Upload
amir-sembiring
View
234
Download
0
Embed Size (px)
Citation preview
8/16/2019 STANDAR ALAT KESEHATAN.docx
1/13
STANDAR ALAT KESEHATAN
RUMAH SAKIT SANTA ELISABETH MEDAN
RUANGAN SANTA MARTHA
N
O
NAMA
BARANG
KLSJLH
KMR
JLH
T.T
STANDARD
KEBUTUHAN
JLH
1 Alkohol 70 % III 4 20 Bed 1 ½ liter
2 Alkohol 96 % III 4 20 Bed 1 liter
3 Betadin sol III 4 20 Bed 1 liter
4 Perhidrol 3% III 4 20 Bed 1 ½ liter
5 Brans spritus III 4 20 Bed 1 liter
6 Salon III 4 20 Bed 1 liter
7 A!uades 25 "" III 4 20 Bed 25 ""
# $a"l 09 % III 4 20 Bed &ol' ol 500
9 (in)er la"tat III 4 20 Bed &ol' ol 500
10 (in)er solution III 4 20 Bed &ol' ol 500
11 (in)er *e+ III 4 20 Bed &ol' ol 500
12 Spuit 3 "" III 4 20 Bed ,eru-o
13 Spuit 5 "" III 4 20 Bed ,eru-o14 Spuit 10 "" III 4 20 Bed ,eru-o
15 Spuit 20 "" III 4 20 Bed ,eru-o
16 Spuit 50 "" III 4 20 Bed ,eru-o
17 Spuit sonde III 4 20 Bed ,eru-o
1# Set in'us .iasa III 4 20 Bed ,eru-o 20 tts/-
19 Set darah III 4 20 Bed ,eru-o 15 tts/-
20 asker III 4 20 Bed 1 kotak
21 Betadin al' III 4 20 Bed 2 tu.e/ ruan)an
22 A.o"ath III 4 20 Bed $o14 16 19 20 22
23 lastis er.and III 4 20 Bed 4 in"i 6 in"i
24 ,, III 4 20 Bed $o7 75
25 * "ateter III 4 20 Bed $o14 16 19 20 22
26 otton Bunds III 4 20 Bd 2 .un)kus27 ondo- kateter III 4 20 Bed &e"il sedan)
2# ,e)ader- III 4 20 Bed e-.ar
29 papi+ III 4 20 Bed 5 + 5 15 + 5
30 & 8ell III 4 20 Bed 2 tu.e
31 &assa er.and III 4 20 Bed (oll
32 &apas 1 k) III 4 20 Bed (oll
33 Sarun) ,an)an III 4 20 Bed $o7 75 9
34 Selan) oksi)en III 4 20 Bed 4/ruan)an
35 Su"tion "ateter III 4 20 Bed 2/ruan)an
36 Sto-a"h tu.e III 4 20 Bed ,eru-o no16 19
37 ,ree a dis"o'i+ III 4 20 Bed B.raun3# :rine Ba) III 4 20 Bed &endal 1500 ""
39 :rine Ba) III 4 20 Bed ,eru-o 2000 ""
40 ;i.ril 4 III 4 20 Bed (oll
41 Supratule III 4 20 Bed 20 le-.ar
42 In8eksi plu) III 4 20 Bed 4/ruan)an
43 andiplast III 4 20 Bed 20 le-.ar
44 euopor paper III 4 20 Bed (oll
8/16/2019 STANDAR ALAT KESEHATAN.docx
2/13
4# Pastik III 4 20 Bed Alkohol
49 $e.ulaer -asker III 4 20 Bed 2/ruan)an
50 $eo needle III 4 20 Bed $o22 23 26
51 Petidin III 4 20 Bed 10 a-p
52 Pot plastik III 4 20 Bed 60 a-p
53 Sarun) tan)an -edi)lois III 4 20 Bed Plastik
54 +tension tu.e III 4 20 Bed 4/ruan)an
55 ?irst aid III 4 20 Bed 1 liter
STANDAR ALAT RUMAH TANGGA
RUMAH SAKIT SANTA ELISABETH MEDAN
RUANGAN MARTHA
N
O
NAMA
BARANG
BAHAN/
MEREK KLS
JLH
KMR
JLH
TT STANDAR
KEBUTUHAN
JLH
1 Pirin) -akan *urale+ III 4 20 Bed 1 @ 2
2 Sendok )arpu Stanles III 4 20 Bed 1 @ 2
3 Sendok -akan Stanles III 4 20 Bed 1 @ 2
4 Sendok nasi Stenles III 4 20 Bed 2/ruan)an
5 Sendok nasi Stenles III 4 20 Bed 2/ruan)an
6 Pisau .uah Stanles III 4 20 Bed 2/ruan)an
7 ,utup )elas Stanles III 4 20 Bed 1 @ 3
# >elas -inu- *urale+ III 4 20 Bed 1 @ 3
9 an)kok sonde Plastik III 4 20 Bed 6/ruan)an
10 Sa.un .atan) *e8er8en III 4 20 Bed 9/.ln/ruan)an
11 (inso *eter)en III 4 20 Bed 1 k)/ -in))u
12 sol airan III 4 20 Bed 3 l/ -in))u
13 Sikat +e"utie -andi I8uk III 4 20 Bed 3/ruan)an
14 ,arikan air &aret III 4 20 Bed 4 / ruan)an15 Serokan sa-pah Plastik III 4 20 Bed 2 / ruan)a
16 Sapu i8uk I8uk III 4 20 Bed 4 / ruan)an
17 ap ker8a &ain III 4 20 Bed 12/ ruan)an
1# Ba)on airan III 4 20 Bed 2 liter / .ulan
19 Senter Plastik III 4 20 Bed 2/ruan)an
20 ,e-pat sa-pah .esar .ertutup Plastik III 4 20 Bed 1 / ruan)an
21 .at na-uk elektrik Ba)on III 4 20 Bed 20 / ruan)an
