PERALATAN KESEHATAN RUMAH SAKIT UMUM KELAS A
Peralatan kesehatan pada rumah sakit kelas A disusun dengan mengelompokkannya menjadi 7 yaitu :
A. Peralatan Kesehatan pada Pelayanan Medik Umum
B. Peralatan Kesehatan pada Pelayanan Gawat Darurat
C. Peralatan Kesehatan pada Pelayanan Medik Spesialis Dasar
D. Peralatan Kesehatan pada Pelayanan Spesialis Penunjang Medik
E. Peralatan Kesehatan pada Pelayanan Medik Spesialis Lain
F. Peralatan Kesehatan pada Pelayanan Medik Spesialis Gigi Mulut
G. Peralatan Kesehatan pada Pelayanan Medik Subspesialis
Beberapa hal perlu diketahui bagi perencana dan pengguna dalam upaya mengoptimalkan daya guna peralatan diantaranya kebutuhan akan pra-instalasi, kebutuhan jaringan (listrik, air, gas dsb), buku petunjuk pemakaian, buku petunjuk pemeliharaan/perbaikan, diagram rangkaian (wiring diagram) dan kebutuhan kalibrasi. Untuk mengetahui hal-hal apa saja yang perlu disiapkan guna optimalisasi peralatan kesehatan dapat dilihat pada tabel 2.
Kebutuhan akan persyaratan teknis tersebut mulai dari kebutuhan pra-instalasi hingga kalibrasi ditandai dengan pemberian tanda + (positif), jika tidak diperlukan diisikan dengan tanda – (negatif).
A. Peralatan pada Pelayanan Medik Umum
A.1. Pelayanan medik dasar
- Examination table 4 unit
- Halogen Examination lamp 4 unit
- Stetoscope 4 unit
- Sphygmomanometer 4 unit
- Tongue Spatula 4 unit
- Reflex hammer 4 unit.
- Basic Diagnostic Set 4 unit
- Weight and Height Scale 4 unit
A.2. Rawat Umum
- Hospital Bed 15 unit
- Suction pump 5 unit
- Stethoscope 5 unit
- Sypgmomanometer 5 unit
- Examination Table 5 unit
- Examination lamp 3 unit
- Instrumen trolly 5 unit
- Infusion Stand 5 unit
- Sterilisator Table Top 5 unit
- Kursi Roda 5 unit
- Branchard 5 unit
- Infusion pump 5 unit
- Antidecubitus Matras 5 unit
2. Pelayanan medik gigi mulut
Abscess, periapical
Acute necrotizing ulcerative gingivitis
Alveolitis (dry socket)
Cellutitis (oral)
Gingivitis
Pericoronitis
Periodontitis
Pulpitis
Temporomandibular joint disorders (refer to Kabul if necessary)
Trauma (jaw trauma: refer to Regional or Kabul tertiary hospital level if necessary)
Penambalan
Ekstraksi
Pengobatan Pulpa
1 Dental unit 5 unit
2 Dental X-Ray 2 unit
3 Light Curing Apparatus 5 unit
4 Full Tester 5 unit
5 Oral Hygiene 5 unit
6 Diagnostic set 5 unit
7 Cavity preparation set 5 unit
8 Amalgam set 5 unit
9 Endodonsy set 5 unit
10 Indy Indirect set 5 unit
11 Preparasi mahkota set 5 unit
12 Exodonsia set 5 unit
13 Cetakan set 5 unit
14 Inersia Gigi tiruan set 5 unit
15 Orthodonsi Piranti cekat 5 unit
16 Aktivasi set 5 unit
17 Bedah mulut instrumen set 5 unit
18 Peralatan laboratorium Teknik dasar 5 unit
19 Sterilisator listrik 5 unit
20 Autoclave 5 unit
21 Electrolit segar 5 unit
22 Panoramic foto 5 unit
23 Cito jack 5 unit
24 Operating stool 5 unit
25 Scaler set 5 unit
26 Cotton Roll Holder 5 unit
27 Glass ionometer 5 unit
28 Composite resin 5 unit
29 Anasthesi local set 5 unit
30 Set bedah mulut sinar 5 unit
31 Set orthodensi piranti lepas 5 unit
32 Set aktivar 5 unit
33 Set penyemenan 5 unit
34 Set cetak GTS/GTP & Mahkota 5 unit
35 Set insersi GTS/GTP 5 unit
6
7
3. Pelayanan KIA/KB
Hormonal contraceptives
Intrauterine contraceptive devices (IUCDs)
Barrier methods
Surgical contraception
Periodic abstinence (natural family planning)
B. Pelayanan Gawat Darurat
24 Jam dan 7 hari seminggu
Anaphylaxis
Cardiac arrest (simple ABC resuscitation done at all levels, but defibrillator only available at RH)
Abdominal trauma
Bites and rabies
Burns
Natural disasters
Head injury
Multiple injury to patient
Pneumothorax and hemothorax
Poisoning
Shock
Tracheotomy (done at all levels in cases of emergency)
Fluid and electrolyte balance
1. Triage 1 ECG 3 unit
2 Patient Stracher 6 unit
3 Stethoscope 5 unit
4 Tensimeter 5 unit
5 Oxygen Theraphy 3 unit
6 Basic Diagnostic set 5 unit
7 Tongue Spatula 8 set
8 Sypgmomanometer Mobile Stand 4 set
9 Stainless steel ware 4 set
2. Observation 1 Observation bed 5 unit
2 Bed side monitor 5 unit
3 Suction pump 4 unit
4 Stethoscope 5 unit
5 Sypgmomanometer 5 unit
6 Basic Diagnostic set 2 set
7 laryngoscope 2 set
3. Resucitasi 1 Mobile Examination lamp 5 unit
2 Patient Stracher 5 unit
3 Folding Pole Stracher 4 unit
4 Scoop Stracher 4 unit
5 Bed side monitor 5 unit
6 Portable ventilator 5 unit
7 Defibrilator 4 unit
8 ECG 3/6 Channels 4 unit
9 Ultrasonography 3 unit
10 Suction pump 5 unit
11 Emergency suction pump 4 unit
12 Ultrasonic Nebulizer 5 unit
13 Portable pulse oximeter 4 unit
14 Capnography with pulse oximeter 4 unit
15 Diagnostic set 2 set
16 Endotracheal Intubation Set 2 set
17 Adult Recusitator 4 unit
18 Infant Recusitator 4 unit
19 Medical Emergency Kit, adult 4 unit
20 Medical Emergency Kit, Infant 4 unit
21 Oxygen Theraphy 3 set
22 Spine Splint Set 3 set
23 Pneumatic Splint Set 3 set
24 Neck Collar with bag 3 set
25 Stethoscope 5 unit
26 Sypgmomanometer Mobile Stand 5 unit
27 Laryngoscope, adult 4 unit
28 Laryngoscope, Infant 3 set
29 Film viewer 5 unit
30 Emergency trolley 5 unit
4. Emergency Surgery 1 Mobile Operating Table 4 unit
2 Operating Lamp 4 unit
3 Bed side monitor 4 unit
4 Anasthesi ventilator 4 unit
5 Defibrilator 4 unit
6 Surgical Suction pump 4 unit
7 Drainage Suction pump 4 unit
8 Syringe pump 4 unit
9 Infusion pump 4 unit
10 Basic instrument set 4 set
11 Large suture instrument set 4 set
12 Vena sectio instrument set 4 set
13 Tracheotomy instrument set 4 set
14 Bandage instrument set 4 set
15 Minor Surgery instrument set 4 set
16 Thorascocentesis/paracentesis 4 set
17 Pleural Puncture instrumen set 4 set
18 Partus instrument set 4 set
