AMINOFILIN INJ DIAZEPAM INJ AMINOFILIN INJ DIAZEPAM INJ

STESOLID RECTAL 5 MG STESOLID RECTAL 10 MG STESOLID RECTAL 5 MG STESOLID RECTAL 10 MG

CALCIUM GLUKONAS INJ VITAMIN K INJ CALCIUM GLUKONAS INJ VITAMIN K INJ

MGSO4 20% MGSO4 40% MGSO4 20% MGSO4 40%

OTSU D 40% DOPAMIN INJ OTSU D 40% DOPAMIN INJ

FARGOXIN INJ FARSORBID INJ FARGOXIN INJ FARSORBID INJ

FUROSEMID INJ EPINEFRIN INJ FUROSEMID INJ EPINEFRIN INJ

SULFAS ATROPIN INJ NOR-EPINEFRIN INJ SULFAS ATROPIN INJ NOR-EPINEFRIN INJ

MEYLON AMIODARON INJ MEYLON AMIODARON INJ

LIDOKAIN INJ PHENITOIN NAT. INJ LIDOKAIN INJ PHENITOIN NAT. INJ

Phetidin Inj Phetidin Inj Midazolam 5 mg inj Midazolam 5 mg inj

Fentanyl inj Fentanyl inj Midazolam 5 mg inj Midazolam 5 mg inj

 MONITORING TROLY EMERGENCY RUANGAN KUA LT. 1

NAMA BARANG SATUAN JUMLAH Februari Maret April Mei

EMERGENCY DRUGS AMINOFILIN INJ AMPUL 2
DIAZEPAM INJ AMPUL 2
CALCIUM GLUKONAS INJ AMPUL 2
ASAM TRANEKSAMAT INJ AMPUL 2
OTSU D 40% AMPUL 2
DOPAMIN INJ (UDOPA) AMPUL 1
FARGOXIN INJ AMPUL 2
FUROSEMID INJ AMPUL 2
EPINEFRIN INJ AMPUL 3
SULFAS ATROPIN INJ AMPUL 2
PHENITOIN NAT. INJ AMPUL 2
MYLON AMPUL 2
MgSO4 20% AMPUL 1
MgSO4 40% AMPUL 1
AIRWAYS CATHETER SUCTION 6 PCS 1
CATHETER SUCTION 12 PCS 1
Guedel No.1 pcs 1
Guedel No.2 pcs 1
Guedel No.3 pcs 1
Guedel No.4 pcs 1
Guedel No.5 pcs 1
BREATHING AMBU BAG DEWASA PCS 1
FACE MASKER DEWASA PCS 1
FACE MASKER ANAK PCS 1
MASK NONBREATING Adult PCS 1
Nasal Canula anak pcs 1
Nasal Canula dewasa pcs 1
CIRCULATION DEVICES SPUIT 3CC PCS 2
SPUIT 5CC PCS 2
SPUIT 10CC PCS 2
THREEWAY PCS 1
URINE BAG PCS 1
ALKOHOL SWAB PCS 2
EXTENTION TUBE PCS 1
INFUS SET DEWASA PCS 2
INFUS SET ANAK PCS 2
TRANSFUSI SET PCS 1
LEUCOMED PCS 2
ABOCART 20 PCS 2
ABOCART 24 PCS 2
ABOCART 22 PCS 2
KAIN KASA PCS 2
HANDSCOON 7 PSG 2
HANDSCOON 7,5 PSG 2
HANDSCOON 6,5 PSG 2
CAIRAN INFUS RINGER LACTAT 500 ML BOTOL 2
Wida bes BOTOL 2
DEXTOSE 10% BOTOL 2
catatan: Jenis dan jumlah obat disimpan dengan baik, penggunaannya disubsitusi dengan resep dokter
sebagai dasar pengisian kembali jumlah stok.