22 ,e-pat sa-pah ke"il .ertutup Plastik III 4 20 Bed 20 / ruan)an
23 Sikat urinal Plastik III 4 20 Bed 2 / ruan)an
24 ilin Plastik III 4 20 Bed 4 pak /.ulan
25 (ak handuk Stenles III 4 20 Bed 1 / ruan)an
26 a-pu tidur &a"a III 4 20 Bed 1 / ruan)an
27 a-pu neon &a"a III 4 20 Bed 9 / ruan)an2# Sarin)an .u.uh teh Plastik III 4 20 Bed 2 / ruan)an
29 &o-por )as Stenles III 4 20 Bed 1 / ruan)an
30 &ulkas Para-on III 4 20 Bed 1 / ruan)an
31 *andan) hal"o Alu-iniu- III 4 20 Bed 2/ruan)an
32 ,on) air -inu- Stenles III 4 20 Bed 1/ruan)an
33 (antan) sedan) Stenles III 4 20 Bed 1 set/ruan)an
34 &eran8an) .uah Plastik III 4 20 Bed 1 @ 1
35 $a-pan .esar Stenles III 4 20 Bed 1 @ 1
36 $a-pan sedan) Stenles III 4 20 Bed 4/ruan)an
8/16/2019 STANDAR ALAT KESEHATAN.docx
3/13
37 &eran8an) .esar Plastik III 4 20 Bed 2/ruan)an
3# $a-pan ke"il Stenles III 4 20 Bed 2/ruan)an
39 ,e-pat o.at tutup Stenles III 4 20 Bed 1 @ 1
40 ,e-pat o.at oral Plastik III 4 20 Bed 1 @ 1
41 Ca- dindin) Stenles III 4 20 Bed 1/+e"utie
42 ,elepon $asional III 4 20 Bed 2
43 Air phone $asional III 4 20 Bed 4
44 &asur &apuk III 4 20 Bed 1@1
45 ,issu -akan &ertas III 4 20 Bed 4 pak/-in))u
46 >aun) -andi Plastik III 4 20 Bed 1 / ka-ar -andi
47 -.er -andi Plastik III 4 20 Bed 3/ka-ar -andi
4# Plastik sa-pah kunin) Plastik III 4 20 Bed 3/hari
49 Plastik8 sa-pah hita- Plastik III 4 20 Bed 12/hari
50 Plastik sa-pah -erah Plastik III 4 20 Bed 1/hari
51 Plastik es Plastik III 4 20 Bed 1 k)/.ulan
52 Di- Plastik III 4 20 Bed 1/-))u/ruan)an
53 Air sa.un airan III 4 20 Bed 15 liter/ -in))u
STANDAR LINEN
RUMAH SAKIT SANTA ELISABETH MEDAN
RUANGAN SANTA MARTHA
N
O
NAMA
BARANG
BAHAN/
MEREK
UKURAN KLSJLH
KMR
JLH
TT
STANDAR
KEBUTUHAN
JLH
1 Alas .aki &atun ?ree sie III 4 20 Bed 1@2
2 Alas .okon) &atun 75"-+75"- III 4 20 Bed 1@6
3 Alas "u"i pirin) &ain tetron ?ree sie III 4 20 Bed 2/ruan)an
4 Alas > &atun ?ree sie III 4 20 Bed 4/ ruan)an
5 Alas )a)an) telepon ,etron ?ree sie III 4 20 Bed 4/ ruan)an
6 Alas kepala
8/16/2019 STANDAR ALAT KESEHATAN.docx
4/13
STANDAR ALAT KEDOKTERAN
RUMAH SAKIT SANTA ELISABETH MEDAN
RUANGAN SANTA MARTHA
N
O
NAMA
BARANG
BAHAN/
MEREK
KLS JLH
KMR
JLH
TT
STANDAR
KEBUTUHAN
JL
1 ,ensi -eter Besi III 4 20 Bed 2 / ruan)an
2 Stetoskop stainles III 4 20 Bed 3/ruan)an3 ,a.un) 02 ke"il E 'lo -eter Besi III 4 20 Bed 1/ruan)an
4 Su"tion Besi III 4 20 Bed 1/ruan)an
5 Pinset anato-is Steinles III 4 20 Bed 2/ruan)an
6 Pinset "iru)is Stainles III 4 20 Bed 2/ruan)an
7 >untin) he"tin) Stainles III 4 20 Bed 2/ruan)an
# >untin) er.and Stainles III 4 20 Bed 2/ruan)an
9 &orentan) Stainles III 4 20 Bed 2/ruan)an
10 Bak instru-en ke"il Stainles III 4 20 Bed 2/ruan)an
11 Piala )in8al Stainles III 4 20 Bed 1@1
12 Pispot )epen) Stainles III 4 20 Bed 1@1/2
13 >liserin spuit Stainles III 4 20 Bed 1/ruan)an
14 :rinal Stainles III 4 20 Bed 1@1/2
15 Iri)ator ko-plit Stenles III 4 20 Bed 1/ruan)an
16 A-.u .a) &aret III 4 20 Bed 1/ruan)an
17 (e'le+ ha-er Stenles III 4 20 Bed 1/ruan)an
1# ,on) spatel &au III 4 20 Bed 1@1
19 ,ro-ol .esar Stenles III 4 20 Bed 2/ruan)an
20 ,ro-.ol ke"il Stainles III 4 20 Bed 2
21 &o- .ertutup Stainles III 4 20 Bed 2/ruan)an
22 >elas ukur olurine plastik III 4 20 Bed 2/ruan)an
23 ,ourni!uet &aret III 4 20 Bed 2/ruan)an
24 Sputu- pot Stainles III 4 20 Bed 1@1/2
25 ,er-o-eter ka"a III 4 20 Bed 1@1