19 Plaster cast removal 4 set
20 Amputation instrument set 4 set
21 Orthopedic instrument set 4 set
22 Small Fragment instrument set 4 set
23 Liver Puncture instrument set 4 set
24 Dilatation & Curretage instrument set 4 set
25 Embryotomy instrument set 4 set
26 Ascites Trocard 4 set
C. Pelayanan Medik Spesialis Dasar
1. Penyakit dalam
1 ECG 5 unit
2 Nebulyzer 5 unit
3 Sypgmomanometer 5 unit
4 Film Viewer 5 unit
5 Oxygen set + Flowmeter 5 unit
6 Infusion set 5 set
7 Lever biopsi set 5 set
8 Suctica pump 5 unit
9 Clinitest 5 set
10 Infusion stand 5 unit
11 Resuscitation set 5 set
12 Fine needle set 5 unit
13 Examination table 5 unit
14 Stetoscope 5 unit
15 Instrument trolley 5 unit
16 Intubation set 5 set
17 Termometer 5 unit
18 Examination lamp 5 unit
19 Stainlesstell Ware set 5 set
20 Autospirometer 5 set
21 Diagnostic set 5 set
22 Instrument cabinet 5 unit
2. Kesehatan Anak 1 ECG 5 unit
2 Infant & Baby Pediatric resuscitation 5 unit
3 Infant & Baby Pediatric stetoscope 5 unit
4 Examintaion lamp 5 unit
5 Sypgmomanometer 5 unit
6 Infant & Baby Weighing scale 5 unit
7 Baby scale 5 unit
8 Termometer rectal 5 unit
9 Termometer axial 5 unit
10 Reflex hammer 5 unit
11 Flash light 5 unit
12 Film viewer 5 unit
13 Lumbal fuction needle for children 5 unit
14 Examination table 5 unit
15 Baby resuscitation set 5 unit
16 Vena sunction set 5 unit
17 Infusion set 5 unit
18 Infusion pump 5 unit
19 Cold chain 5 unit
20 Baby suction pump 5 unit
21 Diagnostic set 5 unit
22 Emergency card 5 unit
23 Pediatric trolley 5 unit
24 Oxygent Theraphy set & Flowmeter 5 unit
25 Nebulizer 5 unit
26 Timbangan anak 5 unit
27 Laryngoscope Pediatric 5 unit
28 Cotton bowl 5 unit
29 Korentang 5 unit
30 Instrument cabinet 5 unit
31 Weighing and height scale 5 unit
8. Perawatan Anak 1 Pediatric Stetoscope 5 unit
2 Examination lamp 5 unit
3 Sypgmomanometer pediatric 5 unit
4 Oxygen Concentrat 5 unit
5 Termometer rectal 5 unit
6 Termometer axial 5 unit
7 Flash light 5 unit
8 Film viewer 5 unit
9 Pediatric bed 5 unit
10 Antidecubitus matras 5 unit
11 Diagnostic cart 5 unit
12 Infusion Stand 5 unit
13 ECG 5 unit
14 Suction pump 5 unit
15 Reflex hammer 5 unit
16 Spatel tounge 5 unit
17 Lumal needle function 5 unit
18 Emergency cart 5 unit
19 Water seal drainage 5 unit
20 Patient trolley 5 unit
21 Transfusion set 5 unit
22 Micro Hematocrit set 5 unit
23 Vena suction set 5 unit
24 Hospital Bed for Pediatrik 15 unit
25 Infusion pump 5 unit
26 Instrumen Trolley 5 unit
27 Instrumen Set 5 set
28 Kursi roda 5 unit
29 Nebulyzer 5 unit
30 Instrumen Trolley 5 unit
31 Korentang 5 unit
32 Dressing Trolley 5 unit
33 Instrumen Cabinet 5 unit
34 Double bowl Sink 5 unit
35 Double bowl Stand 5 unit
9. Perinatologi 1 Baby incubator 5 unit
2 Transport incubator 5 unit
3 Infant warmer 5 unit
4 Suction pump 5 unit
5 Baby scale 5 unit
6 Infant stetoscope 5 unit
7 Sypgmomanometer 5 unit
8 Termometer rectal 5 unit
9 Termometer axial 5 unit
10 Flash light 5 unit
11 Photo Therapy 5 unit
12 UV Room Sterilizer 5 unit
13 Baby Coach 5 unit
14 Baby Recusitation set 5 unit
15 Infusion pump 5 unit
16 Infusion Stand 5 unit
17 Incubation set for infant 5 unit
18 Baby Examination Table 5 unit
19 Examination lamp 5 unit
3. Bedah
Acute abdomen and traumatic abdomen. (Stabilize and refer. If a competent surgeon and anesthetic service and appropriate equipment are available, then laporotomy can be performed at DH.)
Chest conditions (Chest tube at all levels)
Biliary tract and liver operations
Colon operations
Proctological operations (perianal abcess at DH)
Hernioraphy (simple at DH)
Rectal prolapse, Crohn's disease, all malignancies (Refer complicated cases to center)
Superficial abcesses, cysts, and tumors (Refer to center if suspected malignancy)
Cavity abcesses
Cystostomy
Kidnay stones and nephrectomy
Prostatectomy
Circumcision
Burns (pending distribution [%] and dept [°] )
1 Examination table 5 unit
2 Mobile Operating lamp 5 unit
3 Ceilling operating table 5 unit
4 Anesthesi machine 5 unit
5 Surgical suction pump 5 unit
6 Infusion pump 5 unit
7 Infusion stand 5 unit
8 Minor surgery Instrument set 5 unit
9 Hecting set 5 unit
10 Diagnostil set 5 unit
11 Sypgmomanometer 5 unit
12 Stetoscope 5 unit
13 Reflex hammer 5 unit
14 Circumsisi set 5 unit
15 Intubtion set 5 unit
16 Film Viewer 2 slides 5 unit
17 UV room sterilyzer 5 unit
18 Autoclave portable 5 unit
19 Emergency lamp 5 unit
20 Instrument cabinet 5 unit
21 Instrument trolley 5 unit
22 Dressing trolley 5 unit
23 Wash basin set 5 unit
24 Plaster case tremoval set 5 unit
25 Stainlesstell Ware set 5 unit
26 Flash light 5 unit
27 Cotton bowl 5 unit
4. Ruang persiapan 1 Bed Side Monitor 5 unit
2 Sypgmomanometer 2 unit
3 Stethoscope 2 unit
4 Suction unit 2 unit
5 Oxygen Saturatie 2 unit
6 Film viewer 2 unit
Kamar Bedah 1 Gergaji Tulang 4 set
2 Anasthesi Machine 5 unit
3 Ventilator Anesthesi 5 unit
4 Electro Surgery Unit (ESU) 5 unit
5 Operating Table 5 unit
6 Operating Lamp Ceiling Type 5 unit
7 Examination lamp 5 unit
8 CCTV For Operation 5 unit
9 Autoclave portable 5 unit
10 Operating Microscope 3 unit
11 C-Arm cat Lab 2 unit
12 Mayor Surgery Instrument Set 5 unit
13 Minor Surgery Instrument Set 5 unit
14 Bandage instrument set 5 unit
15 Orthopedie instrument set 5 unit
16 Caesarian instrument set 5 unit
17 Defibrilator 5 unit
18 Bed Side Monitor 5 unit
19 Infusion pump 5 unit
20 Infusion Stand 5 unit
21 Suction pump 5 unit
22 Desinfector 5 unit
23 UV sterilizator 5 unit
24 Kidney Set 5 unit
25 Instrument Set 5 unit
26 Instrumen Trolley 5 unit
27 Diagnostic set 5 unit
28 Patient Stracher 5 unit
29 Mayo table 5 unit