Langsa,
Koordinator Troly Emergency Ka. Ruang KUA

(Mauliana, S.Far., Apt) ( )

 MONITORING TROLLEY EMERGENCY RUANGAN KUA LT.2

Nama Barang Satuan Jumlah Feb Mar April Mei

Emergency drugs AMINOFILIN INJ AMPUL 2
DIAZEPAM INJ AMPUL 2
CALCIUM GLUKONAS INJ AMPUL 2
ASAM TRANEKSAMAT INJ AMPUL 2
OTSU D 40% AMPUL 6
DOPAMIN INJ AMPUL 2
FARGOXIN INJ AMPUL 1
FUROSEMID INJ (URESIX) AMPUL 2
LIDOCAIN 2% AMPUL 1
EPINEFRIN INJ AMPUL 2
NOREPINEFRIN INJ AMPUL 2
SULFAS ATROPIN INJ AMPUL 2
PHENITOIN NAT. INJ AMPUL 2
ISDN INJ (FASORBID) AMPUL 2
Airways Suction Catheter FR No 6 PCS 1
Suction Catheter FR No 10 PCS 1
Suction Catheter FR No 12 PCS 1
Guedel No 1 PCS 1
Guedel No 2 PCS 1
Guedel No 4 PCS 1
Guedel No 5 PCS 1
Breathing AMBUBAG DEWASA PCS 1
Face Masker Dewasa PCS 1
FACE MASKER ANAK PCS 1
Mask Nonbreathing Dewasa PCS 1
NASAL CANULA DEWASA PCS 1
NASAL CANULA ANAK PCS 1
Circulation Device Spuit 3 cc PCS 2
Spuit 5 cc PCS 2
Spuit 10 cc PCS 2
Three Way Stopcok PCS 1
Alkohol Swab PCS 2
Infuset Dewasa PCS 2
Infuset Anak PCS 2
Infuset Transfusi PCS 2
URINE BAG PCS 1
EXTENTION TUBE PCS 1
Abocath 20 PCS 2
Abocath 22 PCS 2
Abocath 24 PCS 2
Kain kasa PCS `1
Handscoend Steril 7 PCS 2
Handscoend Steril 6 PCS 2
Cairan Infus Ringer Lactat 500 ml Botol 2
WIDA BES Botol 2
Dextrose 10 % 500 ml Botol 2
catatan: Jenis dan jumlah obat disimpan dengan baik, penggunaannya disubsitusi dengan resep dokter
sebagai dasar pengisian kembali jumlah stok.

Langsa, Februari 2020

Koordinator Troly Emergency Ka. Ruangan IA
 ( Mauliana, S.Far., Apt ) ( )

