STANDAR ALAT KESEHATAN.docx

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



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


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


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


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



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


4/13

STANDAR ALAT KEDOKTERAN



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



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


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



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


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


RUANGAN SANTO FRANSISKUS


7/13

N

O

NAMA

BARANG

BAHAN/

MEREK

KLSJLH

KMR

JLH

TT

STANDAR

KEBUTUHAN


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


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



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


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



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


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



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


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



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


13/13

STANDAR ALAT KEPERAWATAN



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

STANDAR ALAT KESEHATAN.docx

Documents

Transcript of STANDAR ALAT KESEHATAN.docx