Abstract

The increase in the volume of medical waste is in line with the improvement of medical waste management performance and compliance with government regulations. Hospitals have another challenge in medical waste management with higher treatment costs that have a direct impact on financial aspects. Based on these problems, this study aims to evaluate medical waste management by comparing the level of hospital compliance with regulations and technical aspects, assessing the generation of medical waste and assessing the financial aspects of recycled medical waste management. The research method is structured observation to collect information and facts in the field so that a systematic description can be accomplished. The results of this study show that X Hospital, Surabaya has complied with the laws and regulations. The results of the study of medical waste generation obtained an average generation in the inpatient room of 88.20 Kg / day and the average waste generation per inpatient patient of 1.15 Kg / day and for outpatients of 0.05 Kg / day. The composition of recycled waste is 18.94%, infectious waste is 57.50%, pharmaceutical packaging waste (Hazardouse waste) is 10.90%, cytotoxic waste is 0,06% and sharps waste is 1.25%. The financial analysis generated from recycling activities on used hazardouse waste packaging, used syringes, used infusion bottles other than blood and/or body fluid infusions, and/or used hemodialysis fluid packaging obtained a NPV value > 0 and BCR value = 1.98 > 1, so this investment is economically feasible and the investment plan is recommended to be implemented.

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