STANDAR ALAT KEPERAWATAN
RUMAH SAKIT SANTA ELISABETH MEDAN
RUANGAN SANTA MARTHA
N
O
NAMA
BARANG
BAHAN/
MEREK
KLSJLH
KMR
JLH
TT
STANDAR
KEBUTUHAN
JL
1 ,e-pat tidur .iasa Besi III 4 20 Bed 1@1
2 e-ari kain &au III 4 20 Bed 1 / ruan)an
3 e8a -akan pasien &au III 4 20 Bed 1@1
4 $askas pasien &au III 4 20 Bed 1@1
5 &ursi doron) Stainles III 4 20 Bed 1/ruan)an
6 ,roll o.at Stainles III 4 20 Bed 2/ruan)an
7 ,roll -er)en" Stainles III 4 20 Bed 1/ ruan)an
# e-ari o.at &au III 4 20 Bed 1 / ruan)an
9 e-ari 'ile &au III 4 20 Bed 1 / ruan)an
10 &ursi pasien &au III 4 20 Bed 1@1
11 Standart in'us Besi III 4 20 Bed 1@1
12 u-pan) o.at Porselin III 4 20 Bed 2 / ruan)an
13 ,i-.an)an pasien deasa Besi III 4 20 Bed 1/ruan)an
8/16/2019 STANDAR ALAT KESEHATAN.docx
5/13
14 A $asional III 4 20 Bed 1 /ruan)an
15 ,rooll in8eksi Stainles III 4 20 Bed 2 / ruan)an
16 ,roll )anti er.an Stainles III 4 20 Bed 2 / ruan)an
17 ,roll -e-andikan &au III 4 20 Bed 2 / ruan)an
1# e8a/nurse station &au III 4 20 Bed 1 / ruan)an
STANDAR ALAT KANTOR
RUMAH SAKIT SANTA ELISABETH MEDAN
RUANGAN SANTA MARTHA
N
O
NAMA
BARANG
BAHAN/
MEREK
KLSJLH
KMR
JLH
TT
STANDAR
KEBUTUHAN
JLH
1 Buku ekspedisi &ertas III 4 20 Bed 4/tahun
2 Stapler / he"ter Besi III 4 20 Bed 2 / ruan)an
3 Pensil -erah/.iru &au III 4 20 Bed 2 / ruan)an
4 e- Dol 50 "" III 4 20 Bed 2 / ruan)an
5 ,ipe+ Dol 25 "" III 4 20 Bed 1 psn)/.ln
6 Spidol -arker Bla"k III 4 20 Bed 2 / .ulan7 Spidol sno-an (oun tip III 4 20 Bed 2/.ulan
# Isolasi .and Plastik III 4 20 Bed 1 / .ulan
9 &ip o.at &ertas III 4 20 Bed 100 le-.ar/.ulan
10 ?or-ulir honor dokter &ertas III 4 20 Bed 100 le-.ar/.ulan
11 ?or-ulir pe-eriksaan la. &ertas III 4 20 Bed 100 le-.ar/.ulan
12 Slip pen)e-.alian o.at kertas III 4 20 Bed 100 le-.ar/.ulan
13 A-plop &ertas III 4 20 Bed 1 kotak/.ulan
14 &artu o.at &ertas III 4 20 Bed 100 le-.ar/.ulan
15 Buku -ap polio &ertas III 4 20 Bed 4/tahun
16 ?or-ulir surat istirahat kertas III 4 20 Bed 4/tahun
17 ?or-ulir konsul kertas III 4 20 Bed 4/tahun
1# Buku pesanan petidin &ertas III 4 20 Bed 4/tahun
19 Buku kerusakan &ertas III 4 20 Bed 1/tahun
20 ?or-ulir )ra'ik suhu &ertas III 4 20 Bed 100 le-.ar/.ulan
21 &lip paper &aat III 4 20 Bed 1 kotak/.ulan
22 Perpurator Besi III 4 20 Bed 2/ruan)an
23 ?or-ulir "atatan kep &ertas III 4 20 Bed 100 le-.ar/.ulan
24 ?or-ulir peren"anaan pulan) &ertas III 4 20 Bed 100 le-.ar/.ulan
25 ?or-ulir "atatan kep &ertas III 4 20 Bed 100 le-.ar/.ulan
26 ?or- atatan harian dokter &ertas III 4 20 Bed 100 le-.ar/.ulan
27 ?or-o.at oral &ertas III 4 20 Bed 100 le-.ar/.ulan
2# ?or- .at in8eksi &ertas III 4 20 Bed 100 le-.ar/.ulan
29 ?or-sensus harian/,: &ertas III 4 20 Bed 100 le-.ar/.ulan
30 ?or-ulir de-a- .erdarah &ertas III 4 20 Bed 100 le-.ar/.ulan
31 ?or-ulir sensus -edi"al &ertas III 4 20 Bed 100 le-.ar/.ulan32 ?or-ulir SP, &ertas III 4 20 Bed 100 le-.ar/.ulan
33 ?or-ulir PAPS &ertas III 4 20 Bed 100 le-.ar/.ulan
34 ?or-ulir instruksi dokter &ertas III 4 20 Bed 100 le-.ar/.ulan
35 ?o-surat iin -e-.aa -aat &ertas III 4 20 Bed 100 le-.ar/.ulan
36 Buku pen)isian re)ister &ertas III 4 20 Bed 100 le-.ar/.ulan
37 &artu > &ertas III 4 20 Bed 100 le-.ar/.ulan
3# atatan 'isioterapi &ertas III 4 20 Bed 100 le-.ar/.ulan
39 ap pasien pulan) &ertas III 4 20 Bed 100 le-.ar/.ulan
40 Papan tulis .esar ,riple+ III 4 20 Bed 2/ruan)an
