Solid Medical Waste Management Research Articles

Study of Solid Medical Waste Management in Aimere Public Health Center, Ngada Regency

Public Health Center is one of the health service units which produces solid medical waste. The results of preliminary data collection indicate that the management of solid medical waste at Aimere Public Health Center is still problematic. The Public Health Center does not provide a means of transporting waste and does not have an incinerator to manage this waste, so there is still a build for the management of solid medical waste at the final disposal site. The management of the solid medical waste process starts from separation, labeling, transportation, storage to disposal/destruction. This study aimed to determine the management of solid medical waste in Aimere Public Health Center, Ngada Regency. This qualitative research used the descriptive survey method. Data collected from Aimere Public Health Center in January-March 2021. Sampling used a purposive sampling technique. The number of informants in this study was 7 people, whose positions and duties were related to medical waste management at Aimere Public Health Center. The results showed that at the sorting stage, medical and nonmedical waste was separated the collection was carried out in each action room, at the transportation stage there were no special tools available according to standards, at the temporary storage stage did not use standard container covers, and at the final destruction stage did not use incinerators according to standards. Aimere Public Health Center should improve the processing of solid medical waste, by providing special tools for transporting the waste, temporary shelters according to standards, and final waste disposal sites).

EVALUATION OF SOLID MEDICAL WASTE MANAGEMENT OF HAZARDOUS AND TOXIC MATERIALS (HAZARDOUS AND TOXIC MATERIALS (B3)) AT EDUCATIONAL HOSPITAL IN SEMARANG

During the COVID-19 pandemic, the production of solid medical waste generated by hospitals and other health care facilities increases to nearly 30%. The amount of the increase and waste generated can spread diseases if the waste is not properly managed. Hospital waste is included in the category of medical waste of hazardous and toxic substances (B3), whose management procedures and technical requirements are regulated in the Regulation of the Minister of Environment and Forestry Number 56 in 2015. This research aims to evaluate the hazardous and toxic materials (B3) solid medical waste management at Educational Hospital in Semarang, which includes reducing, sorting, storing, transporting, and ensuring the staff's protection. This is descriptive quantitative research with a cross-sectional study design and an evaluative method. Data sources in this research were obtained from observations, interviews, and document studies. Based on the research conducted, the results of the evaluation of hazardous and toxic materials (B3) solid medical waste management at this Hospital showed a total percentage of 74.75% for the compatible category. The percentage of compatibility was still low and did not meet the requirements of the Unsuitable requirements include trash cans that are not equipped with infection symbols, holes in hazardous and toxic materials (B3) waste dumps, solid plastic waste compaction, errors in binding plastic waste, and incompatibility in personal protective equipment use.

Impacts of Education's Intervention on Solid Medical Waste Management in Improving Knowledge, Attitude, and Behavior of Medical Health Workers

The purpose of this study was to determine the effect of providing education on increasing knowledge, attitudes, and behavior of medical officers in solid medical waste management at the Regional General Hospital dr. Zainoel Abidin Banda Aceh, Indonesia. The research design used was a quasi experiment with the Wilcoxon comparison test. The research sample was the medical officer of dr. Zainoel Abidin Banda Aceh as many as 94 people who were divided into treatment and control groups. Knowledge, attitude, and the behavior of medical personnel was measured by interview using a questionnaire. The results showed that there was an effect of educational interventions on increasing the knowledge, attitudes, and behavior of medical personnel in the management of medical solid waste in the treatment and control groups (p <0.05). The results of the Wilcoxon test between the treatment groups on knowledge, attitudes, and behavior before and after the educational intervention showed a significant difference (p = 0.000), whereas in the control group between before and after the educational intervention did not show a difference with the p-value of knowledge (p = 0.102); attitude and behavior (p = 0.157). In the control group, the level of knowledge, attitudes and behavior tends to remain at a sufficient level. The conclusion of this study shows that educational interventions can provide an increase in the knowledge, attitudes and behavior of medical personnel in implementing solid medical waste management at dr. Zainoel Abidin Banda Aceh.