TROLLEY EMERGENCY II

Nama Barang Jumlah

Emergency drugs Asam Traneksamat inj 5
Aminofilin Inj 3
Calcium Gluconas Inj 3
Dobutamin Inj 2
Dopamin inj 3
Atropin Sulfas Inj 10
Deksametason Inj 3
Dextrose 40% 4
Epinefrin inj 10
Fargoxin Inj 5
Lidocain Inj 5
Mgs04 20% 3
Mgs04 40% 3
Levosol 2
Stesolid Rectal 5mg 3
Stesolid Rectal 10mg 3
Phenitoin Natrium Inj 3
Meylon Inj 2
Uresik Inj 10
Valdimex inj (Diazepam) 5
Amiodaron Inj 0
Airways Suction Catheter FR No 6 1
Suction Catheter FR No 16 1
Guedel No 1/60 mm 1
Guedel No 2/70 mm 1
Guedel No 3/90 mm 1
Guedel No 4/90 mm 1
Guedel No 4/100 mm 1
Guedel No 5/100 mm 1
Guedel No 6/100 mm 1
Elektroda 6
Breathing Mask Non breating adult 1
Mask Non breating chlid 1
Mask Non breating infant 0
Nasal Canula adult 1
Nasal Canula Child 1
Nasal Canula infant 1
Simple Mask Adult 1
Simple Mask child 1
Simple Mask infant 0
Laringoscope 1
Thorak Catheter 1
Endo Trachea Tube 3,0 1
Endo Trachea Tube 3,5 1
Endo Trachea Tube 4,0 1
Endo Trachea Tube 4,5 1
Endo Trachea Tube 5,0 1
Endo Trachea Tube 5,5 1
Endo Trachea Tube 6,0 1
Endo Trachea Tube 6,5 1
Endo Trachea Tube 7,0 1
Endo Trachea Tube 7,5 1
Endo Trachea Tube 8,0 1
Ngt No 5 1
Ngt No 8 1
Ngt No 16 1
Ngt No 18 1
Ambi bag Adult 1
Ambi bag Child 1
Ambi bag infant 0
Circulation Device Spuit 3 cc 5
Spuit 5 cc 5
Spuit 10 cc 5
Spuit 100 cc 2
Three Way Stopcok 2
Infuset Makro 2
Infuset Mikro 2
Infuset Transfusi 1
Leucomed 5
Wego Silk 3,0 2
Abocath 18 2
abocath 20 2
Abocath 22 2
Abocath 24 2
Handscoend Steril 7 2
Handscoend Steril 7,5 2
Kassa Kotak 2
Urine Bag 1
Folley catheter No 18 1
Cairan Infus Ringer Lactat 500 ml 4
Asering 2
Dextrose 5% 500 ml 2
Dextrose 10 % 500 ml 2
Natrium Chlorida 0,9% 500 ml 2
catatan: Jenis dan jumlah obat disimpan dengan baik, penggunaannya disubsitusi dengan resep dokter
sebagai dasar pengisian kembali jumlah stok.

Langsa, Oktober 2016

Koordinator depo IGD

( )

TROLLEY EMERGENCY I

Nama Barang Jumlah

Emergency drugs Asam Traneksamat inj 5
Aminofilin Inj 3
Calcium Gluconas Inj 3
Dobutamin Inj 2
Dopamin inj 3
Atropin Sulfas Inj 10
Deksametason Inj 3
Dextrose 40% 4
Epinefrin inj 10
Fargoxin Inj 5
Lidocain Inj 5
Mgs04 20% 3
 Mgs04 40% 3
Levosol 2
Stesolid Rectal 5mg 3
Stesolid Rectal 10mg 3
Phenitoin Natrium Inj 3
Meylon Inj 2
Uresik Inj 10
Valdimex inj (Diazepam) 5
Amiodaron Inj 0
Airways Suction Catheter FR No 6 1
Suction Catheter FR No 16 1
Guedel No 1/60 mm 1
Guedel No 2/70 mm 1
Guedel No 3/90 mm 1
Guedel No 4/90 mm 1
Guedel No 4/100 mm 1
Guedel No 5/100 mm 1
Guedel No 6/100 mm 1
Elektroda 6
Breathing Mask Non breating adult 1
Mask Non breating chlid 1
Mask Non breating infant 0
Nasal Canula adult 1
Nasal Canula Child 1
Nasal Canula infant 1
Simple Mask Adult 1
Simple Mask child 1
Simple Mask infant 0
Thorak Catheter 1
Endo Trachea Tube 3,0 1
Endo Trachea Tube 3,5 1
Endo Trachea Tube 4,0 1
Endo Trachea Tube 4,5 1
Endo Trachea Tube 5,0 1
Endo Trachea Tube 5,5 1
Endo Trachea Tube 6,0 1
Endo Trachea Tube 6,5 1
Endo Trachea Tube 7,0 1
Endo Trachea Tube 7,5 1
Endo Trachea Tube 8,0 1
Ngt No 5 1
Ngt No 8 1
Ngt No 16 1
Ngt No 18 1
Ambi bag Adult 1
Ambi bag Child 1
Ambi bag infant 1
Circulation Device Spuit 3 cc 5
Spuit 5 cc 5
Spuit 10 cc 5
Spuit 100 cc 2
Three Way Stopcok 2
Infuset Makro 2
Infuset Mikro 2
Infuset Transfusi 1
Leucomed 5
Wego Silk 3,0 2
Abocath 18 2
abocath 20 2
Abocath 22 2
Abocath 24 2
Handscoend Steril 7 2
Handscoend Steril 7,5 2
 Kassa Kotak 2
Urine Bag 1
Folley catheter No 18 1
Cairan Infus Ringer Lactat 500 ml 4
Asering 2
Dextrose 5% 500 ml 2
Dextrose 10 % 500 ml 2
Natrium Chlorida 0,9% 500 ml 2