41 Papan tulis .esar ,riple+ III 4 20 Bed 1/ruan)an
8/16/2019 STANDAR ALAT KESEHATAN.docx
6/13
42 Pen)hapus papan tulis Busa III 4 20 Bed 2/ruan)an
43 Anak hekter ke"il Besi III 4 20 Bed 2 kotak / -))u
44 Stip &aret III 4 20 Bed 2
45 (autan Plastik III 4 20 Bed 2
46 &alkulator asio III 4 20 Bed 1/ ruan)an
47 ,inta ste-pel airan III 4 20 Bed 2
4# >untin) Besi III 4 20 Bed 2
49 ?or-ulir pasien pindah &ertas III 4 20 Bed 100 le-.ar/.ulan
50 ?or-ulir pra operasi &ertas III 4 20 Bed 100 le-.ar/.ulan
51 Identitas pasien / )elan) &etas III 4 20 Bed 100 le-.ar/.ulan
52 ?or- Pasien pulan) &ertas III 4 20 Bed 100 le-.ar/.ulan
53 ?or-penda'taran operasi &ertas III 4 20 Bed 100 le-.ar/.ulan
54 eklis penda'taran operasi &ertas III 4 20 Bed 100 le-.ar/.ulan
55 ?or-ulir PP &ertas III 4 20 Bed 100 le-.ar/.ulan
56 ?or-ulir PI &ertas III 4 20 Bed 100 le-.ar/.ulan
57 ?or-ulir PA &ertas III 4 20 Bed 100 le-.ar/.ulan
5# ?or-ulir (adiolo)i &ertas III 4 20 Bed 100 le-.ar/.ulan
59 &artu o.at ke"il &ertas III 4 20 Bed 100 le-.ar/.ulan
60 ?or-pe-.erian o.at
oral/in8eksi
&ertas III 4 20 Bed 100 le-.ar/.ulan
61 S& &ertas III 4 20 Bed 100 le-.ar/.ulan
62 ?or-ulir penolakan &ertas III 4 20 Bed 100 le-.ar/.ulan63 ?or-ulir intake out put &aret III 4 20 Bed 100 le-.ar/.ulan
64 ?or-ulir la.el in'us &ertas III 4 20 Bed 100 le-.ar/.ulan
65 Stiker la.el pe-.erian tindakan &ertas III 4 20 Bed 100 le-.ar/.ulan
66 ?or-ulir isite dokter &ertas III 4 20 Bed 100 le-.ar/.ulan
67 ?or-ulir tidakan pelaanan &ertas III 4 20 Bed 100 le-.ar/.ulan
6# Pensil 2B kau III 4 20 Bed 2/.ulan
69 Balpoin hita- plastik III 4 20 Bed 2/.ulan
70 &ar.on &ertas aran) III 4 20 Bed 4/.ulan
STANDAR ALAT KANTOR
RUMAH SAKIT SANTA ELISABETH MEDAN
RUANGAN SANTO FRANSISKUS
8/16/2019 STANDAR ALAT KESEHATAN.docx
7/13
N
O
NAMA
BARANG
BAHAN/
MEREK
KLSJLH
KMR
JLH
TT
STANDAR
KEBUTUHAN
8/16/2019 STANDAR ALAT KESEHATAN.docx
8/13
1 Buku ekspedisi &ertas I DIP 11 2/tahun
2 Stapler / he"ter Besi I DIP 11 2 / ruan)an
3 Pensil -erah/.iru &au I DIP 11 2 / ruan)an
4 e- Dol 50 "" I DIP 11 2 / ruan)an
5 ,ipe+ Dol 25 "" I DIP 11 1 psn)/ruan)an
6 Spidol -arker plastik I DIP 11 2 / .ulan
7 Spidol sno-an Plastik I DIP 11 2 / .ulan
# Isolasi .and Plastik I DIP 11 1 / .ulan
9 &ip o.at &ertas I DIP 11 2/.ulan
10 ?or-ulir honor dokter &ertas I DIP 11 100 le-.ar /.ulan
11 ?or-ulir pe-eriksaan la. &ertas I DIP 11 2 .lok /.ulan
12 Slip pen)e-.alian o.at &ertas I DIP 11 100 le-.ar/.ulan
13 A-plop &ertas I DIP 11 1 kotak /.ulan
14 &artu o.at &ertas I DIP 11 100 .uah/.ulan
15 Buku -ap 'olio isi 100le-.ar &ertas I DIP 11 2/tahun
16 ?or-ulir surat istirahat kertas I DIP 11 100 le-.ar/.ulan
17 ?or-ulir konsul kertas I DIP 11 100 le-.ar/.ulan
1# Buku pesanan petidin &ertas I DIP 11 1/tahun
19 Buku kerusakan &ertas I DIP 11 1/tahun
11 ?or-ulir )ra'ik suhu &ertas I DIP 11 100/.ulan
21 &lip paper &aat I DIP 11 2 kotak/.ulan
22 Perpurator Besi I DIP 11 2/tahun23 ?or-ulir peren"anaan pulan) &ertas I DIP 11 100 le-.ar/.ulan
24 ?or-ulir "atatan kep &ertas I DIP 11 100 le-.ar/.ulan
25 ?or- atatan harian dokter &ertas I DIP 11 100 le-.ar/.ulan
26 ?or-o.at oral &ertas I DIP 11 100 le-.ar/.ulan
27 ?or- .at in8eksi &ertas I DIP 11 100 le-.ar/ .ula
2# ?or-sensus harian/,: &ertas I DIP 11 100 le-.ar/.ulan
29 ?or-ulir de-a- .erdarah &ertas I DIP 11 100 le-.ar/.ulan
