logo

Örnek Doküman

Acil Servis - Form

AS.FR.031 - HASTA NAKİL AMBULANSI İLAÇ SERUM VE MALZEME KONTROL FORMU

PDF Doküman

logo
(Logonuz Burada)
Demo Hastanesi (Prokalite.Com) HASTA NAKİL AMBULANSI İLAÇ SERUM VE MALZEME KONTROL FORMU
Doküman Kodu: AS.FR.031
Yayın Tarihi: 14.07.2017
Revizyon Tarihi: 31.10.2021
Revizyon No: 3
Sayfa: Otomatik
YIL: …............ AY:…...........GÜNLER
MALZEME/İLAÇMİADADETMİNKR.MAX01020304050607080910111213141516171819202122232425262728293031
ATROPİN 0, 5 MG AMP.22.02552510                               
%2 ARİTMAL AMP.Ara.235235                               
AVİL AMP.Eki.244234                               
ADRENALİN 1 MG AMP. Şub.25104610                               
ANESTOL POMADEyl.232123                               
BUSCOPAN AMP.Ara.244234                               
BATİCON SOL.Ağu.231111                               
CORASPİN 100 MG.TB.Nis.24152515                               
CALCİLES AMP.Oca.261111                               
DİKLORON AMP.Şub.24102510                               
DİAZEM AMP.Mar.234235                               
DENGELİ 500 CC.Oca.255235                               
FURACİN POMADAğu.242122                               
İZOTONİK 500 CC.Ağu.255235                               
JETOKAİN AMP.Haz.251111                               
KAPTORİL 25 MG.TB.Ağu.24163610                               
METPAMİD AMP.May.262122                               
MAGNEZYUM AMP.Oca.253235                               
RİN.LAKT.500CCOca.245235                               
AQUA CARBONTem.232122                               
PRECORT 40 MG AMP.31.08.2024104510                               
PRİLOC FLKOca.251111                               
PAROL TB23.12.2024103510                               
SİLVERDİN KREMAğu.232122                               
SERUM FİZYOLOJİK31.10.20235235                               
VENTOLİN NEBULOca.243123                               
Beloc Amp.Mar.232122                               
Diltizem 25 mg Amp.Eki.232122                               
Dormicum AmpMay.241111                               
Desal Amp.Oca.265235                               
Cordoron Amp.Haz.242122                               
NAHCO3 Amp.Şub.25104510                               
AİRWAY MOR 1 NOAğu.241122                               
AİRWAY YEŞİL n.3.80Mar.241122                               
AİRWAY BEYAZMar.231122                               
NEB.MASKE PED.Tem.255235                               
NEB.MASKE YET.Şub.252235                               
O2 MASKE YET.Kas.245235                               
O2 MASKE PED. 2235                               
NAZAL KANÜL YET.Oca.255235                               
NAZAL KANÜL PED.1.05.20245235                               
ENDOTRAK. TÜP 2, 512.03.20261111






























ENDOTRAK. TÜP 3, 023.11.20251111






























ENDOTRAK. TÜP 3, 5Nis.232122                               
ENDOTRAK. TÜP 4,031.01.20271111






























ENDOTRAK. TÜP 4, 5Ağu.252122                               
ENDOTRAK. TÜP 5, 027.04.20241111






























ENDOTRAK. TÜP 5, 501.05.20241111






























ENDOTRAK. TÜP 6, 002.12.20261111






























ENDOTRAK.TÜP 6, 510.09.20231111                               
ENDOTRAK. TÜP 7, 023.02.20252122                               
ENDOTRAK.TÜP 7, 525.05.20252122                               
ENDOTRAK. TÜP 8Mar.261111                               
ASPİRAS.KAT.kırmızı18.02.20272122






























ASPİRAS.KAT.SİYAHMar.235235                               
ASPİRAS.KAT.MAVİAra.225235                               
ASPİRAS.KAT.YEŞİLEyl.245235                               
ASP. KAT.2 MM 0, 6 CHŞub.253123                               
FOLEY SONDA 16Şub.242122                               
KATAJELEyl.243123                               
FOLEY SONDA 1828.05.20242122                               
ENJ. 10 CC.Mar.2530101530                               
ENJ.5 CC.Şub.2530101530                               
İDRAR TORBASIMay.24103510                               
SERUM SETİ PAKETMay.2525101525                               
KANÜL SARIAra.24103510                               
KANÜL MAVİAra.24103510                               
KANÜL PEMBENis.24103510                               
N.SONDA KIRMIZI 16 NO4.09.20231111                               
N.SONDA BEYAZ 12 NOŞub.231111                               
BOYUNLUK YET. 2112                               
BOYUNLUK PED. 2122                               
YANKUEREki.232122                               
ANA SEDYE 1111                               
KOMBİNASYON SEDYE 1111                               
VAKUM SEDYE 1111                               
SIRT TAHTASI(BAŞ SBT İLE BİRLİKTE) 1111                               
ŞİŞME ATEL/VAKUM ATEL SETİ 1111                               
BOYUNLUK SETİ 1111                               
SABİT OKS.TÜPÜ VE PRİZİ 1111                               
PORTATİF OKSİJEN TÜPÜ 1111                               
MEK.VEN.CİHAZI 1111                               
SABİT VAKUM ASP. 1111                               
SBT TANSİYON ALETİ 1111                               
PORT.TANSİY.ALETİ 1111                               
TERMOMETRE 1111                               
DİAGNOSTİK SET 1111                               
SERUM ASKISI 2122                               
OTOMATİK EKS.DEFİ. 1111                               
CANLANDIRMA ÜN. 1111                               
KAN ŞEKERİ ÖLÇ.CH. 1111                               
TEMEL TIBBİ MAL.ÇANTASI 1111                               
SERUM SETİ, KELEBEK SET, İNTRAKETLER 5235                               
PERS.GÖR.KIYAFETİ 2122                               
CENAZE TORBASI 2122                               
FORMU KONTROL EDEN AD-SOYAD                               
FORMU KONTROL EDEN İMZA                               
KONTROL EDEN SERVİS SORUMLUSUTarih/İmzaTarih/İmzaTarih/İmzaTarih/İmza