May-24 1 May-24 1 May-24 1 May-24 1 May-24

34 NGT 16 1 1 Aug-24 1 Mar-24 1 Jul-24 1 Aug-24 1 Mar-24 1 Mar-24 1 Mar-24

35 NGT 18 1 1 Aug-24 1 Aug-24 1 Aug-24 1 Aug-24 1 Aug-24 1 Aug-24 1 Aug-24

36 Perfusor/Extension Tube 1 1 Jan-22 1 Jan-22 1 Jan-22 1 Jan-22 1 Jan-22 1 Jan-22 1 Jan-22

37 Syringe Disposibe 1 cc 5 5 Sep-24 5 Sep-24 5 Sep-24 5 Sep-24 5 Sep-24 5 Sep-24 5 Sep-24


38 Syringe Disposibe 3 cc 5 5 Sep-24 5 Sep-24 5 Sep-24 5 Feb-25 5 Feb-25 5 Feb-25 5 Sep-24

39 Syringe Disposibe 5 cc 5 5 Sep-24 5 Sep-24 5 Sep-24 5 Sep-24 5 Sep-24 5 Sep-24 5 Sep-24

40 Syringe Disposibe 10 cc 2 2 Aug-24 2 Sep-24 2 Aug-24 2 Aug-24 2 Aug-24 2 Aug-24 2 Sep-24

41 Syringe Disposibe 20 cc 2 2 Apr-24 2 Apr-24 2 Apr-24 2 Apr-24 2 Apr-24 2 Apr-24 2 Apr-24

42 Syringe Disposibe 50 cc 2 2 Oct-24 2 Oct-24 2 Oct-24 2 Oct-24 2 Oct-24 2 Oct-24 2 Oct-24

43 Three Way Stop Cock 2 2 Jul-24 2 Dec-24 2 Jun-24 2 Mar-24 2 Mar-24 2 Mar-24 2 Dec-24

Three Way with Tube


44 2 2 Jul-24 2 Jul-24 2 Dec-24 2 Jun-24 2 Jun-24 2 Jun-24 2 Jul-24
(Berekor)
45 Torniquiet 1 1 - 1 - 1 - 1 - 1 - 1 - 1 -

46 Urine Bag 1 1 Jul-22 1 Nov-24 1 Aug-24 1 Aug-24 1 Aug-24 1 Aug-24 1 Nov-24

47 Wing Needle 25G 3 3 Nov-24 3 Nov-24 3 Jul-24 3 Jul-24 3 Jul-24 3 Jul-24 3 Nov-24

48 Wing Needle 27G 3 3 Jan-25 3 Jan-25 3 Jan-25 3 Jan-25 3 Jan-25 3 Jan-25 3 Jan-25
21
0
21

70

35

21
18

35
21

35
21

35

35

20

34
21
70
20

35
35
21
21

21

21
21

21
21

35

21

0
21
0
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7

7
7
0
7
7
7
7
7

7
7

7
0
7
7
140
7
7
7
7
7
7
14
14
14
14
14
21
21
21
21
21
7
7
7
7

7
7
14
7
7
7
7
7
7
7
7

35
35

35

14

14

14

14

14
7
7
21
21
No NAMA JMLVK ED RNP ED IGD ED OT1 ED OT2 ED ICU ED RNP3

LACI OBAT
1 Aminophyllin inj 3 3 Jun-22 3 Jun-22 3 Jun-22 3 Jun-22 3 Jun-22 3 Jun-22 3

2 Amiodaron 50 mg/ml 0 0 - 0 - 0 - 0 - 0 - 0 - 0

3 Aquabides 25 ml 3 3 Dec-22 3 Dec-22 3 Dec-23 3 Dec-22 3 Dec-22 1 Mar-23 3

Aspirin 80 mg tab
4 10 10 Nov-21 10 Jan-22 10 Nov-21 10 Nov-21 10 Nov-21 10 Nov-21 6
(Miniaspi/Aspilet)

5 Atropin inj 0,25 mg/ml 5 5 Oct-21 5 Oct-21 4 Oct-21 3 Oct-21 3 Oct-21 0 Oct-21 0

6 Calcium Gluconate inj 3 3 Nov-23 3 Oct-23 3 Nov-23 0 Oct-21 0 Oct-21 0 Oct-21 3

7 Combivent nebules 3 3 Jan-22 2 Jan-22 3 Jan-22 3 Jan-22 3 Jan-22 3 Jan-22 3

Dexamethasone inj 5
8 5 5 Sep-21 5 Jan-24 5 Sep-21 5 Sep-21 5 Sep-21 5 Aug-21 5
mg/ml
9 Dextrosa 40% 25 ml 3 3 Oct-21 1 Jun-22 3 Oct-21 3 Oct-21 3 Oct-21 3 Oct-21 3

