Chino.docs18- 18 -BAB IPENDAHULUAN A. LATAR BELAKANG Perkembangan ilmu pengetahuan di bidang kedokteran yang diikuti perkembangan dalam bidang peralatan yang menunjang praktik kedokteran berjalan sangan cepat sehingga menuntuk untuk selalu mengikuti dan mamantau perkembangan tersebut sehingga pelayanan yang diberikan pada pasien sesuai dengan perkembangan ilmu yang ada. Dalam memenuhi kebutuhan alat untuk menunjang kelancaran jalannya operasi maka diperlukan suatu sarana pendukung yang cukup dan sesuai dengan jenis operasi yang dilaksanakan baik itu dari instrumen yang digunakan ataupun sarana penunjang lainnya.Penyetandaran alat dan instrument perlu dilakukan agar terindar dari kelalaian dan kesalahan dalam pelaksanaan jalannya operasi.B. TUJUAN Memantau Jumlah dan jenis alat yang sering digunakan Menghindari kelalaian dalam pelaksanaan operasi. Menghindarai kehilangan dalam pengelolaan alat dan instrument.BAB IISTANDAR PERALATAN DAN INSTRUMENTA. STANDAR PERALATAN Standar Peralatan Instalasi Bedah Sentral Rumah Sakit Umum Kota Banjar mengacu kepada Standar Penyelenggaraan Rumah Sakit Tiep B tahun 2007. Adapun standar peralatan yang harus dipenuhi adalah :1. Anestesi APP4 Unit2. Operating lamp4 Unit3. Operating teble 4 unit 4. Elektro surgery4 unit5. Endoccopy1 unit6. Suction pump 4 unit7. Respirator 2 unit8. ECG Monitor 4 unit9. CO2 Analizer1 unit10. Blood Presure monitor1 unit11. Temperatur monitor4 unit12. Operating microscope1 unit13. Infusion Pump1 buah 14. UV sterilizer1 buah15. Defibrilator1 unit16. Patien monitor4 unit17. Ultrasoundcleaner1 buah18. USG1 unit19. Autoclave table1 buah 20. Baby Incubator1 buah 21. Stetoscope4 buah 22. . Dry oven1 buah23 Instalasi Gas medik1 unit24. Mobile operating lamp2 buah25. Peralatan pembedahan subspesialistik yang sesuai.B. STANDAR INSTRUMENT 1. INSTRUMENT BEDAH KEBIDANAN INoJenis InstrumentJumlah standar1.DUK KLEM 52.SCALPEL NO 413.ARTERI KLEM PEAN BENGKOK34.ARTERI KLEM PEAN LURUS35.ARTERI KLEM KOCHER LURUS46.ARTERI KLEM KOCHER BENGKOK07. GUNTING JARINGAN 18.GUNTING BENANG29.PINCET ANATOMIS210.PINCET CIRURGIS211.NALD FOEDER212.HAK BESAR113.HAK SEDANG114.OVARIUM KLEM 515.KLEM HISTEREKTOMY 516.MYOMA KLEM017.SPATULA118.CANULE 119.KOM BESAR120.KOM KECIL121.SELANG122.KOHEL TANG GIGI 2123.TRIOCAR1Jumlah total442. INSTRUMENT BEDAH KEBIDANAN IINoJenis instrumentJumlah Satandar1.DUK KLEM 52.SCALPEL NO 413.ARTERI KLEM PEAN BENGKOK24.ARTERI KLEM PEAN LURUS45.ARTERI KLEM KOCHER LURUS46.ARTERI KLEM KOCHER BENGKOK07. GUNTING JARINGAN 18.GUNTING BENANG29.PINCET ANATOMIS210.PINCET CIRURGIS211.NALD FOEDER212.HAK BESAR113.HAK SEDANG114.OVARIUM KLEM 615.KLEM HISTEREKTOMY 616.MYOMA