berita acara kalibrasi mesin hemodialisa

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BERITA ACARA KALIBRASI MESIN HEMODIALISA RUMAH SAKIT MODEL NAMA TEKNISI NOMOR SERI TGL KALIBRASI JAM KERJA MINUTE A. SYSTEM SENSOR ELETRONIK & WATER WAY TOUCH SCREEN HASI L OK NO SENSOR ADAPTER A-B HASI L OK NO SENSOR HANSEN DIALYSER HASI L OK NO SENSOR WETER EMPTY ALARM HASI L OK NO SENSOR BLOOD LEVEL HASI L OK NO SENSOR AIR BUBBLE HASI L OK NO BLOOD LEAK (Value ± 1600) NILAI TERUKUR HASI L OK NO B. WETER INLET PRESSURE PRE PUMP 1,2 - 1,4 Kg/cm 2 NILAI TERUKUR HASI L OK NO POST PUMP 1,3 - 1,5 Kg/cm 2 NILAI TERUKUR HASI L OK NO C. ARTERIAL & VENOUS PRESSURE ARTERIAL PRESSURE 0 ± 2 mmHg NILAI TERUKUR HASI L OK NO VENOUS PRESSURE 0 ± 50 mmHg NILAI TERUKUR HASI L OK NO D. CONDUCTIVITY CONDUCTIVITY 13,5 - 14,3 ms/Cm NILAI TERUKUR HASI L OK NO E. TEMPERATUR TEMPERATUR 33,5 - 40 ˚C NILAI TERUKUR HASI L OK NO F. HEPARIN TEST

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Page 1: Berita Acara Kalibrasi Mesin Hemodialisa

BERITA ACARA KALIBRASI MESIN HEMODIALISA

RUMAH SAKIT MODEL

NAMA TEKNISI NOMOR SERI

TGL KALIBRASI JAM KERJA MINUTE

A. SYSTEM SENSOR ELETRONIK & WATER WAYTOUCH SCREEN HASIL OK NO

SENSOR ADAPTER A-B HASIL OK NOSENSOR HANSEN DIALYSER HASIL OK NO

SENSOR WETER EMPTY ALARM HASIL OK NOSENSOR BLOOD LEVEL HASIL OK NO

SENSOR AIR BUBBLE HASIL OK NOBLOOD LEAK (Value ± 1600) NILAI TERUKUR HASIL OK NO

B. WETER INLET PRESSUREPRE PUMP 1,2 - 1,4 Kg/cm2 NILAI TERUKUR HASIL OK NO

POST PUMP 1,3 - 1,5 Kg/cm2 NILAI TERUKUR HASIL OK NOC. ARTERIAL & VENOUS PRESSURE

ARTERIAL PRESSURE 0 ± 2 mmHg NILAI TERUKUR HASIL OK NOVENOUS PRESSURE 0 ± 50 mmHg NILAI TERUKUR HASIL OK NO

D. CONDUCTIVITYCONDUCTIVITY 13,5 - 14,3 ms/Cm NILAI TERUKUR HASIL OK NO

E. TEMPERATURTEMPERATUR 33,5 - 40 ˚C NILAI TERUKUR HASIL OK NO

F. HEPARIN TESTSTROKE 0,49 – 0,54 ml/H NILAI TERUKUR HASIL OK NO

G. TEST & SIMULASIRUN 1200 cc/H NILAI TERUKUR HASIL OK NO

CATATAN HASIL KALIBRASI

DAPAT DIGUNAKAN PERLU DILAKUKAN PERBAIKAN

TEKNISI KA. TEKNISI RUMAH SAKIT

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