10 Diazepam inj 5 mg/ml 5 0 Jan-23 0 Apr-23 0 Apr-23 0 Jan-23 0 Jan-23 0 Jan-23 0

11 Digoxin inj 3 3 Nov-22 3 Nov-22 3 Nov-22 3 Nov-22 3 Nov-22 3 Nov-22 3

Diphenhidramin inj 10
12 5 0 Jan-22 0 Jan-22 4 Jan-22 0 Jan-22 0 Jan-22 0 Jan-22 0
mg/ml

13 Dobutamin inj 50 mg/ml 5 5 Nov-22 2 Nov-22 5 Nov-22 5 Nov-22 5 Nov-22 4 Jun-21 5

14 Dopamin inj 40 mg/ml 3 3 Sep-21 2 Sep-21 3 Sep-21 3 Sep-21 3 Sep-21 3 Sep-21 3

15 Epineprine inj 1 mg/ml 5 5 May-22 3 Dec-21 5 Dec-21 3 Dec-21 4 May-22 2 Dec-21 4

16 Furosemide inj 3 3 Dec-21 2 Dec-22 3 Jun-22 3 Dec-21 3 Dec-21 3 Dec-21 2

17 ISDN tab 10 10 Nov-21 10 Nov-23 10 Sep-21 10 Sep-21 10 Sep-21 10 Nov-21 10

18 KCL 7.46% 25 ml 3 3 Mar-22 3 Jul-22 3 Mar-22 3 Mar-22 3 Mar-22 3 Jul-22 3

19 Ketorolac inj 30 mg/ml 5 5 May-22 4 May-22 5 May-22 5 May-22 5 May-22 5 May-22 5

20 Lidocain inj 2% 5 5 Oct-22 4 Apr-23 5 Oct-22 5 Oct-22 5 Oct-22 5 Oct-22 5

21 Metilprednisolon inj 3 3 Jul-22 3 Jan-22 3 Nov-21 3 Jul-22 3 Jul-22 3 Jul-22 3

22 MgSO4 40% 25 ml 3 3 Feb-22 3 Feb-22 3 Feb-22 3 Jun-21 3 Feb-22 3 Feb-22 3

23 Midazolam inj 1 mg/ml 3 3 Oct-22 3 Oct-22 3 Sep-22 3 Oct-22 3 Oct-22 3 Jan-22 3

Natrium Bikarbonat 8,4%


24 3 Aug-21 Aug-21 Aug-21 Aug-21 Aug-21 Aug-21
25 ml
25 Nicardipin inj 3 3 Apr-23 3 Apr-23 3 Apr-23 3 Apr-23 3 Apr-23 1 Apr-23 3

Norepineprine inj 1
26 3 3 Mar-22 1 Mar-22 3 Mar-22 3 Mar-22 3 Mar-22 1 Mar-22 3
mg/ml
27 Phenitoin inj 3 3 Sep-23 3 Sep-23 3 Sep-23 3 Sep-23 3 Sep-23 3 Sep-23 3

Phenobarbital inj 50
28 5 5 Sep-23 5 Sep-23 5 Sep-23 5 Sep-23 5 Sep-23 5 Sep-23 5
mg/ml
Stesolid sup 10 mg
29 3 3 Aug-22 3 Aug-22 3 Aug-22 3 Aug-22 3 Aug-22 3 Aug-22 3
(Diazepam)
Stesolid supp 5 mg
30 0 0 - 0 0 0 - 0 - 0 0
(Diazepam)
31 Ventolin nebules 3 3 Sep-22 2 Feb-23 3 Aug-22 3 Sep-22 3 Sep-22 3 Sep-21 2