KLEM017.SPATULA118.CANULE 119.KOM BESAR120.KOM KECIL121.SELANG122.KOHEL TANG GIGI 2123.TRIOCAR024.jumlah45 3. INSTRUMENT BEDAH KEBIDANAN IIINoJenis Instrument Jumlah Satandar1.DUK KLEM 52.SCALPEL NO 413.ARTERI KLEM PEAN BENGKOK34.ARTERI KLEM PEAN LURUS35.ARTERI KLEM KOCHER LURUS46.ARTERI KLEM KOCHER BENGKOK07. GUNTING JARINGAN 18.GUNTING BENANG29.PINCET ANATOMIS210.PINCET CIRURGIS211.NALD FOEDER212.HAK BESAR113.HAK SEDANG114.OVARIUM KLEM 615.KLEM HISTEREKTOMY 416.MYOMA KLEM017.SPATULA018.CANULE 119.KOM BESAR120.KOM KECIL121.SELANG122.KOHEL TANG GIGI 2123.TRIOCAR024.Jumlah42 4 INSTRUMENT BEDAH UMUM INoJenis Instrument Jumlah Satandar1.YOODERM KLEM12.DUK KLEM 53.SCALPEL NO 414.SCALPEL NO. 315.ARTERI KLEM PEAN LURUS36.ARTERI KLEM PEAN BENGKOK37. ARTERI KOCHER BENGKOK 08.ARTERI KOCHER LURUS49.GUNTING JARINGAN 110.GUNTING BENANG211.PINCET ANATOMIS 212.PINCET CIRURGIS213.NALD FOEDER214.HAK BESAR115.HAK SEDANG116.HAK LANGEN BACK217.HAK APPENDIKTOMI218.ELLIS KLEM 119.AUTOMATIK HAK120.AUTOMATIK HAK GIGI 4121.HAK GIGI 4 TAJAM 122.SPATULA123.KLEM USUS224.HAK PROSTAT125.HAK URETER126.CANULE127.KOM BESAR128.KOM KECIL129.KLEM BATU130.ARTERI KLEM PROSTAT531.SELANG132.DEVER HAK1Jumlah 53 5. INSTRUMENT BEDAH UMUM IINoJenis Instrument Jumlah Satandar1.YOODERM KLEM12.DUK KLEM 53.SCALPEL NO 414.SCALPEL NO. 315.ARTERI KLEM PEAN LURUS46.ARTERI KLEM PEAN BENGKOK37. ARTERI KOCHER BENGKOK 08.ARTERI KOCHER LURUS49.GUNTING JARINGAN 110.GUNTING BENANG211.PINCET ANATOMIS 212.PINCET CIRURGIS213.NALD FOEDER214.HAK BESAR115.HAK SEDANG116.HAK LANGEN BACK217.HAK APPENDIKTOMI218.ELLIS KLEM 119.AUTOMATIK HAK120.AUTOMATIK HAK GIGI 4021.HAK GIGI 4 TAJAM 222.SPATULA123.KLEM USUS224.HAK PROSTAT125.HAK URETER126.CANULE127.KOM BESAR128.KOM KECIL029.KLEM BATU130.ARTERI KLEM PROSTAT531.SELANG132.DEVER HAK1JUMLAH53 6. INSTRUMENT BEDAH UMUM IIINoJenis Instrument Jumlah Satandar1.YOODERM KLEM12.DUK KLEM 53.SCALPEL NO 414.SCALPEL NO. 315.ARTERI KLEM PEAN LURUS36.ARTERI KLEM PEAN BENGKOK37. ARTERI KOCHER BENGKOK 48.ARTERI KOCHER LURUS09.GUNTING JARINGAN 110.GUNTING BENANG211.PINCET ANATOMIS 212.PINCET CIRURGIS213.NALD FOEDER214.HAK BESAR115.HAK SEDANG116.HAK LANGEN BACK217.HAK APPENDIKTOMI218.ELLIS KLEM 119.AUTOMATIK HAK120.AUTOMATIK HAK GIGI 4021.HAK GIGI 4 TAJAM 222.SPATULA123.KLEM USUS224.HAK PROSTAT125.HAK URETER126.CANULE127.KOM BESAR128.KOM KECIL129.KLEM BATU030.ARTERI KLEM PROSTAT531.SELANG132.DEVER HAK0517. SET DASAR ORTHOPAEDYNONAMA INSTRUMENJUMLAH 1.Klem lurus52.Klem bengkok53.Pincet cirurgis24.Pincet anatomis25.Kocher46.Canul suction17.Hak kulit28.Yooderm klem19.Kom kecil110.Kom besar 111.Langen back212.Gunting jaringan 113.Gunting benang114.Nald foeder215.Duk