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FORMULIR PEMERIKSAAN MEDICAL CHEST KAPAL

(SHIP'S MEDICAL CHEST INSPECTION CHECKLIST)
BALAI BESAR KEKARANTINAAN KESEHATAN MEDAN
Sistem Informasi Deteksi dan Observasi P3K (SI DEO P3K)
Sesuai Standar WHO (IMGS 3rd Ed) & Maritime Labour Convention 2006
A. DATA KAPAL (VESSEL DATA)
B. DOKUMEN & ADMINISTRASI (DOCUMENTS & ADMINISTRATION)
Item Pemeriksaan / Inspection ItemStatusCatatan / Remarks
Sertifikat Medical Chest Sebelumnya
Previous Medical Chest Certificate
Buku Panduan WHO (IMGS 3rd Ed)
WHO Medical Guide (IMGS 3rd Ed)
Buku Register Narkotika & Psikotropika
Narcotics & Psychotropics Register Book
Buku Catatan Medis Pasien
Patient Medical Logbook
C. FASILITAS (FACILITIES)
Item Pemeriksaan / Inspection ItemStatusCatatan / Remarks
Kebersihan & Kerapian Lemari
Cleanliness & Tidiness of Cabinet
Kulkas Obat (Suhu 2-8°C)
Medicine Refrigerator (Temp 2-8°C)
Lemari Narkotika (Sistem Kunci Ganda)
Narcotics Locker (Double Lock System)
Kotak Pembuangan Jarum
Sharps Disposal Bin
D. DAFTAR OBAT-OBATAN KRUSIAL (CRUCIAL MEDICINES LIST)
Item Obat / Medicine Item Stok / Stock Exp. Date Status Catatan / Remarks
1. Saluran Pencernaan (Gastrointestinal)
Antasida (Magnesium Trisilicate / Al. Hydroxide)
Anti-muntah (Metoclopramide / Cyclizine)
Anti-diare (Loperamide)
Laksatif (Bisacodyl / Senna)
Oral Rehydration Salts (ORS)
2. Analgesik & Sedatif (Nyeri & Penenang)
Nyeri Ringan (Paracetamol / Aspirin)
Nyeri Sedang/Berat (Tramadol / Codeine)
Nyeri Sangat Berat (Morphine Sulphate)
Penenang (Diazepam)
3. Anti-Infeksi (Antibiotik & Antijamur)
Kulit/Luka (Amoxicillin + Clavulanate)
Tenggorokan/Dada (Azithromycin / Erythromycin)
Saluran Kemih (Ciprofloxacin / Trimethoprim)
Infeksi Parah (Ceftriaxone Inj.)
Antijamur (Miconazole / Clotrimazole)
4. Sistem Pernapasan & Alergi
Asma (Salbutamol & Prednisolone)
Alergi Ringan (Cetirizine / Loratadine)
Alergi Berat/Syok (Adrenaline & Hydrocortisone)
5. Obat Luar (Mata, Telinga, & Kulit)
Mata (Chloramphenicol / Amethocaine)
Telinga (Tetes Antibiotik/Steroid)
Kulit (Silver Sulfadiazine / Povidone Iodine)
6. Obat Khusus & Tambahan
Jantung (Glyceryl Trinitrate)
Pendarahan (Phytomenadione / Vit K)
Obat Malaria (Artemether + Lumefantrine)
Lokal Anestesi (Lidocaine)
E. PERALATAN MEDIS & INSTRUMEN (MEDICAL EQUIPMENT)
Nama Alat / Instrument Status Catatan Kondisi / Condition Remarks
1. Alat Diagnostik (Diagnostic Equipment)
Tensimeter & Stetoskop
Sphygmomanometer & Stethoscope
Termometer Digital
Digital Thermometer
Oksimeter Nadi
Pulse Oximeter
Senter Medis
Penlight
2. Resusitasi & Bantuan Napas (Resuscitation & Life Support)
Tabung Oksigen & Masker (Min. 200L)
Oxygen Cylinder & Mask
Ambu Bag / Resuscitator Manual
Manual Resuscitator (Ambu Bag)
Jalan Napas Buatan (Guedel / Oropharyngeal)
Oropharyngeal Airways
3. Peralatan Bedah & Perawatan Luka (Surgical & Wound Care)
Set Jahit Luka Steril
Sterile Suturing Kit
Pisau Bedah & Gunting Medis
Scalpel & Surgical Scissors
Pinset Anatomi & Chirurgis
Anatomical & Surgical Forceps
4. Evakuasi & Immobilisasi (Evacuation & Immobilization)
Tandu Kaku / Tandu Lipat
Rigid / Folding Stretcher
Bidai Berbagai Ukuran
Splints (Various Sizes)
Penyangga Leher
Cervical Collar
5. Alat Suntik & Infus (Injection & IV Supplies)
Alat Suntik & Jarum Sekali Pakai
Disposable Syringes & Needles
Set Infus & Kanula IV
IV Giving Set & Cannula
F. LAMPIRAN DOKUMEN (BUKA KAMERA)
DOCUMENT ATTACHMENTS (OPEN CAMERA)
Klik tombol di atas berkali-kali untuk menambah lebih dari 1 foto.
(Click the button above multiple times to add more than 1 photo).
No Nama Foto
Photo Name
Ukuran
Size
Aksi
Action
- Belum ada foto dilampirkan -
G. HASIL PEMERIKSAAN & PENGESAHAN (RESULT & APPROVAL)

Mengetahui / Acknowledged by,

Nakhoda Kapal / Master of the Vessel





Stempel Kapal / Ship's Stamp

Medan,

Petugas Pemeriksa / Inspecting Officer





NIP.

Menyetujui / Approved by,

Ketua Tim Kerja Pengawasan Faktor Risiko
Alat Angkut Dan Barang / Team Leader





dr. R. H. Maruli Tua Siahaan, M.K.M
NIP. 197105272002121003

📡 H. MODE OFFLINE & SINKRONISASI
OFFLINE MODE & SYNCHRONIZATION

Gunakan fitur ini jika Anda sedang di kapal dan tidak ada sinyal internet.
(Use this feature if you are onboard and have no internet connection).

Langkah 1: Simpan di HP / Step 1: Save to Device

Klik tombol di bawah untuk menyimpan data inspeksi ke dalam memori HP Anda (format .CSV).
Click the button below to save inspection data to your device memory.

Langkah 2: Sinkronisasi / Step 2: Synchronization

Pilih file .CSV yang sudah didownload tadi, lalu klik tombol sinkronisasi untuk mengirimnya ke Server.
Select the downloaded .CSV file, then click sync to send it to the Server.