Ceklist Sterilisasi.xls

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JADWAL STERILISASI DI POLI GIGI BULAN :

TANGGAL

STERILISASI ALAT YA

TIDAK

NAMA ALAT YANG DISTERILISASI

TTD PETUGAS STERILISASI

KETERANGAN

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Pemantau Sterilisasi

______________________

JADWAL STERILISASI DI POLI GIGI BULAN :

NAMA ALAT YANG DISTERILISASI TANGGAL SPKE

tang alat cabut penambalan anak

tang cabut bein dewasa

cyer

BAHAN HABIS PAKAI

TTD PETUGAS needle holder, mata scalpel, Korenta Cotton Cotton Hands STERILISASI gunting Tampon

scaler

benang

bone file

ng

Roll

Pellet

choon

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Pemantau Sterilisasi

KET

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