5. Recovery 1 Bed Side Monitor 5 unit
2 Patient Stracher 5 unit
3 Defibrilator 5 unit
4 Emergency trolley 5 unit
5 Diagnostic set 5 unit
6 Infusion pump 5 unit
7 Infusion Stand 5 unit
8 Suction pump 5 unit
2. Rawat Bedah Umum 1 Hospital Bed 15 unit
2 Stethoscope 5 unit
3 Brandchard 5 set
4 Infusion pump 5 unit
5 Infusion Stand 5 unit
6 Examination lamp 5 set
7 Sypgmomanometer 5 set
8 Instrumen trolly 5 set
9 Wash basin Set 5 unit
10 Cotton bowl 5 unit
11 Stainlesstell Ware Set 5 unit
12 Instrumen trolly 5 unit
13 Korentang 5 unit
14 Film viewer 5 unit
15 Instrumen Cabinet 5 unit
16 Double Bowl Sink 5 unit
17 Double Bowl Stand 5 unit
3. Kamar Tindakan 1 Examination Table 5 set
2 Examination lamp 5 set
3 Instrumen trolly 5 set
4 Stethoscope 5 set
5 Sypgmomanometer 5 set
6 Brandchard 5 set
7 Infusion pump 5 unit
8 Infusion Stand 5 unit
9 Diagnostic set 5 set
10 Miror Surgery Inst Set 5 set
11 Fine needle biopsi 5 set
12 Jarum biopsi tulang sumsum 5 set
13 Jarum biopsi tulang hati 5 set
14 Alat Bedah minor 5 set
5. Obstetri dan ginekologi
Antenatal care (Obstetri)
High-risk pregnancy
Anemia in pregnancy
Antepartum hemorrhage (APH)
Cardiac disease in pregnancy
Diabetes in pregnancy
Drugs in pregnancy
Malaria in pregnancy
Multiple pregnancy
Pre-eclampsia
Eclampsia
Rhesus (Rh) incompatibility
Urinary tract infection in pregnancy
Ectopic pregnancy
Normal labor and delivery (including assessment of low-birthweight infants)
Complicated labor and delivery (including CS and uterus rupture)
Postnatal care
Complications of puerperium
Postpartum hemorrhage (PPH)
Puerperal infections
Breast conditions
Deep vein thrombosis (DVT)
Puerperal psychosis (rare condition—it is difficult to refer such patients so basic treatment would have
to be done at all levels)
Abortion (due to medical indication: a special committee is necessary)
Incomplete abortion (and complications of abortion)
Destructive operations
Uterus fibromyoma
Pelvic masses (ginekologi)
Infertility (only basic treatment offered, advanced tests not available at any of the hospital levels)
Menstrual disturbances
Vaginitis (vaginal discharge)
Pelvic inflammatory disease (PID)
Abscesses
Prolapse and transvaginal operations
Fistulae
Sexual assault
Neonatal asphyxia and resuscitation (Neonatal Care & Condition)
Care of the normal newborn
Birth injuries
4 Congenital anomalies (simple conditions, such as sixth finger, may be treated at lower levels)
Infants of diabetic mothers
Jaundice (complicated cases to be referred to higher levels)
Preterm infant (major difficulty is lack of power supply for operating incubators, if none then refer)
Apnoeic attacks
Respiratory distress
1 Gynecologycal Examination lamp 5 unit
2 Examintaion lamp 5 unit
3 Cardiotocography 5 unit
4 Baby Weighing scale 5 unit
5 Baby doppler pocket 5 unit
6 USG Transvaginal 5 unit
7 Film Viewer 5 unit
8 Colposcope 5 unit
9 Sypgmomanometer 5 unit
10 Stetoscope 5 unit
11 Dilatation and curavage diagnostic set 5 set
12 Suction pump 5 unit
13 Infusion pump 5 unit
14 Infusion stand 5 unit
15 Vaginal specullum 5 set
16 Sonde 5 set
17 Delivery bed 5 unit
18 Weighing and height scale 5 unit
Perawatan Obgyn/Kamar bersalin 1 Delivery table 5 unit
2 Examination lamp 5 unit
3 Fetal Detector 5 unit
4 Cardiotocograph 5 unit
5 Stethoscope 5 unit
6 Sypgmomanometer 5 unit
7 Infusion Stand 5 unit
8 Infant weighing scale 5 unit
9 Suction pump 5 unit
10 Oxygen Set + Flow meter 5 unit
11 Emergency light 5 unit
12 Recusitation for adult 5 unit
13 Recusitation for infant 5 unit
14 USG 5 unit
15 Sterilisator 5 unit
16 Delivery instrument set 5 set
17 Minor surgery instrument set 5 set
18 Vacum extractor 5 set
19 Infus set 5 set
10. Kamar Tindakan 1 Gynecology table 5 unit
2 Mobile operating lamp 5 unit
3 Examination lamp 5 unit
4 Electro Coagulator 5 unit
5 Oxygen Set + Flow meter 5 unit
6 Infusion Stand 5 unit
7 Infusion pump 5 unit
8 Suction pump 5 unit
9 Cryosurgery 5 unit
10 Recusitation set for adult 5 set
11 CVP Set 5 set
12 Sterilisator 5 unit
13 Curretage instrument set 5 set
14 Micro curretage instrument set 5 set
15 Vacum Currete set +Canule 5 unit
16 Embriotomi set 5 set
17 Minor surgery set 5 set
11. Kamar Operasi Kebidanan (VK) 1 Operating table (gynecologi) 5 unit
2 Operating lamp 5 unit
3 Anesthesi Machine 5 unit
4 Respirator 5 unit
5 Oxygen Set + Flow meter 5 unit
6 Electrosurgical unit 5 unit
7 Instrumen table 5 unit
8 Tromol stanless 5 unit
9 Infusion Stand 5 unit
10 Instrumen Cabinet 5 unit
11 Scrube up 5 unit
12 UV lamp for room sterilization 5 unit
13 Sterilisator 5 unit
14 Obstetric surgical intrument set 5 set
15 Sectio caesarian set 5 set
16 Laparatomy set 5 set
17 Histerectomy set 5 set
18 Hidrotubasi set 5 set
19 Laparoscopy set 5 set
20 Histeroscopy set 5 set
21 Electro couter 5 set
12. Perawatan bersalin 1 Stethoscope 5 unit
2 Sypgmomanometer mobile 5 unit
3 Infusion pump 5 unit
4 Recusitation set for adult (manual) 5 unit
5 Hospital Bed 15 unit
6 Suction pump 5 unit
7 Termometer 5 unit
8 Examination lamp 5 unit
9 Infusion Stand 5 unit
10 Flash light 5 unit
11 Instrumen table 5 unit
12 Oxygen Set + Flow meter 5 unit
13 Film viewer 5 unit
14 Catheter 5 unit
15 Antidecubitus Matras 5 unit
16 Wash basin 5 unit
17 Nebulyzer 5 unit
18 Vena section set 5 unit
19 Emergency light 5 unit
20 Minor surgery set 5 unit
6. Klinik Bayi 1 Cold chain 5 unit
2 Baby Weighing scale 5 unit
3 Stetoscope for baby 5 unit
4 Diagnostic set 5 set
5 Film viewer 5 unit
6 Examination table 5 unit
13. Perawatan Bayi 1 Pediatric Stetoscope 5 unit
2 Examination lamp 5 unit
3 Sypgmomanometer pediatric 5 unit
