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Monitoring Obat Alkes Emergensi

This document contains a monthly inventory report for emergency medical supplies and equipment from a particular unit. It lists 63 different items including medications, catheters, airways, and other supplies. For each item it records the expiration date, beginning stock, ending stock, and whether the stock is adequate or inadequate. The report must be checked by both the unit's staff and a pharmacist.

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Tim Akreditasi
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0% found this document useful (0 votes)
251 views2 pages

Monitoring Obat Alkes Emergensi

This document contains a monthly inventory report for emergency medical supplies and equipment from a particular unit. It lists 63 different items including medications, catheters, airways, and other supplies. For each item it records the expiration date, beginning stock, ending stock, and whether the stock is adequate or inadequate. The report must be checked by both the unit's staff and a pharmacist.

Uploaded by

Tim Akreditasi
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 PDF, TXT or read online on Scribd
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MONITORING OBAT/ALKES EMERGENSI

UNIT : BULAN : TAHUN :


NO SESUAI
NAMA SEDIAAN TGL EXP STOCK AWAL STOCK AKHIR
YA TIDAK
1 Adenosin 20 mg/2 ml inj
2 Adrenalin/Epinephrine 1mg/mL
Inj
3 Alkohol Swab
4 Amiodaron 150 mg/3 ml Inj
5 Apron
6 Aquabidest
7 Asam Tranexamat 500 mg
8 Atropin Sulfat 0,25 mg/ml inj
9 Blood Set
10 Dextrose 5% 100 ml
11 Dopamin 200 mg/5 ml inj
12 Elektroda/ECG
13 Endotracheal Intubation Stylet
/Mandrin ETT
14 ETT No. 2
15 ETT No. 2,5
16 ETT No. 4,5
17 Folley Catheter No. 10
18 Folley Catheter No. 12
19 Folley Catheter No. 14
20 Folley Catheter No. 16
21 Folley Catheter No. 18
22 Furosemid 10 mg/ml inj
23 Hard Matras/Patslide
24 I.V Catheter No. 16
25 I.V Catheter No. 18
26 I.V Catheter No. 20
27 I.V Catheter No. 22
28 I.V Catheter No. 24
29 Infus set
30 Kassa Gulung
31 Laringoskop
32 Lidocain 2% inj
33 Methylprednisolone 125mg inj
34 Micro Drip/Mikroburet
35 NaCl 0,9% 100 ml
36 NaCl 0,9% 500 ml
37 Nasal kanul
38 NGT No. 10
39 NGT No. 12
40 NGT No. 14
41 NGT No. 16
42 NGT No. 3,5
43 NGT No. 4
44 NGT No. 5
45 NGT No. 6
46 NGT No. 8

1
47 Oropharingeal Airways (OPA)/
Guedel No. 00
48 Oropharingeal Airways (OPA)/
Guedel No. 2
49 Oropharingeal Airways (OPA)/
Guedel No. 4
50 Oropharingeal Airways (OPA)/
Guedel No. 6
51 Plester Gulung
52 Ringer Lactat 500 ml
53 Spuit 10 ml
54 Spuit 20 ml
55 Spuit 3 ml
56 Spuit 5 ml
57 Stesolid 10 mg/2 ml inj
58 Stesolid 10 mg/2,5 ml rectal
59 Stesolid 5 mg/2,5 ml rectal
60 Tongue Spatel
61 Tourniquet
62 Urine Bag
63 Xylocain gel

DIPERIKSA TANGGAL
PETUGAS UNIT/INSTALASI PETUGAS FARMASI

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