catatan: Jenis dan jumlah obat disimpan dengan baik, penggunaannya disubsitusi dengan resep dokter
sebagai dasar pengisian kembali jumlah stok.

Langsa, Oktober 2016

Ka.Instalasi IGD

( )

TROLLEY EMERGENCY II

Nama Barang Jumlah

Emergency drugs Asam Traneksamat inj 5
Aminofilin Inj 3
Calcium Gluconas Inj 3
Dobutamin Inj 2
 Dopamin inj 3
Atropin Sulfas Inj 10
Deksametason Inj 3
Dextrose 40% 4
Epinefrin inj 10
Fargoxin Inj 5
Lidocain Inj 5
Mgs04 20% 3
Mgs04 40% 3
Levosol 2
Stesolid Rectal 5mg 3
Stesolid Rectal 10mg 3
Phenitoin Natrium Inj 3
Meylon Inj 2
Uresik Inj 10
Valdimex inj (Diazepam) 5
Amiodaron Inj 0
Airways Suction Catheter FR No 6 1
Suction Catheter FR No 16 1
Guedel No 1/60 mm 1
Guedel No 2/70 mm 1
Guedel No 3/90 mm 1
Guedel No 4/90 mm 1
Guedel No 4/100 mm 1
Guedel No 5/100 mm 1
Guedel No 6/100 mm 1
Elektroda 6
Breathing Mask Non breating adult 1
Mask Non breating chlid 1
Mask Non breating infant 0
Nasal Canula adult 1
Nasal Canula Child 1
Nasal Canula infant 1
Simple Mask Adult 1
Simple Mask child 1
Simple Mask infant 0
Laringoscope 1
Thorak Catheter 1
Endo Trachea Tube 3,0 1
Endo Trachea Tube 3,5 1
Endo Trachea Tube 4,0 1
Endo Trachea Tube 4,5 1
Endo Trachea Tube 5,0 1
Endo Trachea Tube 5,5 1
Endo Trachea Tube 6,0 1
Endo Trachea Tube 6,5 1
Endo Trachea Tube 7,0 1
Endo Trachea Tube 7,5 1
Endo Trachea Tube 8,0 1
Ngt No 5 1
Ngt No 8 1
Ngt No 16 1
Ngt No 18 1
Ambi bag Adult 1
Ambi bag Child 1
Ambi bag infant 0
Circulation Device Spuit 3 cc 5
Spuit 5 cc 5
Spuit 10 cc 5
Spuit 100 cc 2
Three Way Stopcok 2
Infuset Makro 2
Infuset Mikro 2
 Infuset Transfusi 1
Leucomed 5
Wego Silk 3,0 2
Abocath 18 2
abocath 20 2
Abocath 22 2
Abocath 24 2
Handscoend Steril 7 2
Handscoend Steril 7,5 2
Kassa Kotak 2
Urine Bag 1
Folley catheter No 18 1
Cairan Infus Ringer Lactat 500 ml 4
Asering 2
Dextrose 5% 500 ml 2
Dextrose 10 % 500 ml 2
Natrium Chlorida 0,9% 500 ml 2

catatan: Jenis dan jumlah obat disimpan dengan baik, penggunaannya disubsitusi dengan resep dokter
sebagai dasar pengisian kembali jumlah stok.

Langsa, Oktober 2016

Ka.Instalasi IGD

( )