4 Baby weighing/high scale 5 unit
5 Bax bayi/tempat tidur bayi 15 unit
6 Infusion pump 5 unit
7 Instrumen trolley 5 unit
8 Instrumen Set 5 set
9 Nebulyzer 5 unit
10 Oxygen Concentrat 5 unit
11 Infant warmer 5 unit
12 Suction pump 5 unit
13 Infusion Stand 5 unit
14 Film viewer 5 unit
15 Baby Infant Recusitation set 5 unit
16 Korentang 5 unit
17 Dressing Trolley 5 unit
18 Instrumen Cabinet 5 unit
19 Double bowl Sink 5 unit
20 Double bowl Stand 5 unit
21 Foto Theraphy 5 unit
22 Kacamata (gogle) 5 unit
D. Pelayanan Spesialis Penunjang Medik
1. Radiologi
a. Diagnostik + R Kmr Gelap 1 General X-Ray 500 mA 3 unit
2 General X-Ray Purpose 2 unit
3 Mobile Unit X-Ray 2 unit
4 USG Multipurpose 3 unit
5 Angiography Unit 3 unit
6 X-Ray Tomography Unit 2 unit
7 CT Scan 2 unit
8 Mamography Unit 1 unit
9 Film Viewer 2 unit
10 Autatic film processor 5 unit
11 Cassete & Film X-Ray Semua ukuran 40 set
12 Hanger 40 set
13 Patient trolley 5 unit
14 Gloves 5 unit
15 Apron 10 bh
16 Film marker 10 set
17 Dental X-Ray panoramic 2 unit
b. Theraphy 1 Alat Radiasi Externa Cobalt 60/Linear Accelerator (LINAC) 1 unit
2 Simulator 1 unit
3 Treatment Planning System 1 unit
4 Brachytjeraphy dengan aplikasi sederhana 1 unit
5 Mould Room 1 unit
6 Dosimetri 1 unit
7 Alat kalibrasi 1 unit
8 Radium Unit 1 unit
9 Pesawat Rontgent Therap[hy 1 unit
14. Rehab Medik 1 Examination Table 5 unit
2 Examination lamp 5 unit
3 Stethoscope 5 unit
4 Sypgmomanometer 5 unit
5 Orthopedi Set 5 set
6 Instrumen Cabinet 5 unit
7 Suction pump 5 unit
8 Instrument trolley 5 unit
1. Rehabilitasi Medik 1 Electromyography 5 unit
2 Biotrigger computerize analizer 5 unit
3 Treadmill 5 unit
4 Micromave Diathermi 5 unit
5 Shortwave Diathermi 5 unit
6 Ultrasound 5 unit
7 Stimulator 5 unit
8 Parafin Bath 5 unit
9 Ultraviolet quartz 5 unit
10 Hot Packs &Perculator 5 unit
11 IVP 5 unit
12 Parallel Bars 5 unit
13 TNS 5 unit
14 Ergocycle 5 unit
15 Rehab Timer 5 unit
16 Ankle/Writs 5 unit
17 Tiltcable 5 unit
18 Rolley and Weights 5 unit
Dokter 1 Stetoskop 6 unit
2 Tensimeter 3 unit
3 Foto Viewer 3 unit
4 Reflex Hammer 6 unit
5 Goniometer 6 unit
6 Stopwatch 3 unit
7 Meteran gulung 6 unit
8 Cybex/Isokinetic Machine 1 unit
9 Dynamometer 2 unit
10 Elektromiografi 1 unit
11 Gait analyzer 1 unit
12 Biofeedback 3 unit
13 Treadmill / Ergocycle 1 unit
14 Pulse Oxymetri 1 unit
15 Spirometri 2 unit
16 Peakflow meter 3 unit
Psikolog 1 Intellegenci dan bakat 1 unit
2 Wechsler Revelue 1 unit
3 Wechsler Revelue for children 1 unit
4 Wechsler Presschool and Primary 1 unit
5 Stanfor Binet 1 unit
6 Progressive Matrices 1 unit
7 Advanced Progressive Matrices 1 unit
8 Colour Progressive Matrice 1 unit
9 Test Kemampuan Differensial 1 unit
10 Culture Fair Intelengence Test Skala 2 & 3 1 unit
11 Pemeriksaan Teknis Pasti (PTP) 1 unit
12 Kuder 1 unit
13 Kepribadian 1 unit
14 Thematic Appreception Test 1 unit
15 Children Appreception Test 1 unit
16 Rorschach 1 unit
17 Wortegg 10 unit
18 Edwards Preferce Personality Test 1 unit
19 Sixteen Personality Test 1 unit
20 Vineland Maturity Scale 1 unit
21 Sack Sentence Completion Test 1 unit
22 Bender Gestalt 1 unit
23 Bourdoun Test 1 unit
24 Grasi Test 1 unit
25 Mariane Frostig 1 unit
26 Stop Watch 1 unit
27 Balok Kayu 1 unit
28 Puzzle 1 unit
Fisioterapi 1 Stetoskop 4 unit
2 Tensimeter 4 unit
3 Goniometer 4 unit
4 Interval timer 2 unit
5 Meteran gulung 4 unit
6 Walker dewasa 4 unit
7 Walker anak 4 unit
8 Rollator 2 unit
9 Tongkat ketiak 2 unit
10 Forearm crutch 1 unit
11 Tripod 2 unit
12 Quad cane 2 unit
13 Kursi roda 2 unit
14 Parallel bar 2 unit
15 Tangga, tikungan, tanjakan 1 unit
16 Pulley 2 unit
17 Quadricep bench 2 unit
18 Ergocycle / Treadmill Execiser 2 unit
19 Armcrank Execiser 2 unit
20 Rowing Machine 1 unit
21 Shoulder wheel 2 unit
22 Wall bar 2 unit
23 Axial Resistance Execiser 2 unit
24 Stap Ladder 2 unit
25 NK Table 2 unit
26 Springpull Execiser 3 unit
27 Theraband Execiser 3 unit
28 Legskate 3 unit
29 Grip Execiser 3 unit
30 Papan licin 3 unit
31 Matras 6 unit
32 Strap / sabuk 3 unit
33 Sandbag 4 unit
34 Physioball 3 unit
35 Nebulizer jet 2 unit
36 Nebulizer ultrasound 2 unit
37 Ultrasonic Diathermy 3 unit
38 Shortwave Diathermy 3 unit
39 Microwave Diathermy 3 unit
40 Interferential Therapy / TENS 3 unit
41 Biofeedback 2 unit
42 Laser 1 unit
43 Infra Red 3 unit
44 Ultra Violet 2 unit
45 Hot Packs 3 unit
46 Cold Packs / cryotherapy 3 unit
47 Paraffin bath 2 unit
48 Hubbard tank 1 unit
49 Whirpool 1 unit
50 Hydropool 1 unit
51 Steamer 2 unit
52 Traksi lumbal / cervical 3 unit
53 Tighting table 2 unit
54 Bed exercise 3 unit
55 Segmental Bed Therapy 2 unit
56 Cermin sikap 6 unit
57 Vibrator 2 unit
58 Rehab trainer 1 unit
1 Stetoskop 1 unit
2 Tensimeter 1 unit
3 Stopwatch 1 unit
4 Goniometer besar 1 unit
5 Goniometer kecil 1 unit
6 Meteran gulung 1 unit
7 Hand Dynamometer 1 unit
8 Virgorymeter (pinchgauge) 1 unit
9 Peg board (bermacam-macam) 1 unit
10 Puzzle (bermacam-macam) 1 unit
11 Biofeedback 1 unit
12 Timer 1 unit
13 Paralel bar besar 1 unit
14 Paralel bar kecil 1 unit
15 Suspension walker 1 unit
16 Walker dewasa 1 unit
17 Walker anak 1 unit
18 Hand sling 1 unit
19 Sand bag (bermacam ukuran) 1 unit
20 Wax 1 unit
21 Grip Exercise 1 unit
22 Exerciser board 1 unit
23 Skate board 1 unit
24 Matras 1 unit
25 Kursi latihan duduk 1 unit
26 Physioball 1 unit
27 Geometric shape crawling form 1 unit
28 Crawler 1 unit
29 Tricycle 1 unit
30 Floor sitter 1 unit
31 Meja periksa 1 unit
32 Standing table dewasa 1 unit
33 Standing table anak 1 unit
34 Suspension arm sling set 1 unit
35 Ruang simulasi lengkap /SI 1 unit
36 Sanding block 1 unit