30 ?or-ulir sensus &ertas I DIP 11 100 le-.ar/.ulan
31 ?or-ulir SI &ertas I DIP 11 100 le-.ar/.ulan
32 ?or-ulir PAPS &ertas I DIP 11 100 le-.ar/.ulan
33 ?o-surat iin -e-.aa -aat &ertas I DIP 11 100 le-.ar/.ulan
34 Buku pen)isian re)ister &ertas I DIP 11 100 le-.ar/.ulan
35 atatan 'isioterapi &ertas I DIP 11 100 le-.ar/.ulan36 &artu > repor &ertas I DIP 11 50 le-.ar/.ulan
3# ap pasien pulan) &ertas I DIP 11 100 le-.ar/.ulan
39 Papan tulis ke"il &ertas I DIP 11 4/ruan)an
40 Pen)hapus papan tulis &ertas I DIP 11 1/ruan)an
41 Anak hekter ke"il &ertas I DIP 11 1 kotak / -))u
42 (autan pensil Plastik I DIP 11 2
43 &ar.on )lo.e &ertas aran) I DIP 11 10 le-.ar/.ulan
44 ,inta ste-pel airan I DIP 11 2
45 >untin) Besi I DIP 11 1/ ruan)an
46 &alkulator Plastik I DIP 11 1 / ruan)an
47 Bantalan ste-pel Busa I DIP 11 1 / ruan)an
4# ?or- Pasien pindah &ertas I DIP 11 1 / ruan)an
49 Identitas pasien / )elan) &etas I DIP 11 100 .uah/.ulan 50 ?or- Pasien pulan) &ertas I DIP 11 100 le-.ar/.ulan
51 ?or- Pre operasi &ertas I DIP 11 100 le-.ar/.ulan
52 ?or-penda'taran operasi &ertas I DIP 11 100 le-.ar/.ulan
53 Sta.ilo arna hi8au Plastik I DIP 11 1/.ulan
54 Sta.ilo arna -erah Plastik I DIP 11 1/.ulan
55 ?or-ulir PI &ertas I DIP 11 100 le-.ar/.ulan
56 ?or-ulir PA &ertas I DIP 11 100 le-.ar/.ulan
57 ?or-ulir radiolo)i &ertas I DIP 11 1 .lok /.ulan
5# &artu o.at ke"il &ertas I DIP 11 100 le-.ar/.ulan
8/16/2019 STANDAR ALAT KESEHATAN.docx
9/13
59 ?or-pe-.erian o.at &ertas I DIP 11 100 le-.ar/.ulan
60 ?o- Surat keteran)an sakit &ertas I DIP 11 100 le-.ar/.ulan
61 ?o- Surat istirahat &ertas I DIP 100 le-.ar/.ulan
62 ?o- Surat penolakan &ertas I DIP 11 100 le-.ar/.ulan
63 ?o- onor dokter &ertas I DIP 11 100 le-.ar/.ulan
64 ?o- Intake out put &ertas I DIP 11 100 le-.ar/.ulan
65 ?o- a.el in'us &ertas I DIP 11 100 le-.ar/.ulan
66 Stiker la.el &ertas I DIP 11 100 le-.ar/.ulan
67 ?or-ulir tindakan pelaanan &ertas I DIP 11 100 le-.ar/.ulan
6# Pensil 2B kau I DIP 11 2/.ulan
69 Pulpen Plastik I DIP 11 2/-in))u
70 Papan tulis .esar ,riplek I DIP 11 1/ruan)an
STANDAR ALAT KESEHATAN
RUMAH SAKIT SANTA ELISABETH MEDAN
RUANGAN SANTO FRANSISKUS
N
O
NAMA
BARANG
KLSJLH
KMR
JLH
T.T
STANDARD
KEBUTUHAN
JLH KE
1 Alkohol 70 % ISDIP DIP +e"utie 20 20 Bed 1 ½ liter
2 Alkohol 96 % ISDIP DIP +e"utie 20 20 Bed 1 ½ liter
3 A!ua.des 500 -l ISDIP DIP +e"utie 20 20 Bed 500 -l
4 A!ua.des 25 -l ISDIP DIP +e"utie 20 20 Bed 25 -l
5 A!ua.des 100 -l ISDIP DIP +e"utie 20 20 Bed 3000 ""
6 A!ua.des nt 00 -l ISDIP DIP +e"utie 20 20 Bed 3000 ""
7 Brans spritus ISDIP DIP +e"utie 20 20 Bed 1 liter
# ondo- "ateter ISDIP DIP +e"utie 20 20 Bed 1
9 otton .uds ISDIP DIP +e"utie 20 20 Bed 2
10 *arantule ISDIP DIP +e"utie 20 20 Bed 100 "-11 *e+ 40 % ISDIP DIP +e"utie 20 20 Bed 2
12 *is"o'i+ 3B ISDIP DIP +e"utie 20 20 Bed 4
13 +tension tu.e 15 - ISDIP DIP +e"utie 20 20 Bed 3
14 +tension tu.e in8 ISDIP DIP +e"utie 20 20 Bed 3
15 ?irst aid 5 ltr ISDIP DIP +e"utie 20 20 Bed 5 liter
16 ?ole "ateter no14 ISDIP DIP +e"utie 20 20 Bed $o14
17 ?ole "ateter no19 ISDIP DIP +e"utie 20 20 Bed $o19
1# ?ole "ateter no20 ISDIP DIP +e"utie 20 20 Bed $o20
19 >liserin k' ISDIP DIP +e"utie 20 20 Bed 1000
20 >uedel air a no2 ISDIP DIP +e"utie 20 20 Bed 2
21 >uedel air a no3 ISDIP DIP +e"utie 20 20 Bed 2
22 andplast no2634 ISDIP DIP +e"utie 20 20 Bed 30