klem516.Scalpel no 4117.Scalpel no 31388. INSTRUMENT BEDAH THT ( Polipektomy)NONAMA INSTKODEJUMLAH1Halsted Masquito str 12.0 cmRU 3100-12 1 pc2Backhaus Towel Forceps 9 cmRU 3600-094 pcs3Cotton Aplicator 1,2 mm 14,5 cmRU 4930-161 pcs4Farrel cotton aplicator 16 cmRU 1002-142 pc5Allis Forceps, 4x5 teeth, 15 cmRU 6500-151 pc6Vienna nassal Specula fig 2RU 8010-021 pc7Cottle Nasal Specula, 50 mmRU 8014-501 pcs8Krause Nasal Snare, 26 cmRU 8020-261 pc9Hartman pollipus forceps, 16 cmRU 8050-161 pcs10Heymann Polyp. Forceps, 18 cmRU 8058-181 pcs 9. INSTRUMENT BEDAH THT (Tonsilektomy / TA)NOJenis instrumentJUMLAH1Scalpel handle no 712Standar dresing perceps13Jening mouth Gage 8 cm14Whitehead MouthGage 13 cm15Davis Boyle Mouth Gage complete16Bruenings tonge drepresor 19 cm17Abraham tonsil knife 21 cm18Hurd tonsil elevator 22,5 cm19White tonsil seizing forceps 20 cm110Blohmke tonsil forceps 20 cm111Schnidic Haemostatik forceps112Schnidic Haemostatik forceps113Negis haemostatic forceps114Bottcher scissor 18 cm115Sluder Balenger complite116Bruining tonsil snare 28 cm117Beckmann adenoide currete 20 cm118Beckmann adenoide currete 20 cm119Luniatschek tonsill gas packer120Yankuer suction tube with stop cock 27 cm121Bowl 116 x 50mm1 10. INSTRUMENT BEDAH THT ( Mastoidektomy)NONAMA INSTJUMLAH1Mayo Scissor Straight 14,5 cm12Rochester peran Forceps Str 16 cm13Halsted Masquito str 12.0 cm24Bachaust tower Forceps 11 cm35Forster Forceps str serr 18 cm16Adson tisue forceps 1x2 T 12 cm17Farabeaut Retractor set 15 cm18Volkman retractor 3 prong blunt 2219Ricardson 38x37 mm 26 mm110Scalpel handle no 3111Probe 2 mm 14,5 cm112Cotton Aplicator 1,2 mm 14,5 cm 113Beyerr Bone rongger 18 cm114Mead Mallet 320 G 26 mm115Mayo hager needle holder str 14 cm116Fraizer suction tube 8 charr117Fraizerr suction tube 10 carr118F S K Roungges 3mm up 15 cm119Alllis foeceps 5x6 T 19 cm120Vienna nassal Specula fig 1121Hartman pollipus forceps122Cottle septum elepator 23 cm123Josseph perrosr elepator124Freer Chesel str 4 mm 16 cm125Cottle shisel str 4mm 18 cm126Coakley antrum currete fig 1127Coakley Antrum currette fig 3128Denhart Mouth gage 12 cm129Stremberg Tonge Drepresor 14 cm130Greafe fix forceps W/a lack 11 cm131Instrument tray 235x190x40 111. .INSTRUMENT BEDAH MINORNoJenis InstrumentJumlah standar1.YOODERM KLEM12.DUK KLEM 43.SCALPEL NO. 314.ARTERI KLEM PEAN BENGKOK35.ARTERI KLEM PEAN LURUS36.ARTERI KLEM KOCHER LURUS37. ARTERI KLEM KOCHER BENGKOK18.GUNTING JARINGAN 19.GUNTING BENANG110.PINCET ANATOMIS211.PINCET CIRURGIS212.NALD FOEDER113.HAK SIKU ( small)214.HAK GIGI215.KURET116.ALLIS KLEM117.KOM 218.KLEM PROSTAT219.KANUL020.SELANG121.SONDE134 12. INSTRUMENT