37 Prismatic glasess 1 unit
38 Bantal dan guling 1 unit
39 Alat latihan sensori 1 unit
40 Adjustable Table 1 unit
41 Alat pertukangan 1 unit
42 Alat ketrampilan tangan 1 unit
43 Perangkat musik 1 unit
44 Perangkat olah raga 1 unit
45 Perangkat rekreasi 1 unit
46 Alat simulasi ADL 1 unit
47 Alat bantu adaptasi 1 unit
48 Peralatan pembuatan splint 1 unit
E. Pelayanan Medik Spesialis Lain
1. Mata
Common eye conditions (for most conditions a generalist may treat at all levels, but for trachoma and
cataracts and other complicated conditions, opthalmologist at RH required)
Eye injuries (many conditions can be treated at all levels; for those that cannot, refer to opthalmologist at
RH required)
1 Slit lamp 3 unit
2 Auto refracto-keratometer 5 unit
3 Opthalmoscope 5 unit
4 Lens meter 5 unit
5 Trial lens with frame 5 unit
6 Binocular loupe 5 unit
7 Streak retinoscope 5 unit
8 Snellen test 5 unit
9 Test buts warna (Ishihara book) 5 unit
10 Opthalmic diagnostic set 5 unit
11 Tono meter 5 unit
12 Double bowl stand 5 unit
13 Examination table 5 unit
14 Instrument cabinet 5 unit
15 Opthalmic char 5 unit
16 Chard proyector 5 unit
17 Halogen strabismo scope 5 unit
18 Head lamp 5 unit
19 Stetoscope 5 unit
20 Sypgmomanometer 5 unit
21 Stainlesstell Ware set 5 unit
22 Film viewer 5 unit
23 Instrument trolley 5 unit
24 Dressing trolley 5 unit
25 Minor surgery instrument set 5 unit
26 Emergency lamp 5 unit
Perawatan Mata 1 Opthalmoscope 5 unit
2 Examination lamp 5 unit
3 Sypgmomanometer 5 unit
4 Snellen card 5 unit
5 Termometer rectal 5 unit
6 Termometer axial 5 unit
7 Flash light 5 unit
8 Film viewer 5 unit
9 Pediatric bed 5 unit
10 Diagnostic cart 5 unit
11 Infusion Stand 5 unit
12 Suction pump 5 unit
13 Patient trolley 5 unit
14 Slit lamp 5 unit
15 Funduscopy 5 unit
16 Eye piece set 5 unit
17 Kursi roda 5 unit
18 Hospital Bed 15 unit
19 Infusion pump 5 unit
20 Instrumen Cabinet 5 unit
21 Double bowl Sink 5 unit
22 Double bowl Stand 5 unit
2. THT
Acute otitis media
Otitis externa
Chronic otitis media (CSOM)
Epistaxis
Foreign bodies in the ears
Foreign bodies in the nose
Mastoiditis
Wax on ear
1 Ent Diagnostik unit 5 unit
2 Instrument set 5 unit
3 Head lamp 5 unit
4 Suction pump 5 unit
5 Laryngoscope + Sumber cahaya (Cold Light) 5 unit
6 Audio meter 5 unit
7 Otoscope 5 unit
8 Corong telinga 5 unit
9 Serumen spoon 5 unit
10 Aplikator kapas 5 unit
11 Spekulum hidung 5 unit
12 Pinset bayonet hidung 5 unit
13 Pinset telinga 5 unit
14 Forsep telinga 5 unit
15 Penekan lidah 5 unit
16 Cermin Rinoskopi posterior 5 unit
17 Cermin laring 5 unit
18 Garpu tala 5 unit
19 Pompa hisap 5 unit
20 Set bedah minor THT 5 unit
21 Set adenotonsilektomi Sluder & Diseksi 5 unit
22 Set polipektomi 5 unit
23 Set trakeostromi 5 unit
24 Set irigasi sinus 5 unit
25 Set irigasi serumen 5 unit
26 Set biopsi nasopharing, tumor hidung 5 unit
27 Set caldwell-luc operasi 5 unit
28 Set rinotomi lateralis 5 unit
29 Set endoscopy 5 unit
30 ABR?BERA (Brain Evoke Respon Audiometer) 5 unit
31 Oto Accoustic Emission (OAE) 5 unit
32 Tymphanometer 5 unit
33 Lensa Frenzel 5 unit
34 ENG (Electronigtagmografi) 5 unit
35 Posturografi 5 unit
36 Gustatometri 5 unit
37 Stroboscopi 5 unit
38 Telelaringoscopy 5 unit
39 Rinomanometri 5 unit
40 Nasometri – palatometri 5 unit
41 Mikroscope – Bedah Mikro telinga 5 unit
42 Set Audiovisual 5 unit
43 Set Bone Drill 5 unit
44 Set Timpanoplasti 5 unit
45 Set Osikuloplasti 5 unit
46 Set Dekompresi nervus fasialis 5 unit
47 Set Bedah Onkologi THT 5 unit
48 Set Bedah Rinologi + FESS 5 unit
49 Set Bedah Plastik Rekonstruksi Kepala Leher 5 unit
50 Set bedah Hipofisektomi trasanal 5 unit
51 Set Bedah Skull Base Surgery 5 unit
Perawatan THT 1 ENT 5 unit
2 Examination lamp 5 unit
3 Sypgmomanometer 5 unit
4 Termometer rectal 5 unit
5 Termometer axial 5 unit
6 Film viewer 5 unit
7 Pediatric bed 5 unit
8 Diagnostic cart 5 unit
9 Infusion Stand 5 unit
10 Patient trolley 5 unit
11 Hospital Bed 15 unit
12 Suction pump 2 unit
13 Stethoscope 5 unit
14 Film viewer 2 unit
15 Instrumen Table 2 unit
16 Basic instrument set 5 unit
17 Head lamp 10 set
18 Kursi roda 5 unit
3. Syaraf
Cerebral palsy
Seizure disorders
1 Examination Table 5 unit
2 Examination lamp 5 unit
3 EMG 4 Channels with Evoked Potential 5 unit
4 Brainmaping 32 channels 5 unit
5 Ambulatory EEG 5 unit
6 Lumbal punction 5 unit
7 Tuning for Set 5 unit
8 Stethoscope 5 unit
9 Sypgmomanometer 5 unit
10 Reflex hammer 5 unit
4. Jantung dan pembuluh darah
Congenital heart disease
Deep-vein thrombosis
Heart failure
Hypertension
Pulmonary edema
Ischemic heart disease (symptomatic treatment only; refer to tertiary Kabul level if possible)
Rheumatic heart disease
1 Examination Table 5 unit
2 Examination lamp 5 unit
3 ECG 5 unit
4 Stress Test System 5 unit
5 USG Colour 5 unit
6 Stethoscope 5 unit
7 Sypgmomanometer 5 unit
8 Defibrilator dan Monitor 5 unit
9 Instrumen Cabinet 5 unit
10 Alat fungsi Diagnostic dan terapi 5 unit
11 Echo cardiography 5 unit
12 Holte monitor 5 unit
13 Suction pump 5 unit
5. Kulit dan Kelamin
Atopic eczema
Impetigo
Ringworm (Tinea)
Scabies
Herpes zoster
1 Examination table 5 unit
2 Examination lamp 5 unit
3 Elektro cauterisasi 5 unit
4 Microsurgery with dermatome 5 unit
5 Skin graft instrument set 5 unit
6 Comedo extraktor instrument set 5 unit
7 Dioda laser surgical 5 unit
8 Sypgmomanometer 5 unit
9 Stetoscope 5 unit
10 Comedo extraktor instrument set 5 unit
11 Wash basin set 5 unit
12 Cotton bowl 5 unit
13 Stainlesstell Ware set 5 unit
14 Instrument trolley 5 unit
15 Dressing trolley 5 unit
16 Film viewer 5 unit
17 Mayo stand 5 unit
18 Instrument cabinet 5 unit
