Checklist Pencucian Instrument Secara Manual.docx

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CHECKLIST PENCUCIAN INSTRUMENT SECARA MANUAL No

Tanggal

Ruang Dekontaminasi :

Asal Instrument

Jenis/Nama Instrument

Jml

Pre Cleaning

Catatan :

DEKONTAMINASI Cleaning/10mnt DTT/15mnt Bilas

Pengeringan

TTD Petugas

Mengetahui Coordinator pelayanan CSSD

Makruf NIP :

Keterangan