23 pai+ ISDIP DIP +e"utie 20 20 Bed 15+5"- .esar 24 *e+ 5 % ISDIP DIP +e"utie 20 20 Bed &ol' ol500
25 (in)er aserin) ISDIP DIP +e"utie 20 20 Bed &ol' ol500
26 $a"l 09 % ISDIP DIP +e"utie 20 20 Bed &ol' ol500
27 (in)er la"tat ISDIP DIP +e"utie 20 20 Bed &ol' ol500
2# Betadine isodine ISDIP DIP +e"utie 20 20 Bed Salep 20 )r/50 l
29 Chonson sa.un ISDIP DIP +e"utie 20 20 Bed 1/pasien
30 &aen 3B ISDIP DIP +e"utie 20 20 Bed &ol' ol500
31 &apas sallo ISDIP DIP +e"utie 20 20 Bed 1000 )32 &apas hidro'il ISDIP DIP +e"utie 20 20 Bed 1462999
8/16/2019 STANDAR ALAT KESEHATAN.docx
10/13
33 &asa er.and ISDIP DIP +e"utie 20 20 Bed >ulun)/roll
34 &ertas perka-in l.r ISDIP DIP +e"utie 20 20 Bed 29
35 & 8ell 92 )r ISDIP DIP +e"utie 20 20 Bed 1/.ulan
36 eukos"repe 3 .elersdor' ISDIP DIP +e"utie 20 20 Bed 1
37 euko"tepe 4 ISDIP DIP +e"utie 20 20 Bed 4
3# eu"oplast 4 ISDIP DIP +e"utie 20 20 Bed 6449
39 eu"opar ISDIP DIP +e"utie 20 20 Bed 4999
40 asker 3 pl ISDIP DIP +e"utie 20 20 Bed 49
41 i"roshield ISDIP DIP +e"utie 20 20 Bed 2 8oh/4 8oh
42 $a"l pi)) .a) ISDIP DIP +e"utie 20 20 Bed 20
43 $asal o+)en "anul ISDIP DIP +e"utie 20 20 Bed 4
44 $e.ulier -asker ISDIP DIP +e"utie 20 20 Bed Adul' sal'er
45 $e.ulier -asker ISDIP DIP +e"utie 20 20 Bed -ikro -ask
46 $eo/needle ISDIP DIP +e"utie 20 20 Bed $o222326
47 ksi)en ISDIP DIP +e"utie 20 20 Bed
4# Para'in ISDIP DIP +e"utie 20 20 Bed 100""/.otol
49 Pastik ISDIP DIP +e"utie 20 20 Bed 1 kotak
50 Perhidrol 3% ISDIP DIP +e"utie 20 20 Bed 11/2 liter
51 Pot plastik 50 -l ISDIP DIP +e"utie 20 20 Bed 49
52 Sarun) tan)an -edi)loies ISDIP DIP +e"utie 20 20 Bed 1 kotak/.ulan
53 Sarun) tan)an ISDIP DIP +e"utie 20 20 Bed $o41/249
54 Sarun) tan)an P$ no9 ISDIP DIP +e"utie 20 20 Bed $o9 P$
55 Spuit ISDIP DIP +e"utie 20 20 Bed 3 5 10 20 50
56 Spuit insulin ISDIP DIP +e"utie 20 20 Bed 100 unit
57 Supuit sonde 50"" ISDIP DIP +e"utie 20 20 Bed 50 ""
5# Sto-a"h tu.e ISDIP DIP +e"utie 20 20 Bed $o121416
59 Su"tion "ateter no14 pe-ine ISDIP DIP +e"utie 20 20 Bed $o14 pe-ine
60 Su"tion "ateter no10 osp ISDIP DIP +e"utie 20 20 Bed $o10 hosp
61 Sur'lo plu) ISDIP DIP +e"utie 20 20 Bed 20
62 Sur'lo ID "ath ISDIP DIP +e"utie 20 20 Bed $o1416192022
63 Sur'lo ID "ath no 24 , ISDIP DIP +e"utie 20 20 Bed $o24 ,
64 ,e)ader- 10 +12 "- ISDIP DIP +e"utie 20 20 Bed 10+12
65 ,her-o-eter sa'et ISDIP DIP +e"utie 20 20 Bed 20
66 Set darah ISDIP DIP +e"utie 20 20 Bed ,eru-o 15 tts/-
67 Set in'us .iasa ISDIP DIP +e"utie 20 20 Bed ,eru-o 15 tts/-6# Set in'use ,SPA ISDIP DIP +e"utie 20 20 Bed ,eru-o 15 tts/-
69 ,on) spatel kau ISDIP DIP +e"utie 20 20 Bed 49
70 :rine .a) sterill ISDIP DIP +e"utie 20 20 Bed &endal 1500 ""
teru-o 2000""
STANDAR ALAT RUMAH TANGGA
RUMAH SAKIT SANTA ELISABETH MEDAN
RUANGAN SANTO FRANSISKUS
N
O
NAMA
BARANG
BAHAN/
MEREK KLS
JLH
KMR
JLH
TT
STANDAR
KEBUTUHANJLH
1 Pirin) -akan San)o ISDIP DIP +e"utie 20 20 Bed 1@2
2 Pirin) roti San)o ISDIP DIP +e"utie 20 20 Bed 1@2
3 Pirin) oal san)o ISDIP DIP +e"utie 20 20 Bed 6
4 Sendok )arpu Stenles ISDIP DIP +e"utie 20 20 Bed 1@2
5 Sendok -akan Stenles ISDIP DIP +e"utie 20 20 Bed 1@2
6 Sendok nasi Plastik ISDIP DIP +e"utie 20 20 Bed 2/ruan)an
7 Pisau roti Stenles ISDIP DIP +e"utie 20 20 Bed 1@1
# Pisau .uah Stenles ISDIP DIP +e"utie 20 20 Bed 2/ruan)an
9 Pisau .iasa Stenles ISDIP DIP +e"utie 20 20 Bed 2/ruan)an