19 Emergency lamp 5 unit
6. Kedokteran Jiwa
Acute confusion (Acute psychosis)
Anxiety and stress-related disorders
Childhood psychiatric disorder
Conversion disorders
Depression
Mania
Schizophrenia
Suicidal ideation
Substance abuse and dependency
Post-traumatic stress syndrome and trauma-related problems
1 Examination Table 5 unit
2 Examination lamp 5 unit
3 Stethoscope 5 unit
4 Sypgmomanometer 5 unit
5 Electroconvulsive therapy 3 unit
6 EEG 32 chanels 3 unit
7 Diagnostic set 5 unit
8 Reflex hammer 5 unit
15. Rawat Jiwa/Syaraf 1 Examination lamp 5 unit
2 Sypgmomanometer 5 unit
3 Film viewer 5 unit
4 Infusion pump 5 unit
5 Basic instrument set 5 unit
6 Examination table 5 unit
7 Hospital Bed 15 unit
8 Brandchard 5 unit
9 Kursi roda 5 unit
10 EEG 3 unit
11 EMG 3 unit
12 Instrumen Cabinet 5 unit
13 Double bowl Sink 5 unit
14 Double bowl Stand 5 unit
7. Paru
Acute Upper Respiratory Tract Infections
Common cold (Acute Rhinitis, Coryza)
Pharyngotonsillitis, tonsillitis
Sore throat
Sinusitis
Lower Respiratory Tract Conditions
Approach to cough or difficult breathing in children
Pneumonia—Infant age less than 2 months
Pneumonia—Child age 2 months–5 years
Pneumonia—Adults
Acute epiglottitis
Croup
Acute bronchitis—Bronchitis (Tracheobronchitis)
Wheezing & Asthma—Child under 5 years
Bronchial asthma—Adults
Chronic obstructive pulmonary diseas
1 Examination Table 5 unit
2 Examination lamp 5 unit
3 Stethoscope 5 unit
4 Sypgmomanometer 5 unit
5 Suction Thorax 5 unit
6 Resucitation for adult 5 unit
7 Resucitation for children 5 unit
8 Body scale 5 unit
9 Film viewer 5 unit
10 Nebulyzer 5 unit
11 Amniscope 5 unit
12 Diagnostic set 5 unit
13 Cardiopulmonary Stress Set 5 unit
14 Spirometer 5 unit
15 Alat Biopsi Lengkap 5 unit
16 Alat fungsi Pleura 5 unit
17 Alergen 5 unit
18 Astograph 5 unit
19 Bronchoscopy 5 unit
20 Toraxcoscope 5 unit
21 Weight Scale 5 unit
Perawatan Paru 1 Hospital Bed 15 unit
2 Stethoscope 5 unit
3 Sypgmomanometer 5 unit
4 Suction pump 5 unit
5 Patient Stracher 5 unit
6 Kursi roda 5 unit
7 Auto Spirometer 5 unit
8 Nebulyzer 5 unit
9 Oxygen Concentrat 5 unit
10 Antidecubitus Matras 5 unit
11 Instrumen Cabinet 5 unit
12 Double bowl Sink 5 unit
13 Double bowl Stand 5 unit
14 Instrumen Trolley 5 unit
15 Film viewer 5 unit
8. Orthopedi
Closed fracture and dislocation of all of minor joints and bones Orthopedic Trauma Cases
Supracondylar displaced fructures
Old condylar and epicondylar fructures (complicated cases)
Volkmann's ischemia and compartment syndrome
V.I.C.
Soft tissue injuries and crush injuries
Spinal vertebrae fracture and trauma
Pelvic fracture without complication
Pelvic fracture with complication
Hip joint dislocation
Femur neck fractrue
Femur fracture
Knee joint dislocation
Knee joint inner lession
Tibia and fibula closed fracture
Tibia open fractures
Ankle joint dislocation and fractures
Ankle bones open fractures
Tarsal bones fractures and dislocations
Tarso-metatarsal joint dislocation
Skin graft and tendon injuries
Acute osteomyelitis Orthopedic Procedures
Chronic osteomyelitis
Pyogenic septic arthritis
Tuberculosis of bones and joints
Gout arthritis
Rheumatoid arthritis
Congenital bone diseases
Osteogenesis imperfecta
Bone tumors (benign and malignant)
Pott's disease
CDH, DDH
Bone cyst
Carpal tunnel lession
Hand flexors and extensors injuries
Amputation (open amputation)
Scoliosis
Menopausal osteoporosis
Genu valgum and Genu varum
9. Urologi
Urinary tract infections
Renal disease signs and symptoms
Acute glomerulonephritis
Acute renal failure
Chronic renal failure (only treatable at RH level if services are upgraded there)
Hypokalemia
Nephrotic syndrome
1 Endoscopy 5 set
2 Bronchoscopy 5 set
3 Examination lamp 5 unit
4 Suction pump 5 unit
5 Sterilisator 5 unit
6 Examination table 5 unit
7 Instrumen Cabinet 5 unit
8 Brandchard 5 unit
9 Couch Examination Urology 5 unit
10. Bedah Syaraf 1 Examination Table 5 unit
2 Examination lamp 5 unit
3 EEG With Brainmapping 5 unit
4 Tunning Fork 5 unit
5 Stethoscope 5 unit
6 Sypgmomanometer 5 unit
7 Akupunktur Equipment 5 unit
8 Electroenchepalograph 5 unit
9 elektromiography 5 unit
10 Muscle and paralysis Stimulator 5 unit
11 Instrumen Cabinet 5 unit
12 Reflex hammer 5 unit
13 Elektro Surgery Unit 5 unit
Rawat Bedah Syaraf 1 Examination Table 5 unit
2 Examination lamp 5 unit
3 Instrumen Cabinet 5 unit
4 Brandchard 5 unit
5 Suction pump 5 unit
6 Hospital Bed 15 unit
7 Sypgmomanometer 5 unit
8 Termometer 5 unit
9 Stethoscope 5 unit
10 Antidecubitus matras 5 unit
11. Bedah Plastik
12. Kedokteran Forensik
F. Pelayanan Medik Spesialis Gigi Mulut
1. Bedah Mulut
Menangani berbagai kelainan rongga mulut dengan atau tanpa penyakit sistemik (surgical treatment)
Pencabutan sederhana & kompleks (dengan kelainan sistemik)
Bedah ringan : gigi terpendam, kista, ranula dll•
Bedah tumor rahang•
Bedah maxilofacial; distractie; koreksi fraktur rahang
Ekstraksi gigi/fraktur gigi
Curetase
Insisi/drainase
Odontektomi
Frenektomi
Eksposure mahkota gigi terpendam
Alveolektomi
Exisi torus platinus
Exisi denture hyperplasia
Apeks reseksi
Ginggivectomi
Pembedahan ginggiva dengan flap
Teknik penggunaan gingival graf
Enukleasi kista kecil
Marsupialisasi
Mucocel
Reposisi reduksi tertutup
Debridemen
Penjahitan intra oral
Implatansi gigi
Pheriperal Neurotomy
Mentalis
Kontrol pasca bedah
Reposisi dan fiksasi
Pendarahan
Penjahitan
Drainage
Pemberian obat-obatan
2. Konservasi/Endodonsi
Menangani kelainan/penyakit jaringan keras gigi, pulpa, dan periapeks untuk mempertahankan gigi di dalam mulut melalui restorasi dan perawatan endodonti, baik secara konvensional maupun bedah.