LACI AIRWAY
1 ETT 3 1 1 Apr-24 1 Apr-24 1 Apr-24 1 Apr-24 1 Apr-24 1 Apr-24 1

2 ETT 3.5 1 1 Apr-24 1 Apr-24 1 Apr-24 1 Apr-24 1 Apr-24 1 Apr-24 1

3 ETT 4 1 1 Sep-24 1 Sep-24 1 Sep-24 1 Sep-24 1 Sep-24 1 Sep-24 1

4 ETT 4.5 1 1 Jul-22 1 Sep-24 1 Jul-22 1 Sep-24 1 Sep-24 1 Sep-24 1

5 ETT 5 1 1 Apr-24 1 Apr-24 1 Apr-24 1 Apr-24 1 Apr-24 1 Apr-24 1

6 ETT 5.5 1 1 May-23 1 May-23 1 Jan-24 1 Apr-24 1 Apr-24 1 Apr-24 1


7 ETT 6 1 1 Feb-22 1 Feb-22 1 Apr-24 1 Apr-24 1 Apr-24 1 Apr-24 1

8 ETT 6.5 1 1 Apr-24 1 Feb-22 1 Feb-22 1 Apr-24 1 May-24 1 Apr-24 1

9 ETT 7 1 1 Aug-22 1 Feb-23 1 Feb-23 1 Jul-23 1 Apr-24 1 Apr-22 1

10 ETT 7.5 1 1 Apr-23 1 Apr-23 1 Jul-23 1 May-23 1 May-23 1 Apr-23 1

11 ETT 8 1 1 Apr-24 1 Apr-24 1 Apr-24 1 Apr-24 1 Apr-24 1 Apr-24 1

12 Gudel Biru 1 1 Sep-22 1 Sep-22 1 Sep-22 1 Sep-22 1 Sep-22 1 Sep-22 1

13 Gudel Hijau 1 1 Oct-22 1 Jun-23 1 Oct-22 1 Jun-23 1 Mar-23 1 Jun-23 1

14 Gudel Hitam 1 1 Dec-22 1 Dec-22 1 Dec-22 1 Dec-22 1 Dec-22 1 May-03 1

15 Gudel Kuning 1 1 - 1 - 1 - 1 Feb-24 1 Feb-24 1 Jun-24 1

16 Gudel Merah 1 1 Jul-24 1 - 1 Sep-22 1 Jul-24 1 Jul-24 1 Jul-24 1

17 Gudel Orange 1 1 Dec-22 1 Dec-22 1 Jul-24 1 Dec-22 1 Dec-22 1 Dec-22 1

18 Gudel Pink 1 1 Sep-22 1 Sep-22 1 Sep-22 1 Sep-22 1 Sep-22 1 Sep-22 1

19 Gudel Putih 1 1 Sep-22 1 Sep-22 1 Sep-22 1 Sep-22 1 Sep-22 1 Sep-22 1

20 Laryngoscope 1 1 - 1 - 1 1 - 1 - 1 - 1

21 Suction Catheter No 10 1 1 Jan-25 1 Oct-20 1 Jan-25 1 Jan-25 1 Jan-25 1 Jan-25 1

22 Suction Catheter No 12 1 1 Sep-24 1 - 1 Sep-24 1 Sep-24 1 Sep-24 1 Sep-24 1

23 Suction Catheter No 14 1 1 Mar-23 1 Mar-23 1 Jun-25 1 Mar-23 1 Mar-23 1 Mar-23 1

24 Suction Catheter No 16 1 1 Mar-21 1 Mar-21 1 Mar-21 1 Mar-21 1 Mar-21 1 Mar-21 1

25 Suction Catheter No 18 0 0 - 0 - 0 - 0 - 0 - 0 - 0

26 Suction Catheter No 20 0 0 - 0 - 0 - 0 - 0 - 0 - 0

27 Suction Catheter No 6 1 1 Sep-24 1 Sep-24 1 Sep-24 1 Sep-24 1 Sep-24 1 Sep-24 1

28 Suction Catheter No 8 1 1 Sep-24 1 Sep-24 1 Dec-24 1 Sep-24 1 Sep-24 1 Sep-24 1

29 Valve Bag Mask 1 1 - 1 1 1 - 1 - 1 - 1

LACI BREATHING
1 Nasal Canul Anak 1 1 Dec-23 1 Dec-23 1 Dec-23 1 Dec-23 1 Dec-23 1 Jun-22 1