BEDAH MINOR IINoJenis InstrumentJumlah standar1.YOODERM KLEM12.DUK KLEM 43.SCALPEL NO. 314.ARTERI KLEM PEAN BENGKOK35.ARTERI KLEM PEAN LURUS26.ARTERI KLEM KOCHER LURUS37. ARTERI KLEM KOCHER BENGKOK08.GUNTING JARINGAN 19.GUNTING BENANG110.PINCET ANATOMIS211.PINCET CIRURGIS212.NALD FOEDER113.HAK SIKU ( small)214.HAK GIGI015.KURET116.ALLIS KLEM117.KOM 118.KLEM PROSTAT119.KANUL020.SELANG121.SONDE12913. INSTRUMENT BEDAH SYARAF a. Nama Set: Laminektomy Merek : Aesculap Diset Tanggal : 20 Oktober 2008 NOKODENAMA INSTRUMENTJUMLAH Standar1.BF 135 RKelly Sponge Forceps12.BC 304 RSurgical Scissors13.BC 604 RMitzenbaun scissors STR14.BC 607 RMitzenbaun scissors CVD15.BM 249 RNeedle holder hegar heavy 205 mm16.BM 022 RMayo hegar needle holder 203 mm17.BM 092 RTC. Finochieto neddle holder 265 mm18.BD 239 RChusing Bell Str Forceps/ Pinzet Anatomis19.BD 870 RAdson Forceps bayonet 175 mm110.BD 031 RDissec Forceps W/OT Med. 200 mm111.BD 522 RAdson dissect forceps 180 mm112.BF 432 RBack house towel clamp 135 mm413.BF 440 RRobin towel clamp w/tube 113 mm114. BF 433 RBack house Ttowel Clamp 110 mm415.BV 273 RAdson laminectomy retractor semi sharp 116.BV 276RBecman eaton laminectomy retractor117.BV 401 RScoville frame 170 mm118.BV 406 RScoville blade 170 mm219.BV 411 RTylor blade w/ teeth 62 x52 mm 220.BV 405 RScoville blade 63 x 25 mm221.BV 409 RTylor blade w/ 3 teeth 47 x 35 mm 222.BV 385 RBlade 4 prong 16 x 60 mm223.BV 395 RBlade Blunt 16 x 60 mm 2 24.BV 393 RBlade blunt 16 x 50 mm 225.BV 383 RBlade 4 prong 16 x 40 mm226. BV 391 RBlade blunt 16 x 40 mm227.BV 381 RBlade 4 prong 16 x 40 mm228.BV 433 RScoville hook 129.BV 273 RAdson laminectomy retractor semi sharp130.BV379 RColoward type retractor 250 mm 131.BV 299 RCloward laminectomy spreader retractor132. FO 530 RStile Bone rounger133.Fo 645 RListone bone cutting forceps 240 mm134.FO 551 RLuer stile bone rounger CVD 255 mm135.FK 148 RCob spinal elevator 19 mm 280 mm236.FK 147 R Cob spinal elevator 13 mm 250 mm137.BT 082 RCussing Vessel hook blunt 4 mm/ 101 mm 138.FL 039 RHammer139.RU5393-02Adson rasparatori140BB 084 R Knife handle no. 4 141.RU4850Knife handle no 4 142.FF 701 RLove nerve root retractor 143.JG 522 RSamall bacin 144.JK 789 RTutup Tray145.JK 740 RTray 146.Jf 252 R Basket ferforator147. Selang 148.GF 384 RFraizer Suction tube.165b. Nama Set : Pediatrik SetMerek : AesculapDiset Tanggal : 20 Oktober 2008 NOKODENAMA INSTRUMENTJUMLAH Standar1.BH 111 RHalsted masquito forceps del CVD 125 mm22.BH 121 RHalsted vorceps curved23.BH 108 RMicro halsted hemostic forceps24.BH 110 RHalsted masquito forceps del STR 125 mm25.BH 120 RHalsted forceps STR 1x2 26.BH 155 RDelacate