A.

Ruang Anak
No.

Tgl

Jam

Nama BHMP
Jumlah

Injeksi

1
2
3

Adrenalin HCl in'

Aminofilin in'
Am cillin 1 Gin'

Atrofin Sulfat in'

5
6
7
B

Chloramfenicol inj
Dexametason inj
Dekstrose 40% inf
Infus
Dekstrose 10% inf
Dekstrose 5% inf
KAEN 3A

1
2
3
4
5
6
7
C
1

KAEN3B
KCI 7.4% larutan N4 (1: 4)
NaCl 0.9% inf
Ringer lactat inf
Lain - lain

Ventolin Nebul
Alat Kesehatan

3 Ways

2
3
4
5
6
7
8
9

3 ways berekor
IV Catheter 20
IV Catheter 22
IV Catheter 24
IV Catheter 26
Blood tranfusion set
Disp Syr 1 cc
Disp Syr 3 cc

Paraf
Petugas

10
11

Disp Syr 5 cc
Disp Syr 10 cc

12
13

Folcath 6
Folcath 8

14

Folcath 10

15
16
17
18
19

Infusion Buret
Infusion Set
Infusion Set M-Drip
NGT 5
NGT 6

20
21
22
23
24
25

NGT 8
NGT 10
Urine bag non stern
Urine bag Colector
Wing Needle 25
Wing Needle 27

B. Ruang Bedah
No.

TgI

Jam

Nama BHMP

Adrenalin HCl in'

2
3
4
5
6
7

Aminofilin in"
Atrofin Sulfat in'
Ca gluconas in'
Chlorpromazin in j
Cortison Acetat inj
Dexametason in'
Furosemida inj
Gentamicin inj
Lidocain inj
Ranitidin inj
Tramadol inj

B
1
2
3
4
C
1
2
3
4
5

50

Paraf
Petugas

Injeksi

8
9
10
11
12

Jumlah

Infus
Bic Nat 8.4%
Manitol 20%
NaCl 0.9% inf
Ringer lactat inf
Alat Kesehatan
3 Was
Abbocath 16
Abbocath 18
Abbocath 20
Abbocath 22

Pedoman Pengelolaan Perbekalan Farmasi di Rumah Sakit

6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24

Abbocath 24
Cath Suction 14
Cath Suction 16
Disp Elektroda Redot
Disp Syr 1 cc
Disp Syr 3 cc
Disp Syr 5 cc
Dis Syr 10 cc
Disp Syr 20 cc
Folcath 16
Folcath 18
Infusion Set
Infusion Set M-Drip
Mayo 4
Nasal Oksigen
Stomach tube 16
Staomact tube 18
Urine bag non steril
Urine bag Colector

Lain-lain

Aguabidest
KY jell
USG jelly

C. RuangMedikal
No.
A

Tgl

Jam

Nama BHMP
Injeksi

1
2
3
4

Adrenalin HCI in'

Aminofilin in'
Atrofin Sulfat in'
Ca gluconas in'

5
6
7
8
9
10
11

CaCl2
Dexametason in j
Dextrose 40%
Furosemida in"
KCt 7.46%
Paradryt
Paramidon

B
1
2

Infus
Dekstrose 5% inf
Dekstrose 10% inf

Pedoman Pengeloloan Perbekalan Farmasi di Rumah Sakit

Jumlah

Paraf
Petugas

51