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    Form Monitoring Obat High Allert

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    kamar obat pkm taman
    This document contains 4 sections summarizing medical supply lists from different units: - The first section lists supplies from the MTBS unit including medications, quantities, and expiration dates. - The second and third sections list supplies from the ANC and PEB units, respectively, with a similar format to the first. - The fourth section is a checklist of medications with columns to mark whether the items are labeled properly.

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    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd

    Form Monitoring Obat High Allert

    Uploaded by

    kamar obat pkm taman
    34 views6 pages
    This document contains 4 sections summarizing medical supply lists from different units: - The first section lists supplies from the MTBS unit including medications, quantities, and expiration dates. - The second and third sections list supplies from the ANC and PEB units, respectively, with a similar format to the first. - The fourth section is a checklist of medications with columns to mark whether the items are labeled properly.

    Original Title

    FORM MONITORING OBAT HIGH ALLERT

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    This document contains 4 sections summarizing medical supply lists from different units: - The first section lists supplies from the MTBS unit including medications, quantities, and expiration dates. - The second and third sections list supplies from the ANC and PEB units, respectively, with a similar format to the first. - The fourth section is a checklist of medications with columns to mark whether the items are labeled properly.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Download as xlsx, pdf, or txt
    34 views6 pages

    Form Monitoring Obat High Allert

    Uploaded by

    kamar obat pkm taman
    This document contains 4 sections summarizing medical supply lists from different units: - The first section lists supplies from the MTBS unit including medications, quantities, and expiration dates. - The second and third sections list supplies from the ANC and PEB units, respectively, with a similar format to the first. - The fourth section is a checklist of medications with columns to mark whether the items are labeled properly.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Download as xlsx, pdf, or txt
    of 6

    DAFTAR OBAT EMERGENCY

    UNIT MTBS

    NO. NAMA OBAT JUMLAH EXP. DATE


    1 Epineprin inj 0,1% 2 May-23
    2 Deksametason inj 5 mg/ml 4 Sep-24
    3 Diazepam inj 5 mg/ml 1 Aug-23
    4 Difenhidramin inj 10 mg/ml 2 May-24
    5 Fitomenadion inj 1 Jul-25
    6 Metamizole inj 500 mg/2ml 2 Apr-24
    7 Lidocain comp. inj 2% 2 Jun-26
    8 Diazepam enema 5mg/2,5 ml 1 Dec-22
    9 Ventolin (salbutamol 2,5 ml) 2 Sep-23
    10 NaCl infus 0,9% 500ml 1 Dec-24
    11 RL infus 1 Apr-25
    12 Abocath 20 1 Aug-24
    13 Abocath 22 1 Aug-24
    14 Abocath 24 1 Feb-23
    15 Infuset anak 1 Aug-23
    16 Infuset dewasa 1 Sep-23
    17 Spuit 1 ml 2 Jan-27
    18 Spuit 3 ml 2 Oct-23
    19 Spuit 5 ml 2 Jul-24
    20 Hipafix ~ ~
    DAFTAR OBAT EMERGENCY
    UNIT ANC

    NO. NAMA OBAT JUMLAH EXP. DATE


    1 Epineprin inj 0,1% 2 May-23
    2 Deksametason inj 5 mg/ml 3 Sep-24
    3 Diazepam inj 5 mg/ml 2 Aug-23
    4 Difenhidramin inj 10 mg/ml 2 May-24
    5 Fitomenadion inj 2 Jul-25
    6 Metamizole inj 500 mg/2ml 2 Apr-24
    7 Lidocain comp. inj 2% 2 Jun-26
    8 Lidocain inj 2% 2
    9 Diazepam enema 5mg/2,5 ml 1 Dec-22
    10 Ventolin (salbutamol 2,5 ml) 2 Sep-23
    11 NaCl infus 0,9% 500ml 1 Dec-24
    12 RL infus 1 Dec-24
    13 Abocath 18 1 Nov-23
    14 Abocath 20 1 Aug-24
    15 Abocath 22 1 Aug-24
    16 Abocath 24 1 Feb-23
    17 Infuset anak 1 Aug-23
    18 Infuset dewasa 1 Sep-23
    19 Transfusion set 1 Apr-23
    20 Spuit 1 ml 2 Jan-27
    21 Spuit 3 ml 2 Oct-23
    22 Spuit 5 ml 2 Jul-24
    23 spuit 10 ml 2 Mar-24
    DAFTAR OBAT EMERGENCY
    UNIT PEB