hemostatic forceps37.BH 104 RBaby masquito forceps. STR 38.BF 437 RBack hause towl forceps holding 69.BF 431 RBack hause towl forceps 210.BH 440 RRobin towl clamp, 135 mm111.BH 445 RRochester mosquito forceps DEL CVD 125mm112.BT 340 RKocher retractor 25 x 08 mm 213.BD 667 RSemken forceps 1x2 teeth114. BD 512 RTisue forceps No. 10 115.RU64520Fraizer suction tube 116.BB 073 RScalpel handle No. 3 217.BM 066 RHegar mayo needle durogrip118.BM 235 RHegar mayo needle holder119.BC 321 RSurgical scissors str 5/8 115 mm 120.BC 601 RMitzenbaun scissors str. 145 mm 121.BC 605 RMitzenbaun scissors cvd 145 mm122.RU 55921-18Bone rounger beyer123.FL 503 ROsteotome 10 mm124.RU 893-10bowl125.JG 522 RKom bethadine126. JG 506 RKidney tray127.RU892217Tromol128.BF 113 RFoirsted balleunger dressing 129.Selang 130BD 047 RDisecting forceps standar131.BD 216 RSemken dissecting forceps 132.BD 557 RTisue forceps standaar149c. Nama Set: Basic craniotomy set Merek : Rudlof Diset Tanggal : 20 Oktober 2008 NOKODENAMA INSTRUMENTJUMLAH Standar1.RU 5748 - 5Adson drill guid forceps 15 cm 12.RU 30 91-14 Hemostatic forcep frovidance CVD/ Pean 33.RU 3100-12Mosquito hemostatic forceps/Arteri Klem44.RU 3101-12Mosquito hemostatic forceps 12 cm 25.RU 3156-14Hemostatic Forceps colleen str 14 cm 26.RU 3179-12Hemostatic forceps mosquito dandy cvd 12 cm 27.RU 3090-14Hemostatic forceps providence str 14,5 cm 78.RU 3182-14Hemostatic forceps dandy cvd 39.RU 3600-13 Towl forceps / duk klem 410.RU 3600-15Towl forceps 13 cm / duk klem411.RU 3603-13Towl foeceps with klip212.RU 3901-12Sponge holding forceps113.RU 6090-16Mayo hegar needle holder str 16 cm 114. RU 6004-20/01Mayo hegar needle holder heavy 20 cm 115.RU 6055-01Needle holder baby cood 15 cm 116.RU 4501-04Retractor volkmant blunt 22 cm 117.BC 660 RDura scissors118.RU 2495-17Dura scissors 16,5 cm 119.RU 1331-18Dissecting scissor mitzenbaun cvd 18 cm 120.RU 1250 -19Mayo dissecting scissors121.RU 1331-18Scissors bl/bl str fig I122.RU 4539-11Kocher retractor 40 x 18 mm 23 cm 223.RU 5595-20Bone rounger, marquard 124.RU 5594-18Bone rounger Ruskin cvd 18 cm 125.RU 5508-15Bone ruounger str 15,5 cm 126. FO 530 RStiil bone rounger127.FO 551 RLuer still bone rounger128.BV 260 RCone automatic retractor129.BV 250 RAdson automaticretractor130.BV 077 RWulstein automatic retroctar131.BU 074 RWeitlaner automatic retractor 130 mm132. BU 073 RWeitlaner automatic retractor 110 mm133.GF 382 RFraizer suctioan tube 134.RU 6420-8Fraizer suctioan tube135.RU 6420-12Fraizer suctioan tube 12 char136.RU 4054-17Dressing forceps CVD 237.RU 4035-12Adson dressing forceps 138.RU 4135-RTisue forceps adson str 1x2 T139.RU 4180-14Pinzet zirurgis 140RU 4080-17Dressing forceps cussing 141.RU 254Scalpel handle no 3. 