Management of Solid Medical Waste on One of the Covid19 Referral Hospitals in Surabaya, East Java

Introduction: e Covid19 virus has an outer lipid sheath that is not tolerant towards disinfectants, but this virus can quickly infect humans with a fairly high mortality rate. The increasing Covid19 patients directly proportional the amount of solid medical waste production in hospitals. This study aims to identify the health protocol in solid medical waste management in one of the Covid19 patient referral hospitals in Surabaya, East Java. Method: We used descriptive observational research with secondary data for the data compiling method. The obtained data were then compared with the 2020 Guidebook on Waste Management in Referral Hospitals, Emergency Hospitals, and Public Health Centers that Handles Covid19 Patients, issued by the Ministry of Health of the Republic of Indonesia. Result and Discussion: Research results showed that the management of all solid medical waste yielded from the Covid19 Special Isolation Room is directly infectious, went through the incineration process using an incinerator with the primary burner set at 800o C and the secondary burner set at minus 1.000o C. The usage of Personal Protective Equipment (PPE) by medical waste trolley carriers was inappropriate. The officers only used surgical masks, head caps, gloves, shirt, and work shoes, without using any apron. Conclusion: Health protocol for medical waste management in one of the Covid19 patient referral hospitals in Surabaya, East Java has been implemented, but the usage of PPE by medical waste trolley carriers was still inappropriate.

ANALISIS PENGELOLAAN LIMBAH MEDIS PADAT DI PUSKESMAS KOTA PEKANBARU

The purpose of this study is to analyze the effect of ecological, economic and social factors simultaneously and partially on the solid medical waste management of public health service in Pekanbaru by observation. These are the main variables that need to be considered in the management of solid medical waste. The study concludes that ecological, economic and social factors simultaneously influence the solid medical waste management of in public health service in Pekanbaru City. The influence of ecological, economic and social variables on the management of solid medical waste is 96.3% while the remaining 3.7% is influenced by other variables not included in this research model. The study concluded that the economic factor had the greatest effect on the solid medical waste management at public health service in Pekanbaru City. This proves that the budget is the main limiting factor in waste management. This study concludes that the condition of ecological, economic and social factors in public health service is not optimal so that the solid medical waste management was not in accordance with established standards

Analisis Pengelolaan Limbah Medis Padat Untuk Mewujudkan Konsep Green Hospital di RSUP Dr. M. Djamil Padang

A hospital can apply Green Hospital concept in order to reduce even hospital environment and global environment pollution. The amount of patients at Dr. M. Djamil Padang hospital is 250.000-350.000 every year which make hospital generates medical waste ±400 kg/day on giving health service. Therefore, Dr. M. Djamil Padang hospital should have integrated and sustainable solid medical waste management. Objective of this research is to analyze the management of solid medical waste management at Dr. M. Djamil Hospital on creating Green Hospital concept. Study of this research is qualitative study. This research was done on March-June 2018. There are 9 informants which determined by purposive sampling technique. Data is collected with in-depth interview, observation, and document reviewing. Data is analyzed by data reduction, presentation of data, and conclusion. Data validity used source triangulation and method triangulation.Input component: hospital has writtern procedure in solid medical waste management, cost and staff regarding solid medical waste management is sufficient, all facilities is appropriate except for temporary storage for medical waste. Process component: waste segregation is done based on its character. Waste transportation to temporary storage uses trolly but doesn’t use special lane. Hospital cooperates with third party on exterminating medical waste with incinerator. Output component: overall, implementation of solid medical waste management at Dr. M. Djamil Hospital Padang has been in accordance with the Indonesian health regulation No. 1204/2004 and hospital has done the efforts towards green hospital by doing appropriate solid medical waste management. Based on the Indonesian health regulation No. 1204/2004, solid medical waste management at Dr. M. Djamil hospital is done properly. But there are still problems found, such as temporary storage is not in accordance with the standard. To achieve Green Hospital, hospital can fix broken facilities and apply waste reduction program.