    NO. NAMA OBAT JUMLAH EXP. DATE


    1 Epineprin inj 0,1% 2 May-23
    2 Deksametason inj 5 mg/ml 2 Sep-24
    3 Diazepam inj 5 mg/ml 1 Aug-23
    4 Difenhidramin inj 10 mg/ml 2 May-24
    5 Fitomenadion inj 2 Jul-25
    6 Metamizole inj 500 mg/2ml 2 Apr-24
    7 Lidocain inj 2% 2 Apr-26
    8 Lidocain comp. inj 2% 2 Jun-26
    9 Magnesium Sulfat 20% 2 May-23
    10 Calsium Gluconate inj 2 Jul-24
    11 Tranexamic Acid 250mg/5ml 1 Jan-23
    12 Ventolin (salbutamol 2,5ml) 1 Sep-23
    13 NaCl infus 0,9% 500ml 1 Jun-24
    14 RL infus 1 Dec-24
    15 Abocath 20 1 Aug-24
    16 Abocath 22 1 Aug-24
    17 Abocath 24 1 Feb-23
    18 Infuset anak 1 Aug-23
    19 Transfusion set 2 Aug-23
    20 Spuit 1 ml 1 Aug-23
    21 Spuit 3 ml 3 Oct-23
    22 Spuit 5 ml 2 Jul-24
    23 spuit 10 ml 2 Aug-24
    24 spuit 20 ml 2 Aug-25
    25 Masker O2 Dewasa 1 Jul-24
    26 Folley Catheter 18 1 May-26
    27 Oxyflow Dewasa 1
    28 Aqua 25 ml 2 Dec-22
    DAFTAR OBAT EMERGENCY
    UNIT LANSIA

    NO. NAMA OBAT JUMLAH EXP. DATE


    1 Epineprin inj 0,1% 1 May-23
    2 Deksametason inj 5 mg/ml 2 Sep-24
    3 Diazepam inj 5 mg/ml 1 Aug-23
    4 Difenhidramin inj 10 mg/ml 2 May-24
    5 Fitomenadion inj 2 Jul-25
    6 Metamizole inj 500 mg/2ml 2 Apr-24
    7 Ventolin (salbutamol 2,5 ml) 1 Sep-23
    8 NaCl infus 0,9% 500ml 1 Dec-24
    9 RL infus 1 Dec-24
    10 Abocath 20 1 Aug-24
    11 Abocath 22 1 Aug-24
    12 Infuset dewasa 1 Sep-23
    13 Spuit 3 ml 4 Oct-23
    14 Spuit 5 ml 2 Jul-24
    DAFTAR OBAT EMERGENCY
    UNIT GIGI

    NO. NAMA OBAT JUMLAH EXP. DATE


    1 Epineprin inj 0,1% 2 May-23
    2 Deksametason inj 5 mg/ml 2 Sep-24
    3 Diazepam inj 5 mg/ml 2 Aug-23
    4 Difenhidramin inj 10 mg/ml 2 May-24
    5 Fitomenadion inj 2 Jul-25
    6 Metamizole inj 500 mg/2ml 2 Apr-24
    7 Lidocain inj 2% 2 Apr-26
    8 Ventolin (salbutamol 2,5ml) 1 Sep-23
    9 NaCl infus 0,9% 500ml 1 Jun-24
    10 RL infus 1 Dec-24
    11 Abocath 20 1 Aug-24
    12 Abocath 22 1 Aug-24
    13 Abocath 24 1 Feb-23
    14 Abocath 26 1 Nov-23
    15 Infuset Anak 1 Aug-23
    16 Infuset Dewasa 1 Dec-24
    17 Transfusion set 2 Aug-23
    18 Spuit 1 ml 1 Aug-23
    19 Spuit 3 ml 3 Oct-23
    20 Spuit 5 ml 2 Jul-24
    PELABELAN (√)
    NO NAMA OBAT KET
    YA TIDAK
    44 Dimenhidrinat tablet
    45 Dulcolax 10 mg sup
    46 Dulcolax 5 mg supp
    47 Ergotamin tablet
    48 Haloperidol 0,5 mg tablet
    49 Haloperidol 1,5 mg tablet
    50 Hand Rub
    51 Hand scrub
    52 Hemorogard kapsul
    53 Hepagard kapsul
    54 Isoniazid 100 mg tablet
    55 Isoniazid 300 mg tablet
    56 Kalium diklofenak tablet
    57 Kalsium laktat tablet
    58 Kloramfenikol 250 mg kapsul
    59 Kloramfenikol 500 mg kapsul
    60 Kloramfenikol tetes mata
    61 Kloramfenikol tetes telinga
    62 Kotrimoksazol 480 mg tablet
    63 Kotrimoksazol 960 mg tablet
    64 Levofloksasin tablet
    65 Lidokain compositum injeksi
    66 Lidokain injeksi
    67 Meloksikam 15 mg tablet
    68 Meloksikam 7,5 mg tablet
    69 Metamizole tablet
    70 Metilergometrin tablet
    71 Metilprednisolon tablet
    72 Metronidazole tablet
    73 NaCl 0,9% infus
    74 NaCl infus 100 ml
    75 NaCl infus 500 ml
    76 Natrium diklofenak tablet
    77 Oksitetrasiklin salep kulit
    78 Oksitetrasiklin salep mata
    79 Parasetamol tablet
    80 Prontosan gel
    81 Prontosan sol
    82 Ringer laktat infus
    83 Risperidon tablet
    84 Salbutamol 2 mg tablet
    85 Salbutamol 4 mg tablet
    86 Simvastatin 10 mg tablet
    87 Simvastatin 20 mg tablet
    88 Trifluoperazin tablet
    89 Triheksifenidil tablet
    90 Vitamin B1 10 mg tablet
    91 Vitamin B6 10 mg tablet

    PEMERIKSA PETUGAS UNIT…..................

    ( ) ( )

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