Penambalan
Perawatan syaraf
Pin & crown
Root planting
Kuret
Ginggivektomi operasi flap
Ginggivipolastisi
Edodonsi 1 kunjungan
Pulpektomi dan PSA
Apeks reseksi
Obturator (baby)
Obturator
Obturator protesa
Pasak logam + intl
Mahkota akrilik
Mahkota porselen
Dental x – ray photo
3. Orthodonti
Menangani tindakan preventif, interseptif dan kuratif kelainan oklusi (maloklusi)
Lepasan
Alat fungsional
Alat Cekat ; metal, composite, ceramic, lingual, invisible, micro implant
Maloklusi kl. I tanpa ekstraksi
Malokulusi kl. I dengan ekstraksi
Pemindahan akar < 3 mm
Maloklusi kl. II dank l. III
Maloklusi kl. I dengan kel. Dentofacial parah dengan
Surgery sesuai dengan kewenangan drg
4. Periodonti (perawatan gusi)
Menangani promotif, preventif dan kuratif berbagai kelainan yang menyerang jaringan penyangga gigi dengan atau tanpa kelainan sistemik
Perawatan kelainan gingiva (pembesaran gingiva, mudah berdarah dll)
Perawataan kerusakan tulang alveolar
Scalling
Root planning atau kuretase
Bedah periodontal
Crown lengthening
Implant gigi
Graft tulang dan gusi
5. Prosthodonti
Melakukan restorasi dan mempertahankan fungsi rongga mulut, kenyamanan, estetika dan kesehatan pasien dengan cara merestorasi gigi geligi asli dan atau mengganti gigi-gigi yang sudah tanggal dan jaringan rongga mulut serta maksilofasial yang sudah rusak dengan pengganti tiruan.
Pembuatan gigi palsu ;
Lepasan : Sebagian & penuh
Cekat : mahkota & jembatan
Perawatan pasien lansia
Obturator, prostho untuk ’disable patient’
6. Pedodonsi
Menangani kelainan yang berkaitan dengan tumbuh kembang anak, psikologi anak, preventif karies pada anak, preventif dan interseptif ortodontik pada anak, diagnosis dan perawatan penyakit gigi dan mulut pada anak, baik dengan atau tanpa kelainan sistemik
Perawatan pertumbuhan & perkembangan
Perawatan gigi anak
7. Penyakit Mulut
Menangani kelainan mukosa mulut akibat bakteri, jamur, virus, autoimun atau yang merupakan manifestasi penyakit sistemik (non surgical treatment).
Pasien dengan luka dalam rongga mulut akibat infeksi, alergi, autoimun, keganasan
Pasien dengan keluhan nyeri pada wajah dan rongga mulut
Pasien dengan infeksi Hepatitis, HIV – AIDS
Pasien dengan penyakit sistemik (Diabetes Melitus, Kelainan jantung, kelainan ginjal, kelainan hematologi, kelainan kulit)
G. Peralatan Kesehatan pada pelayanan Rawat Inap
UNIT PELAYANAN NO NAMA ALAT JUMLAH
13. Pelayanan Hyperbaric Chamber 1 Hyperbaric Chamber unit 1 unit
2 Stethoscope 2 unit
3 Sypgmomanometer mobile 2 unit
4 Suction pump 2 unit
5 Patient Stracher 2 unit
6 Oxygen Concentrat 3 unit
7 Kursi roda 3 unit
14. Pelayanan Luka bakar 1 Hospital Bed 5 unit
(bedah plastik) 2 Examination lamp 2 unit
3 Stethoscope 2 unit
4 Infusion pump 2 unit
5 Infusion Stand 2 unit
6 Sypgmomanometer 2 unit
7 Bed side monitor 5 unit
15. Darurat Stroke 1 Bed side monitor 15 unit
2 ECG 5 unit
3 Stethoscope 5 unit
4 Sypgmomanometer 5 unit
5 Hospital Bed 15 unit
6 Examination lamp 5 unit
7 Suction pump 5 unit
8 Nebulyzer 5 unit
9 Ventilator 5 unit
10 Infusion pump 5 unit
11 Infusion Stand 5 unit
12 Syringe pump 5 unit
13 Emergency trolley 5 unit
14 Emergency set 5 unit
15 Instrumen Trolley 5 unit
16 Oxygen theraphy set 5 unit
17 Oxygen Concentrator 5 unit
18 Manometer and oxygent trolley 5 unit
16.
6. CSSD 1 Dual temperature Steam Sterilizer 18 L 4 unit
2 Autoclave 30 l 2 unit
3 Aqua bidestilator 3 unit
4 Dressing trolley 3 unit
5 Dressing Drum 8 bh
6 ETO Sterilizer 3 unit
7.
8. Recovery 1 Recovery bed 4 unit
2 Bed Side Monitor 4 unit
3 Continuous Suction pump 4 unit
4 Infusion pump 4 unit
5 Syringe pump 4 unit
6 Stethoscope 4 unit
7 Sypgmomanometer 4 unit
8 Oxygen Theraphy Set 3 set
H. Peralatan Kesehatan pada pelayanan Perawatan Intensif
UNIT PELAYANAN NO NAMA ALAT JUMLAH
17. ICU 1 Bed Side Monitor 15 unit
2 ECG 5 unit
3 Stethoscope 5 unit
4 Sypgmomanometer 5 unit
5 Defibrilator 5 unit
6 Hospital Bed 15 unit
7 5 unit
8 Suction pump 5 unit
9 Nebulyzer 5 unit
10 facemaker 5 unit
11 Ventilator 5 unit
12 Infusion pump 5 unit
13 Infusion Stand 5 unit
14 Syringe pump 5 unit
15 Emergency trolley 5 unit
16 Emergency set 5 unit
17 Instrumen Trolley 5 unit
18 Oxygent Therapy Set 5 unit
19 Examination lamp 5 unit
20 Oxygen Concentrator 5 unit
21 Manometer and Oxygen trolley 5 unit
18. ICCU 1 Bed Side Monitor 15 unit
2 ECG 5 unit
3 Stethoscope 5 unit
4 Sypgmomanometer 5 unit
5 Defibrilator 5 unit
6 Hospital Bed 15 unit
7 5 unit
8 Suction pump 5 unit
9 Nebulyzer 5 unit
10 facemaker 5 unit
11 Ventilator 5 unit
12 Infusion pump 5 unit
13 Infusion Stand 5 unit
14 Syringe pump 5 unit
15 Emergency trolley 5 unit
16 Emergency set 5 unit
17 Instrumen Trolley 5 unit
18 Oxygent Therapy Set 5 unit
19 Examination lamp 5 unit
20 Oxygen Concentrator 5 unit
21 Manometer and Oxygen trolley 5 unit
19. NICU 1 Bed Side Monitor 10 unit
2 ECG 5 unit
3 Stethoscope 5 unit
4 Sypgmomanometer 5 unit
5 Defibrilator 5 unit
6 Baby Incubator 10 unit
7 Bed patient 5 unit
8 Suction pump 5 unit
9 Nebulyzer 5 unit
10 facemaker 5 unit
11 Ventilator 5 unit
12 Infusion pump 5 unit
13 Infusion Stand 5 unit
14 Syringe pump 5 unit