8/16/2019 STANDAR ALAT KESEHATAN.docx
11/13
10 ,eko Plastik ISDIP DIP +e"utie 20 20 Bed 1@1
11 >elas -inu- &a"a ISDIP DIP +e"utie 20 20 Bed 1@3
12 ,atakan )elas &a"a ISDIP DIP +e"utie 20 20 Bed 1@3
13 an)kok sup San)o ISDIP DIP +e"utie 20 20 Bed 1@2
14 ,utup )elas Stenles ISDIP DIP +e"utie 20 20 Bed 1@3
15 Pan"i.esar Stenles ISDIP DIP +e"utie 20 20 Bed 2/ruan)an
16 Pan"i sedan) Stenles ISDIP DIP +e"utie 20 20 Bed 1/ruan)an
17 ,e-pat telur san)o ISDIP DIP +e"utie 20 20 Bed 1@1
1# ,e-pat )ara- Stenles ISDIP DIP +e"utie 20 20 Bed 1@1
19 ,e-pat selai ela-in ISDIP DIP +e"utie 20 20 Bed 1@1
20 an)kok sonde Plastik ISDIP DIP +e"utie 20 20 Bed 1@1
21 Sa.un .atan) ,elepon ISDIP DIP +e"utie 20 20 Bed 12 .atan)/.ulan
22 (inso Bu.uk ISDIP DIP +e"utie 20 20 Bed 1 k)/ -in))u
23 sol airan ISDIP DIP +e"utie 20 20 Bed 6 liter/-))u
24 Sikat +e"utie
-andi
I8uk ISDIP DIP +e"utie 20 20 Bed 3/ruan)an
25 ,arikan air karet ISDIP DIP +e"utie 20 20 Bed 4/ruan)an
26 Serok sa-pah Palstik ISDIP DIP +e"utie 20 20 Bed 2/ruan)an
27 Sapu i8uk I8uk ISDIP DIP +e"utie 20 20 Bed 4/ruan)an
2# ap ker8a &ain ISDIP DIP +e"utie 20 20 Bed 1 lusin/ruan)an
29 Ba)on se-prot *urale+ ISDIP DIP +e"utie 20 20 Bed 1/ruan)an
30 Senter Stenles ISDIP DIP +e"utie 20 20 Bed 2/ruan)an31 ,e-pat sa-pah
.esar tertutup
Palstik Sip Dip I +e"utie 20 20 Bed 1/ruan)an
32 ,e-pat sa-pah
ke"il
Plastik Sip Dip I +e"utie 20 20 Bed 1@1
33 ,issue kotak &ertas Sip Dip I +e"utie 20 20 Bed 1/pasien
34 Sikat .otol Palstik Sip Dip I +e"utie 20 20 Bed 2/ruan)an
35 Sikat urinal Palstik Sip Dip I +e"utie 20 20 Bed 2/ruan)an
36 ilin Palstik Sip Dip I +e"utie 20 20 Bed 4 pak/.ulan
STANDAR LINEN
RUMAH SAKIT SANTA ELISABETH MEDAN
RUANGAN SANTO FRANSISKUS
N
O
NAMA
BARANG
BAHAN/
MEREK
UKURAN KLSJLH
KMR
JLH
TT
JLH KET
1 aken deasa &atun 100% 290"-+190"- ISDIP DIP +e"utie 20 20 Bed
2 Boen laken &atun 100% 290"-+190"- ISDIP DIP +e"utie 20 20 Bed
3 Stik laken deasa &atun 100% 190"-+100"- ISDIP DIP +e"utie 20 20 Bed
4 Perlak deasa karet 160"-+90"- ISDIP DIP +e"utie 20 20 Bed
5 Seli-ut deasa &atun drill 250"-+190"- ISDIP DIP +e"utie 20 20 Bed6 Sarun) .antal luar &atun 65"-+47"- ISDIP DIP +e"utie 20 20 Bed
7 Sarun) .antal dala- &atun 65"-+47"- ISDIP DIP +e"utie 20 20 Bed
# Sarun) .antal ke"il
luar/dala-
&atun 25"-+29"- ISDIP DIP +e"utie 20 20 Bed
9 Sarun) .antal )ulin)
luar
&atun 30-+90"- ISDIP DIP +e"utie 20 20 Bed
10 Sarun) .antal )ulin)
dala-
&atun 30-+90"- ISDIP DIP +e"utie 20 20 Bed
8/16/2019 STANDAR ALAT KESEHATAN.docx
12/13
11 aslap &ain handuk 22"-+16"- ISDIP DIP +e"utie 20 20 Bed
12 ap tan)an handuk &ain handuk 25"-+40"- ISDIP DIP +e"utie 20 20 Bed
13 >urita deasa &atun 120"-+50"- ISDIP DIP +e"utie 20 20 Bed
14 *uk .olon) &atun 90"-+90"- ISDIP DIP +e"utie 20 20 Bed
15 k he- &atun &atun ISDIP DIP +e"utie 20 20 Bed
16 Ba8u -aat &atun ?ree sie ISDIP DIP +e"utie 20 20 Bed
17 anduk pasien &ain handuk 120"-+60"- ISDIP DIP +e"utie 20 20 Bed
1# ither .ed &atun 100"-+150"- ISDIP DIP +e"utie 20 20 Bed
19 Alas -akan &atun ?ree sie ISDIP DIP +e"utie 20 20 Bed
20 &oteka &atun ?ree sie ISDIP DIP +e"utie 20 20 Bed
21 Sarun) tila- &atun drill ?ree sie ISDIP DIP +e"utie 20 20 Bed
22 Short dapur katun ?ree sie ISDIP DIP +e"utie 20 20 Bed
23 ap pirin) &atun ?ree sie ISDIP DIP +e"utie 20 20 Bed
24 Alas .aki &atun ?ree sie ISDIP DIP +e"utie 20 20 Bed