242.RU 4580-20Spatel malleable 20 mm 30 cm 143.RU 4584-12Spatula malleable 200 x 12 mm 144.RU 6361-03Olivecrona spatula 15 x 18 mm 145.RU 4582-20Spatula tufier 17 x 25 mm 20 cm146.RU 5419-18Rasparatoriaum yankuar 18 cm147. RU 6300-02Hook handle for wire saw248.RU 6300-60Wire saw qlivecrona 60 cm 149.RU 6308-33Bantalan gigli 150RU5432-21Alderdyce elevator151.FK 147 RCob rasparatorium 152.RU 8970-02Kidney bowl 0,5 L 250 x 36 mm 153.RU 8973-10Bowl for dental 154. RU 6339-Klip kolner355.JK 489 Tutup Tray156.JK 441 Tray Instrument 157.JF 223 RRak 158.Selang 1d. Nama Set: Minor surgery setMerek : RudlofDiset Tanggal : 20 Oktober 2008 NOKODENAMA INSTRUMENTJUMLAH Standar1.RU 3600-11Towl clamp52.RU 3910-18Deoderm Clamp13.RU 4557-22Kocher retractor14.RU 4530 -01Langen back retractor 21 cm 25.RU 4551-01O Hak 16 x 17 cm 26.RU 1334- 18 Mitzenbaun scissors 18 cm 17.RU 6500-15 Allis clamp 4x5 16 cm 18.RU 6518-16Babcock forceps 16 cm 19.RU 3170 -16Hemostatic forceps 16 cm 210.RU 3171-16Hemostatic forceps 18 cm 211.RU 1261-15Scissors mayo cvd 15 cm 112.RU 1002-13Scissors mayo str 13 cm 113.RU 660 -14 Mayo hegar needle holder str 14 cm114. RU 6055-15/1Crille wood needle holder 15 cm 115.RU 4138-15Gilles tissue forceps 15 cm 416.RU 3081-15Hemostatic forceps Leriche CVD117.BB 073 Scalpel handle No. 3 118.040-050-12 alto Halsted mosquito artery straight 12,5 cm 419.040-051-12 alto Halsted mosquito artery cvd 12,5 cm 220.10-1160-00 witteHak siku 221.BT 252Hak kulit122.RU 8985-04Bowl 147x 65 mm123.RU 4120-13Mod USA Forceps 13,0 Cm 224.RU 4020-13Mod USA Dress Fcps 18,0 cm 225.Selang 126. 27.Jumlah 43e. Nama Set: Set Tambahan Merek : Aesculap & RudlofDiset Tanggal : 20 Oktober 2008 NOKODENAMA INSTRUMENTJUMLAH Standar1.FK903 BKerrison Black Coated 130 Up 12.FK 904 BKerrison Black coated 130 up 13.FK 955 RKerrison Black 90 Deg Down 14.FF 563 RCaspar Rounguer 3 x12 15.FF 583 RCaspar Rounger Dwn-Bitser16.FF 564 RCaspar Roungerster 4 x 14 17.FF 573 RCaspar Rounger 3 mm, Shank 18.RU 4087- 04Tumor grasping forceps Yasragil19.RU 4079 -18/03Tomor grasping Forceps str 110.FK 712 RScoop Upw curved, 25 cm 111.FK 714 RScoop upw curved 25 cm 112.FK 703 RScoop straight 25 mm J4113.FK 6372-20/13Root retractor 13 mm 20 cm 114. FK 702 RSharp spoon straight 25 cm 115.RU 88 36- 20Rack only for rohton instrument116.RU 8836-15Curet oval angled 19 cm 45117.RU 8836-14Curet oval 19 cm 118.RU8836-13Ball and probe angled 19 cm 119.RU 8836-12Hook semi sharp 19 cm 7 45 120.RU 8836-11Hook semi sharp 2 mm121.RU 8836-10Hook blunt 19 cm 122.RU 8836-9Needle semi sharp 19 cm 123.RU 8836-8Elevator 19 cm124.RU 