15 Emergency trolley 5 unit
16 Emergency set 5 unit
17 Instrumen Trolley 5 unit
18 Oxygent Therapy Set 5 unit
19 Examination lamp 5 unit
20 Oxygen Concentrator 5 unit
21 Manometer and Oxygen trolley 5 unit
20. PICU 1 Bed Side Monitor 10 unit
2 ECG 5 unit
3 Stethoscope 5 unit
4 Sypgmomanometer 5 unit
5 Defibrilator 5 unit
6 Hospital Bed 10 unit
7 Suction pump 5 unit
8 Nebulyzer 5 unit
9 facemaker 5 unit
10 Ventilator 5 unit
11 Infusion pump 5 unit
12 Infusion Stand 5 unit
13 Syringe pump 5 unit
14 Emergency trolley 5 unit
15 Emergency set 5 unit
16 Instrumen Trolley 5 unit
17 Oxygent Therapy Set 5 unit
18 Examination lamp 5 unit
19 Oxygen Concentrator 5 unit
20 Manometer and Oxygen trolley 5 unit
21. Pelayanan penyakit jantung 1 Exercise by cycle unit 2 unit
2 Treadmill unit 3 set
3 Cathab Angiography 2 unit
4 Patient monitor 2 unit
5 Sypgmomanometer 5 unit
6 Stethoscope 5 unit
7 Oxygen Concentrat 5 unit
8 Hospital Bed 15 unit
9 EKG Recorder 5 unit
10 Examination Table 5 unit
11 Lemari Instrumen 5 unit
12 Lemari obat 5 unit
13 Defibrilator dengan pacing elektroda 1 unit
14 Defibrilator Automatic 2 unit
15 Temporary cardiac Pacemaker Kit 5 set
16 Swan Ganz Kit 5 set
17 IABP 5 unit
18 C-Arm 1 unit
19 Echocardiography 5 unit
20 Bed Side Monitor 5 unit
21 Stetoskop Kardiolog 5 unit
22 Sypgmomanometer Standing 5 unit
23 Infusion pump 5 set
24 Syringe pump 5 unit
25 Simple face mask 14 unit
26 Rebreathing mask 7 unit
27 Oxymetri-Bedside 5 unit
28 Blanket Roll 7 unit
22. Hemodialisa 1 Hemodialisa Unit 5 set
2 Suction pump 2 unit
3 Sterilisator 2 unit
4 Sypgmomanometer 5 set
5 Stethoscope 5 set
6 Water Furi Fication With RO 5 set
7 ETO Sterilizer 5 set
23. Kedokteran Nuklir 1 Gamma camera 2 unit
2 Uptake Thyroid 2 unit
3 Doze calibrator 2 unit
24. Perawatan Penanganan 1 VCR 2 unit
Wabah Flu Burung/SARS 2 Ventilator 2 unit
3 Mobile X-Ray 1 unit
4 PPE (personal protection Equipment) 5 set
5 UV Sterilisator 2 unit
6 BGA (Blood Gas Analyzer) 1 unit
7 ICU Bed 5 set
2. Instalasi Farmasi 1 Analitical Balance 5 unit
2 Microbalance 5 unit
3 Top Loading 5 unit
4 Precision balance 5 unit
5 Water Distilation 5 unit
6 Mortar 5 unit
7 Mixer 5 unit
8 Refrigerator 5 unit
3. Instalasi Gizi 1 Adjustable Slotted Rack 5 unit
2 Floor Platform Scale 150 Kg 5 unit
3 Flat Table Scale Cap 150 Kg 5 unit
4 Reach in Chiller – 4 solid door 5 unit
5 Reach in Freezer – 2 solid doors 5 unit
6 Heavy duty blender-cap 1 gallon 5 unit
7 Single Bowl sing heavy Type W 1500 x D.750 x h 850/1000mm 5 unit
8 Counter cabinet wisliding doors W.750 x H.850/1000mm 5 unit
9 Gas/elect. Rice cooker – cap 9 lt/load 5 unit
10 Gas range W/oven – 4 burners + 1 Oven W.1200 x 5 unit
11 Gas/Kerosine stock pot range 2 r W.1500 x D.500 x H.420mm 5 unit
12 Gas/Kerosine kwali range 2 burner W.1500 x D.750 x H.750mm 5 unit
13 Food distribution cart Cap. 4 soup pot & 1 food pan 5 unit
14 Food distribution cart Cap. 30 plato 5 unit
15 Food plato stainless stell 5 unit
16 Stock pot cap 50 liters 5 unit
17 Stock pot cap 25 liters 5 unit
18 Elektric Boiling Cp. 250 kg/H 5 unit
19 Meat Grinder Cp. 250 kg/H 5 unit
4. Laboratorium
a. Hematologi & Urinologi/Patologi Klinik 1 Mikroccope mono/binoculer 5 unit
2 Centrifuge 5 unit
3 Centrifuge Haematocrite 5 unit
4 Haemacitometer 5 unit
5 Water bath 5 unit
6 Laboratorium refrigerator 5 unit
7 Glukometer 5 unit
8 Spectrofotometer 5 unit
9 Rotator Shaker 5 unit
10 Hb. Meter 5 unit
11 Washing Instrument 5 unit
12 Dry Strerilizer 5 unit
13 Oven 5 unit
14 Lab. Incubator 5 unit
15 Microplate reade 5 unit
16 Glass ware set 5 unit
17 Pipet Westergen 5 unit
18 Blood Bank 3 unit
19 Chemistry Analyzer 3 unit
20 Blood Gas analyzer 3 unit
21 Micro pipet ( 0-50pl, 0-100pl, 0-1000pl) 5 unit
b. Patologi Anatomi 1 Spectrofotometer 5 unit
2 Centrifuge 5 unit
3 Water bath 5 unit
4 Analitical Balance 5 unit
5 Ph.Meter 5 unit
6 Micro Haematocrite Centrifuge 5 unit
7 Photometer 5 unit
8 Water Destilator 5 unit
9 Precicion balance 5 unit
10 Auto Analyzer Kimia 5 unit
11 Electrolite Analyzer 5 unit
12 Stop watch 5 unit
13 Timer 5 unit
14 Pipet Automatic (micro) 5 unit
15 Peralatan Kedokteran bedah forensic/kehakiman 3 set
16 Microtom/pemotong jaringan 2 set
17 Tissue Processor 5 unit
5. IPRS 1 Peralatan kerja sipil 5 set
2 Peralatan kerja mekanik dan plumbing 5 set
3 Peralatan kerja listrik dan AC 5 set
4 Peralatan kerja mekanic halus dan optic 5 set
5 Peralatan kerja electromedik dan laboratorium 5 set
6 Peralatan radiologi 5 set
7 Peralatan kerja non medik 5 set
8 Peralatan pengukur 5 set
9 Peralatan prasarana lingkungan 5 set
6. CSSD & laundry 1 Steam Sterilizer 5 unit
2 Autoclave 5 unit
3 Mesin cuci 5 unit
4 Mesin pengering 5 unit
5 Mesin press 5 unit
6 Setrika manual 5 unit
7 Scale 5 unit
8 Mesin jahit 5 unit
9 Rolley Pakaian Basah dan kering 3 unit
10 Trollety pakaian bersih 3 unit
11 Rak penyimpanan pakaian bersih 5 unit
7. Instalasi Perawatan Jenazah 1 Coold Storage / Mortuary 5 unit
2 Brangkard 5 unit
3 Ambulance 5 unit
4 Bak pemandian mayat 5 unit
8. 9. Peralatan Instalasi Pengolahan 1 Pompa tekan 2 set
Limbah cair 2 Pompa hisap 2 set
3 Filter-Filter 2 set