Pengelolaan Limbah Medis Padat Di Rumah Sakit Umum Daerah Mamuju Provinsi Sulawesi Barat

Rumah sakit sebagai institusi yang tugasnya memberikan pelayanan kesehatan kepada masyarakat, tidak terlepas dari tanggung jawab terhadap kesehatan lingkungan di sekitarnya yaitu mengelola limbah medis dengan benar (sesuai persyaratan). Tujuan dari penelitian ini yaitu untuk mengetahui pengelolaan limbah medis padat di Rumah Sakit Umum Daerah Kabupaten Mamuju Provinsi Sulawesi Barat tahun 2019. Jenis penelitian yang digunakan adalah observasional dengan pendekatan deskriptif, populasinya adalah semua ruangan yang termasuk dalam kategori medis dan sampelnya adalah semua populasi yang dijadikan sampel. Pengambilan sampel akan menggunakan sistem total sampel (exhaustic sampling). Pengolahan dan analisis data hasil observasi kemudian diolah secara manual dan dikelompokan sesuai tujuan. Hasil penelitian menunjukkan pemilahan, pewadahan, pengangkutan, tempat penampungan sementara dan tempat pembuangan akhir belum memenuhi syarat sesuai dengan Kepmenkes RI No. 1204/Menkes/SK/X/2004, karena beberapa ruangan belum dilakukan pemilahan limbah medis maupun non-medis walaupun wadah sudah siapkan sesuai dengan jenis limbah, wadah sulit untuk dibersihkan dan dikosongkan karena sebagian wadah tidak dilengkapi dengan kantong plastik, proses pengangkutan menggunakan jalur umum sehingga menganggu aktivitas rumah sakit. Selain itu, tempat penampungan sementara limbah rumah sakit hanya memiliki sebuah ruangan berukuran 4 x 4 yang terletak di belakang rumah sakit dan tidak memisahkan limbah medis dan non medis. Alat pemusnahan limbah rumah sakit tidak digunakan karena belum memiliki izin operasional. Kesimpulan penelitian bahwa pengelolaan limbah medis padat di Rumah Sakit belum memenuhi syarat. Disarankan agar pelaksanaan pengelolaan berjalan dengan baik, diperlukan standar operasional prosedur mengenai cara pengelolaan limbah pada sumbernya, pelatihan mengenai teknik pemilahan limbah sesuai jenisnya dan pengurusan izin pengoperasian pengunaan insenerator.

PENGELOLAAN LIMBAH MEDIS PADAT SEBAGAI UPAYA PENYEHATAN LINGKUNGAN DI RSUD BANGKINANG KABUPATEN KAMPAR

The Purpose of this study was to analyze the types and amounts and resources of solid madical waste management including : human resources, facilities and infrastructure as well as the costs, management status and impact of solid medical waste on the environmention Bangkinng District Hospital. This research was conducted in July – August 2019. Research subjects that made informants were the hospital director on the person in charge, head of planning, head of sanitation unit, head of friends room. Head of fighting room, head of ICU room, head of room Ali Bin Abithalib, head of IGD room, celaning service, and the people who live around Bangkinang District Hospital. This research uses survey methods with quantitaive and qualitative approach. The amount of solid medical waste generation is 30,7 kg/day and solid medical waste generated in Bangkinang District Hospital in one month was 955,7 kg. Management of solid medical waste in Bangkinang District Hospital still mixws medical waste with non mediacal waste. District hospital management of solid medical waste in Bangkinang District Hospital is not accordance with Permenkes No. 1204/MenKes/SK/X/2014, regarding hospital environmental health requirements.The impact by community around Bangkinang District Hospital is the smell smoke and shortness of breath, as well as the impact on air polution

Solid Medical Waste Management on the Budget Effectiveness at West Pasaman Regional General Hospital West Sumatera

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.

Analisis Pengelolaan Limbah Medis Puskesmas di Kecamatan Babulu Kabupaten Penajam Paser Utara Berdasarkan Permenkes Nomor 27 Tahun 2017