8836 -7Elevator 19 cm 1,2 mm125.RU 8836- 6Disector spatula shaved 19 cm126. RU 8836 -5Disector spatula shaved19 cm 1,5 mm 127.RU 8836-4Disector spatula shaved 19 cm 1 mm 128.RU 8836 -3Disector round 19 cm 3 mm129.RU 8836-2Disector round 19 cm 7 2 mm130.RU 8836-1Disector round 19 cm 1 mm131.Selang1Jumlah f. Nama Set: Aesculap Motor System Merek : AesculapDiset Tanggal : 20 Oktober 2008 NOKODENAMA INSTRUMENTJUMLAH Standar1.GD 672 RMicrospeed cable12.GB 267 RMicro line craniotomy handpiece13.GC 303 RBone cutter to craniotm 74.GB 109 RMicro line straight handpiece15.GA 385 RHose set clamp16.GA 536 RSteril Hi Oil spray 17.GA 383 RPunch for 500 ml bootle18.GB 678 RMicrospeed uni 19.GB 298 RCraniotome 110.GB 106 RHudson chuck 111.GB 752 RHi Lan XS straight112.GD 676 RMicrospeed uni HI 150 W113.GB 169Universal driil hand piece114. GC 304 RBone cutter to pediatric115.GB 762 RHI-LINE Xs Spray nozle116.GB 291 RMicro line to pedriatric craniotome117.GB 149 R118.GB 302 RCranial ferforator119.GE 515 RHI- Line diamond bur II120.GE 502 RHi-Line XS Rossen bur121.GE 540 RHi-Line XS cone bur122.GE 505 RHi-Line XS Rossen bur II D123.GE 521 RHi- Line XS point cute124.GE 512 RHi-line XS diamond bur II125.GE 514 RHi- Line diamond Bur 126. GB 614 REcos fixation F/H-Line 127.GB 578 REcos ficsation F/microspeed128.GB 682 REcos ficsation F/Microline 129.GB 689 REcos ficsation F/microspeed130.JF 222 R131.JK 489 RFull size Lid W/Retention 132. JK 442 R133.GD 670 RMicrospeed uni control134.BG 757 R135.GB 291 R136.TE 562 RSpare milling cutter Fig B 3137.GB 128 RMicro Line tranversal saw138.GB 741 RHi lan xs fixed duraguard139.GB 743 RHi lan xs fixed duraguard140GB 740 RHilan xs craniotomy handpiece141.GE 518R Hi-Line Xs diamond burr142.GE 532 RHi- Line XsTwiss Drill143.GE 620 RHi-line xs craniotomy cutt144.GE 537 RHi-Line xs Acorrn burr II D145.GE 509 RHi line xs rossen burr II D146.GE 516 RHi-Line xs diamond burr II147. GE 517 RHi-Line xs diamond burr II148.GE 420 RHi-line xs craniotomy cutt149.GE507 RHi line xs rossen burr II D150.GE 519 RHi-Line xs diamond burr II151.GE 508 RHi line xs rossen burr II D157BAB IIIPENUTUP Pedoman standarisasi alat sangat diperlukan agar kelangsungan pelayanan dan pemeliharaan alat maupun instrument bisa lebih terarah agar pelayanan bisa lebih ditingkatkan. Diperlukan juga untuk menilai kerusakan dan keausan suatu barang atau instrument. Penyusunan standarisasi alat merupakan langkah awal dari berbagai macam usaha untuk mencapai tujuan dan visi Rumah Sakit yang mengacu pada standar pelayanan Rumah Sakit Tipe B. Semoga penyusunan pedoman standarisasi peralatan bisa berguna dan dapat dimanfaatkan dengan baik.