25 ,utup .aki /-akan ,etron ?ree sie ISDIP DIP +e"utie 20 20 Bed
26 Alas tila- &atun ?ree sie ISDIP DIP +e"utie 20 20 Bed
27 ,aplak -e8a Batik ?ree sie ISDIP DIP +e"utie 20 20 Bed
2# &ain shre- ,etron ?ree sie ISDIP DIP +e"utie 3 3 Bed
29 ,utup alat &atun &atun ISDIP DIP +e"utie 20 20 Bed
30 &eset kaki &ain handuk &atun ISDIP DIP +e"utie 20 20 Bed
31 ,utup -aat &atun &atun ISDIP DIP +e"utie 20 20 Bed
STANDAR ALAT KEDOKTERAN
RUMAH SAKIT SANTA ELISABETH MEDAN
RUANGAN SANTO FRANSISKUS
N
O
NAMA
BARANG
BAHAN/
MEREK
KELASJLH
KMR
JLH
TT
JLH KET
1 ,ensi -eter Besi .esar ISDIP DIP +e"utie 20 20 Bed
2 Stetoskop Steinles ISDIP DIP +e"utie 20 20 Bed
3 ,a.un) 02 Besi ISDIP DIP +e"utie 20 20 Bed
4 Su"tion Besi ISDIP DIP +e"utie 20 20 Bed
5 Pinset anato-is Steinles ISDIP DIP +e"utie 20 20 Bed
6 Pinset "iru)is Stainles ISDIP DIP +e"utie 20 20 Bed
7 >untin) er.and Stainles ISDIP DIP +e"utie 20 20 Bed
# &orentan) E te-patna Stainles ISDIP DIP +e"utie 20 20 Bed
9 >untin) o' hea"tin) Stainles ISDIP DIP +e"utie 20 20 Bed
10 Bak instru-en Stainles ISDIP DIP +e"utie 20 20 Bed
11 >l"erin spuit Stainles ISDIP DIP +e"utie 20 20 Bed
12 Piala )in8al Stainles ISDIP DIP +e"utie 20 20 Bed
13 Pispot )epen) Stainles ISDIP DIP +e"utie 20 20 Bed
14 Pispot .ulat Stainles ISDIP DIP +e"utie 20 20 Bed
15 :rinal Stainles ISDIP DIP +e"utie 20 20 Bed
16 A-.u .a) &aret ISDIP DIP +e"utie 20 20 Bed17 Sputu- pot Stainles ISDIP DIP +e"utie 20 20 Bed
1# (e'le+ hu--er StainlesEkaret ISDIP DIP +e"utie 20 20 Bed
19 ,on) spatel &au ISDIP DIP +e"utie 20 20 Bed
20 ,ro-ol .esar Stainles ISDIP DIP +e"utie 20 20 Bed
21 ,ro-ol ke"il Stainles ISDIP DIP +e"utie 20 20 Bed
22 ,her-o-eter &a"a ISDIP DIP +e"utie 20 20 Bed
23 &o- .ertutup Stainles ISDIP DIP +e"utie 20 20 Bed
24 >elas ukur olurine Stainles ISDIP DIP +e"utie 20 20 Bed
25 ,ourni!uet Stenles ISDIP DIP +e"utie 20 20 Bed
26 Selan) 02 &aret ISDIP DIP +e"utie 20 20 Bed
8/16/2019 STANDAR ALAT KESEHATAN.docx
13/13
STANDAR ALAT KEPERAWATAN
RUMAH SAKIT SANTA ELISABETH MEDAN
RUANGAN SANTO FRANSISKUS
N
O
NAMA
BARANG
BAHAN/
MEREK
KELASJLH
KMR
JLH
TT
JLH KET
1 ,e-pat tidur .iasa Senles ISDIP DIP +e"utie 20 20 Bed
2 e-ari/-e8a pasien &au ISDIP DIP +e"utie 20 20 Bed
3 e8a -akan pasien &au ISDIP DIP +e"utie 20 20 Bed
4 &ursi doron) Senles ISDIP DIP +e"utie 20 20 Bed
5 e-ari pasien &au ISDIP DIP +e"utie 20 20 Bed
6 ,roll o.at Stainles ISDIP DIP +e"utie 20 20 Bed
4 e8a pasien &au ISDIP DIP +e"utie 20 20 Bed
9 ,roll e-er)en" Stainles ISDIP DIP +e"utie 20 20 Bed
9 e-ari o.at &au ISDIP DIP +e"utie 20 20 Bed
10 e-ari alat &au ISDIP DIP +e"utie 20 20 Bed
11 &ursi pasien &au ISDIP DIP +e"utie 20 20 Bed12 &otak saran &au ISDIP DIP +e"utie 20 20 Bed
13 Bo+ kun"i &au ISDIP DIP +e"utie 20 20 Bed
14 Standar in'us Stainles ISDIP DIP +e"utie 20 20 Bed
15 u-pun) o.at Porselin ISDIP DIP +e"utie 20 20 Bed
16 Papan da'tar pasien ,riple+ ISDIP DIP +e"utie 20 20 Bed
17 Bel listrik/inter"o- para-ound ISDIP DIP +e"utie 20 20 Bed
19 Pisau silet E )a)an) Stainles ISDIP DIP +e"utie 20 20 Bed
22 ,i-.an)an pasien deasa Besi ISDIP DIP +e"utie 20 20 Bed
20 ,i-.an)an pasien .ai ?iher )lass ISDIP DIP +e"utie 20 20 Bed
21 Papan triple+ ,riple+ ISDIP DIP +e"utie 20 20 Bed
22 So'a &au ISDIP DIP +e"utie 20 20 Bed
23 Air "onditioner $asional ISDIP DIP +e"utie 20 20 Bed
24 ,rooll ash "o- Besi ISDIP DIP +e"utie 20 20 Bed