2 Nasal Canul Bayi 1 1 - 1 - 1 - 1 - 1 - 1 - 1

3 Nasal Canul Dewasa 1 1 Mar-24 1 Mar-24 1 Jan-24 1 Jan-24 1 Jan-24 1 Jan-24 1

4 Nebules Mask Anak 1 1 Oct-24 1 Oct-24 1 Oct-24 1 - 1 - 1 Oct-24 1

5 Nebules Mask Dewasa 1 1 Oct-24 1 Oct-24 1 - 1 Oct-24 1 Oct-24 1 Oct-24 1

Non Rebreathing Mask


6 Anak (Oxygen Mask with 1 1 - 1 - 1 - 1 - 1 - 1 - 1
Reservoir)

Non Rebreathing Mask


7 Dewasa (Oxygen Mask 1 1 Mar-24 1 Mar-24 1 Nov-24 1 Mar-24 1 Mar-24 1 May-24 1
with Reservoir)

Sungkup Muka
8 Sederhana (Oxygen 1 1 - 1 - 1 - 1 - 1 - 1 - 1
Mask) Anak

Sungkup Muka
9 Sederhana (Oxygen 1 1 - 1 - 1 - 1 - 1 - 1 - 1
Mask) Bayi

Sungkup Muka
10 Sederhana (Oxygen 1 1 Aug-23 1 May-24 1 May-24 1 Sep-23 1 Sep-23 1 Jul-24 1
Mask) Dewasa
LACI CIRCULASI
1 Alkohol Swab 1 1 Dec-22 1 Dec-22 1 Dec-22 1 Dec-22 1 Dec-22 1 Dec-22 1

