Abstract
<p class="0abstract">Special handling is needed for the treatment of the management of solid medical waste, especially the hazardous and toxic wastes (B3) at the hospital so that the expected effects of this medical solid waste can be minimized. At the West Pasaman Regional General Hospital, the management of solid medical waste is carried out using a third party. In 2018, The hospital cooperated with PT Noor Annisa Kemikal with the number of the cooperation agreement Number 660/431 / RSUD-2018 and Number 0302 / NAK / PSM / II / 18 on 01-02-2018 and in 2019, with PT Andalas Bumi Lestari with the Agreement Number of Hazardous and Toxic Waste Treatment Services Number 445/003 / PKS / RSUD-2019 and Number 003.22 / ABL-PKS / II / 2019. In the implementation of management by third parties, the Hospital has to provide a quite large amount of budget for services for the management of solid medical waste by a third party. In order to make the existing budget effective and minimize the Budget absorption, the efforts taken are internal management systems so that some solid medical waste (especially Infusion Tubes) does not need to be handled by the third party and by utilizing existing technological equipment instead. Based on existing data, the West Pasaman Regional General Hospital undertakes efforts to process solid medical waste carried out internally by the Hospital itself by using a sterilization system using the existing technology, namely sterilizers. It is expected that the use of Sterilization technology can yield budget effectiveness approximately IDR. 168,890,000. - per year. This is done specifically for infusion tubes with a large density and considered the safest to be sterilized and recycled.</p>
Highlights
Health development in Indonesia is directed towards achieving a future where the Indonesian people live in a healthy environment, the population is clean and healthy, and is able to reach quality, fair and equitable health services so that they have optimal health degrees, health development based on healthy paradigms that will direct health development to prioritize efforts to improve health and preventive diseases, without ignoring efforts to cope with or cure diseases and recovery [1]
At the West Pasaman Regional General Hospital, the management of solid medical waste is carried out using a third party, in 2018 cooperating with PT Nur Annisa Kemikal with the cooperation agreement number Number 660/431 / RSUD-2018 and Number 0302 / NAK / PSM / II / 18 on 01-02-2018 and in 2019 cooperating with PT Andalas Bumi Lestari with the Agreement Number of Hazardous and Toxic Waste Treatment Services Number 445/003 / PKS / RSUD-2019 and Number 003.22 / ABL-PKS / II / 2019
Based on data obtained from the West Pasaman General Hospital, the Density of Solid Medical Waste in Pasaman Barat Hospital experienced fluctuations but tended to rise, this was in line with the increase in the number of patient visits, affecting the density of solid medical waste in the West Pasuruan General Hospital, as for density solid medical waste based on the last five years according to each type including 5,994 Kg of syringes, 33,778 Kg of infusion bottles while 34,233 Kg of Medical Mixed
Summary
Health development in Indonesia is directed towards achieving a future where the Indonesian people live in a healthy environment, the population is clean and healthy, and is able to reach quality, fair and equitable health services so that they have optimal health degrees, health development based on healthy paradigms that will direct health development to prioritize efforts to improve health (promotive) and preventive diseases (preventive), without ignoring efforts to cope with or cure diseases (curative) and recovery (rehabilitative) [1].Hospitals as a means of improving health efforts that carry out health services as well as educational institutions for health workers and research have positive and negative impacts on the surrounding environment. The hospitals produce various types of waste in the form of liquid, solid, and gas. This has the consequence of the need to manage hospital waste as part of the hospital's sanitation activities which aims to protect the public from the dangers of environmental pollution originating from hospital waste. One aspect that supports the achievement of health development goals is one of which is a healthy and clean environment, including the environment of public health services such as hospitals, as stated in Republic of Indonesia Law Number 36 of 2009 concerning Health which states that "Every place and means of public services are obligatory to maintain and improve a healthy environment in accordance with standards and requirements [1]. The interaction in the hospital allows the spread of the disease if it is not supported by the good environmental conditions of the hospital by adhering to the applicable regulations
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