Nama Obat Jumlah Waktu Dipantau KET I II III IV V
Nama Obat Jumlah Waktu Dipantau KET I II III IV V
Nama Obat Jumlah Waktu Dipantau KET I II III IV V
RUANG : OK
BULAN :
WAKTU
NAMA OBAT JUMLAH KET
DIPANTAU
I II III IV V
Aminopilin inj 1
Ca gluconaas inj 1
Furosemide inj 3
Dexamethasone inj 3
Diazepam inj 3
Difenhidramine inj 3
Ephineprine inj 3
Ketamin inj 1
Norages/metamizole inj 3
Propofol inj 1
Lidocaine inj 3
Surflo 26 1
Surflo 24 1
Surflo 22 1
Surflo 20 1
Surflo 18 1
Oxygen mask 1
Stomatch tube 1
ETT 1
Intersurgical 1
Spuit 1 ml 3
Spuit 3 ml 3
Spuit 10 ml 2
BULAN :
WAKTU
NAMA OBAT JUMLAH KET
DIPANTAU
I II III IV V
Aminopilin inj 1
Ca gluconaas inj 1
Furosemide inj 3
Dexamethasone inj 3
Vit K 1
Diazepam inj 3
Lidocaine inj 3
Oxytocin inj 3
MgSO4 1
Alkohol swab 2
Hypapix
Spuit 1 ml 3
Spuit 5 ml 3
Oxygen mask 2
ETT 1
Feeding tube 1
BULAN :
WAKTU
NAMA OBAT JUMLAH KET
DIPANTAU
I II III IV V
Ephineprine inj 2
Ca gluconaas inj 1
Metilargometrine inj 3
Dexamethasone inj 2
Vit K 1
Diazepam inj 3
Lidocaine inj 3
Ranitidine inj 2
MgSO4 1
Norages/metamizole inj 2
Infus RL 1
Infus dextrose 5% 1
Tranfusion set 1
Spuit 1 ml 3
Spuit 5 ml 2
spuit 10 ml 2
Spuit 3 ml 3
Surflo 26 2
Surflo 24 1
Surflo 22 2
Surflo 20 1
Surflo 18 1
KELENGKAPAN OBAT EMERGENCY
RUANG : AMBULANCE
BULAN :
WAKTU
NAMA OBAT JUMLAH KET
DIPANTAU
I II III IV V
Ephineprine inj 2
Ca gluconaas inj 1
Metilargometrine inj 3
Dexamethasone inj 2
Vit K 1
Diazepam inj 3
Lidocaine inj 3
Ranitidine inj 2
MgSO4 1
Norages/metamizole inj 2
Infus RL 1
Infus dextrose 5% 1
Tranfusion set 1
Spuit 1 ml 3
Spuit 5 ml 2
spuit 10 ml 2
Spuit 3 ml 3
Surflo 26 2
Surflo 24 1
Surflo 22 2
Surflo 20 1
Surflo 18 1
BULAN :
WAKTU
NAMA OBAT JUMLAH KET
DIPANTAU
I II III IV V
Aminopilin inj 1
Ca gluconaas inj 1
Furosemide inj 3
Dexamethasone inj 3
Vit K 1
Diazepam inj 3
Lidocaine inj 3
Oxytocin inj 2
MgSO4 1
Glukosa 5 % 1
Ring as 3
NaCl 1
Widhahes 1
Suction catheter uk 18 3
Suction cathether uk 16 6
Spuit 1 ml 3
Spuit 5 ml 3
Oxygen mask 2
ETT 1
Feeding tube 7