2 Blood Set 1 1 Sep-24 1 Sep-24 1 Jun-21 1 Jun-21 1 Jun-21 1 Jun-21 1


3 Elektrode 20 20 - 20 - 20 - 20 - 20 - 20 - 20

4 Foley Catheter 12 1 1 Nov-24 1 Nov-24 1 Nov-24 1 Nov-24 1 Nov-24 1 Nov-24 1

5 Foley Catheter 14 1 1 Nov-23 1 Nov-21 1 Nov-23 1 Aug-24 1 Nov-23 1 Nov-23 1

6 Foley Catheter 16 1 1 Nov-24 1 Nov-24 1 Nov-24 1 Nov-24 1 Nov-24 1 Nov-24 1

7 Foley Catheter 18 1 1 Jan-24 1 Jan-24 1 Jan-24 1 Jan-24 1 Jan-24 1 Jan-24 1

8 Foley Catheter 20 1 1 Feb-23 1 Feb-23 1 Feb-23 1 Feb-23 1 Feb-23 1 Feb-23 1

9 Foley Catheter 22 1 1 Jan-23 1 Jan-23 1 Jan-23 1 Jan-23 1 Jan-23 1 Jan-23 1

10 Handscoon Steril 6.5 2 2 Apr-25 2 Apr-25 2 Aug-24 2 Aug-24 2 Aug-24 2 Aug-24 2

11 Handscoon Steril 7 2 2 Mar-25 2 Mar-25 2 Jul-24 2 Mar-25 2 Mar-25 2 Mar-25 2

12 Handscoon Steril 7.5 2 2 Jul-24 2 Jul-24 2 Jan-25 2 Jul-24 2 Aug-24 2 Jul-24 2

13 Infus Set Mikro 2 2 Jan-24 2 Jan-24 2 Jan-24 2 Sep-21 2 Sep-21 2 Sep-21 2

14 Infus Set Makro 2 2 Sep-23 2 Sep-23 2 Aug-24 2 Dec-24 2 Dec-24 2 Dec-24 2

15 IV Catheter No 18 3 3 Jan-23 3 Jan-23 3 Jan-23 3 Jan-23 3 Jan-23 3 Jan-23 3

16 IV Catheter No 20 3 3 Dec-24 3 Dec-24 3 Apr-23 3 Apr-23 3 Apr-23 3 Sep-23 3

17 IV Catheter No 22 3 3 Jul-24 3 Jul-24 3 Jul-24 3 Jul-24 3 Jul-24 3 Jul-24 3

18 IV Catheter No 24 3 3 Jan-24 3 Jul-24 3 Jul-24 3 Jul-24 3 Jul-24 3 Jul-24 3

19 IV Catheter No 26 3 3 Jun-24 3 Sep-23 3 Sep-23 3 Sep-23 3 Sep-23 3 Sep-23 3

20 IVFD D10% 1 1 Oct-22 1 Oct-22 1 Feb-22 1 Oct-22 1 Dec-22 1 Oct-22 1

21 IVFD D5 ¼ NS 1 1 Mar-21 1 Mar-21 1 Dec-21 1 Mar-21 1 Mar-21 1 Mar-21 1

22 IVFD D5 ½ NS 1 1 Dec-21 1 Dec-21 1 Mar-21 1 Dec-21 1 Dec-21 1 Dec-21 1

23 IVFD D5% 1 1 Dec-22 1 Nov-22 1 Jul-22 1 Dec-22 1 Dec-22 1 Dec-22 1

24 IVFD NaCl 0,9% 100 ml 1 1 Nov-22 1 Nov-22 1 Nov-22 1 Nov-22 1 Nov-22 1 Mar-23 1

25 IVFD NaCl 0,9% 500 ml 1 1 Dec-24 1 Mar-21 1 Dec-24 1 Dec-24 1 Dec-24 1 Dec-24 1

26 IVFD RL 1 1 Nov-24 1 Mar-22 1 Nov-24 1 Nov-24 1 Nov-24 1 Nov-24 1

27 Needle 24G 2 2 Dec-23 2 Dec-23 2 Dec-23 2 Dec-23 2 Dec-23 2 Dec-23 2

28 NGT 5 1 1 May-24 1 May-24 1 May-24 1 Jun-22 1 Jun-22 1 Dec-21 1

29 NGT 6 1 1 Dec-24 1 Dec-24 1 Dec-24 1 Dec-24 1 Dec-24 1 Dec-24 1

30 NGT 8 1 1 May-24 1 May-24 1 May-24 1 May-24 1 May-24 1 May-24 1

31 NGT 10 1 1 May-24 1 May-24 1 May-24 1 May-24 1 May-24 1 May-24 1

32 NGT 12 1 1 Aug-23 1 Aug-23 1 Aug-23 1 Aug-23 1 Aug-23 1 Aug-23 1

33 NGT 14 1 1 May-24 1 May-24 1 May-24 1 May-24 1 May-24 1 May-24 1

34 NGT 16 1 1 Aug-24 1 Mar-24 1 Jul-24 1 Aug-24 1 Mar-24 1 Mar-24 1

35 NGT 18 1 1 Aug-24 1 Aug-24 1 Aug-24 1 Aug-24 1 Aug-24 1 Aug-24 1

36 Perfusor/Extension Tube 1 1 Jan-22 1 Jan-22 1 Jan-22 1 Jan-22 1 Jan-22 1 Jan-22 1

37 Syringe Disposibe 1 cc 5 5 Sep-24 5 Sep-24 5 Sep-24 5 Sep-24 5 Sep-24 5 Sep-24 5

38 Syringe Disposibe 3 cc 5 5 Sep-24 5 Sep-24 5 Sep-24 5 Feb-25 5 Feb-25 5 Feb-25 5

39 Syringe Disposibe 5 cc 5 5 Sep-24 5 Sep-24 5 Sep-24 5 Sep-24 5 Sep-24 5 Sep-24 5

40 Syringe Disposibe 10 cc 2 2 Aug-24 2 Sep-24 2 Aug-24 2 Aug-24 2 Aug-24 2 Aug-24 2

41 Syringe Disposibe 20 cc 2 2 Apr-24 2 Apr-24 2 Apr-24 2 Apr-24 2 Apr-24 2 Apr-24 2

42 Syringe Disposibe 50 cc 2 2 Oct-24 2 Oct-24 2 Oct-24 2 Oct-24 2 Oct-24 2 Oct-24 2

43 Three Way Stop Cock 2 2 Jul-24 2 Dec-24 2 Jun-24 2 Mar-24 2 Mar-24 2 Mar-24 2

Three Way with Tube


44 2 2 Jul-24 2 Jul-24 2 Dec-24 2 Jun-24 2 Jun-24 2 Jun-24 2
(Berekor)
45 Torniquiet 1 1 - 1 - 1 - 1 - 1 - 1 - 1
46 Urine Bag 1 1 Jul-22 1 Nov-24 1 Aug-24 1 Aug-24 1 Aug-24 1 Aug-24 1

47 Wing Needle 25G 3 3 Nov-24 3 Nov-24 3 Jul-24 3 Jul-24 3 Jul-24 3 Jul-24 3

48 Wing Needle 27G 3 3 Jan-25 3 Jan-25 3 Jan-25 3 Jan-25 3 Jan-25 3 Jan-25 3


ED RNP4 ED

Jun-22 3 Jun-22 24
- 0 - 0
Dec-23 3 Dec-23 22
Mar-22 10 Mar-22
76
Oct-21 5 Oct-21
25
Oct-21 3 Oct-21
15
Jan-22 3 Jan-22 23
Jan-22 5 Jan-22
40
Apr-22 3 Apr-22 22
Apr-23 0 Apr-23
0
Nov-22 3 Nov-22 24
Jan-22 0 Jan-22
4
Apr-23 5 Apr-23
36
Sep-21 3 Sep-21
23
Dec-21 5 Dec-21
31
Jun-22 3 Jun-22 22
Dec-21 10 Dec-21 80
Jul-22 3 Jul-22 24
May-22 5 May-22
39
Jun-22 5 Jun-22 39
Jan-22 3 Jan-22 24
Feb-22 3 Feb-22 24
Oct-22 3 Oct-22
24
Aug-21 Aug-21
0
Apr-23 3 Apr-23 22
Mar-22 3 Mar-22
20
Sep-23 3 Sep-23 24
Sep-23 5 Sep-23
40
Apr-23 3 Apr-23
24
0
0
Feb-23 3 Feb-23 22
0
Apr-24 1 Apr-24 8
Apr-24 1 Apr-24 8
Sep-24 1 Sep-24 8
Sep-24 1 Sep-24 8
Apr-24 1 Apr-24 8
May-23 1 May-23 8
Feb-22 1 Feb-22 8
Feb-22 1 Feb-22 8
Feb-23 1 Feb-23 8
Apr-23 1 Apr-23 8
Apr-24 1 Apr-24 8
Sep-22 1 Sep-22 8
Jun-23 1 Jun-23 8
Dec-22 1 Dec-22 8
- 1 - 8
- 1 - 8
Dec-22 1 Dec-22 8
Sep-22 1 Sep-22 8
Sep-22 1 Sep-22 8
- 1 - 8
Oct-20 1 Oct-20
8
- 1 -
8
Mar-23 1 Mar-23
8
Mar-21 1 Mar-21
8
- 0 -
0
- 0 -
0
Sep-24 1 Sep-24
8
Sep-24 1 Sep-24
8
1 8
0
Dec-23 1 Dec-23 8
- 1 - 8
Mar-24 1 Mar-24 8
Oct-24 1 Oct-24 8
Oct-24 1 Oct-24 8

- 1 -
8

Mar-24 1 Mar-24

- 1 -
8

- 1 -
8

May-24 1 May-24
8
0
Dec-22 1 Dec-22 8
Sep-24 1 Sep-24 8
- 20 - 160
Nov-24 1 Nov-24 8
Nov-21 1 Nov-21 8
Nov-24 1 Nov-24 8
Jan-24 1 Jan-24 8
Feb-23 1 Feb-23 8
Jan-23 1 Jan-23 8
Apr-25 2 Apr-25 16
Mar-25 2 Mar-25 16
Jul-24 2 Jul-24 16
Jan-24 2 Jan-24 16
Sep-23 2 Sep-23 16
Jan-23 3 Jan-23 24
Dec-24 3 Dec-24 24
Jul-24 3 Jul-24 24
Jul-24 3 Jul-24 24
Sep-23 3 Sep-23 24
Oct-22 1 Oct-22 8
Mar-21 1 Mar-21 8
Dec-21 1 Dec-21 8
Nov-22 1 Nov-22 8
Nov-22 1 Nov-22
8
Mar-21 1 Mar-21
8
Mar-22 1 Mar-22 8
Dec-23 2 Dec-23 16
May-24 1 May-24 8
Dec-24 1 Dec-24 8
May-24 1 May-24 8
May-24 1 May-24 8
Aug-23 1 Aug-23 8
May-24 1 May-24 8
Mar-24 1 Mar-24 8
Aug-24 1 Aug-24 8
Jan-22 1 Jan-22
8
Sep-24 5 Sep-24
40
Sep-24 5 Sep-24
40
Sep-24 5 Sep-24
40
Sep-24 2 Sep-24
16
Apr-24 2 Apr-24
16
Oct-24 2 Oct-24
16
Dec-24 2 Dec-24
16
Jul-24 2 Jul-24
16
- 1 - 8
Nov-24 1 Nov-24 8
Nov-24 3 Nov-24 24
Jan-25 3 Jan-25 24

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