The amount of medical waste originating from health facilities are expected progressively increasing. Waste generated from medical efforts such as health centers, polyclinics and hospitals are the type of waste which are included in the category of biohazard waste is very dangerous type of environment, where many exiles viruses, bacteria and other harmful substances. This study was conducted to analyze the management of solid medical waste in the public health centers in Kecamatan Penajam Kabupaten Penajam Paser Utara Provinsi Kalimantan Timur.
 This research is a qualitative descriptive. The object of research is the implementation of medical waste management in health centers and community health centers target sanitarians and janitor. The research variables include the characteristics of medical waste, stage management, medical waste management officers, facilities, SOP and the perceived health impact of medical waste management officers.
 The results showed solid medical waste management of health centers is not in accordance with the applicable provisions of the color of plastic bags are used not appropriate, storage locations are not eligible, and there are medical waste that is not destroyed by incineration. Medical waste management facilities not adequate ie no conveyance and no incinerators. Medical waste management is done not in accordance with the SOP and SOP is not in accordance with regulations. Medical waste management officers not using PPE.
 It is advisable to do a lug medical waste with a plastic bag, label and symbol in accordance with existing regulations. Medical waste storage location is advisable to be in a secure area and symbols and labels. Waste disposal is done in the health center in order to keep attention to the existing guidelines to minimize the risk. The need for training on medical waste management and use of PPE.

Generation, management practices and rapid risk assessment of solid medical wastes: a case study in Burundi

Management of solid medical waste (SMW) is receiving greater attention due to potential health and environmental risks arising from inappropriate disposal and treatment of the waste. Generation of medical wastes and their management practices as well as risk from generation to storage in 12 healthcare facilities (HCFs) in Bujumbura, Burundi, were assessed. Current classification system of SMW in the national guidelines was not appropriate for safe collection and disposal. Pathological wastes, pharmaceutical wastes and discarded medical plastics, and absorbent cotton and placenta were main types of SMW, accounting for 84.4% from the HCFs. No HCFs followed the national guidelines completely, and most medical wastes have not been properly managed from the source separation stage. The generation rate per bed and the amounts of medical wastes per health care worker were 3.6 and 5.9 times higher in public HCFs than those in private HCFs, respectively, while the management practices of public HCFs were worse than those of private HCFs. Storage of medical wastes was the least managed step in the HCFs. All SMWs, HCFs, and people involved in SMW management were at very high risk or high risk. This study showed that Burundi’s overall SMW management should be urgently improved.

Pengelolaan Limbah Medis Padat di RSUD Padangan Kabupaten Bojonegoro

The management of solid medical waste in RSUD Padangan Bojonegoro District is one of the efforts to create a clean and safe hospital condition from the source of infection for all officers, patients and environment in hospital. The management of solid medical waste in RSUD Padangan Bojonegoro District is viewed from the aspect of planning quite well, but there are still few problems such as the absence of global SOP for the management of hospital solid medical waste. For the organizing aspect is quite good, but the organizational structure in the Sanitation Unit has not been legalized its existence. Then the implementation aspect has gone well because it has been referring to the applicable regulation. While the supervision aspect has not run optimally because of the lack of regular supervision schedule conducted by Sanitarian. This study aims to determine the implementation of solid medical waste management in RSUD Padangan Bojonegoro District. Aspects studied in this study are: aspects of planning, organizational aspects, aspects of implementation, and aspects of supervision.Keywords: management, solid medical waste, hospital, RSUD Padangan, planning, organizing, implementation, supervision

Biaya Penyehatan Lingkungan pada Bidan Praktik Swasta di Kecamatan Gamping, Sleman, 2016

Private midwives in conducting health services for public have potentiality to yield environmental pollution and disease transmission. To prevent those harms they should apply environmentalhealth efforts. This study was aimed to reveal those efforts through direct observation and interview about the expense. The observation consisted of: provision of clean water, managementof solid medical waste, control of insect rodent and annoying animals, and sterilization. The results identify that in clean water provision, the activities are: use water from local water company and water quality examination. In solid medical waste management: provide safety box astemporal disposal, and use chlorine to treat it, and cooperate with hospitals, community healthcenters and private companies to annihilate it. In insect, rodent and annoying animals control:the first act is using closed door to prevent, as well as gauze wires and traps; and insecticidesfor indoor control and keep house clean. In sterilization: room and utilities sterilization wih alcohol, chlorine and boiling/steaming technique. The average monthly expense for clean water isRp.62.272, for solid medical waste management: Rp.57.778, for insect, rodent and annoyinganimal control: Rp.41.041, and for sterilization: Rp.38.833. The average exense per month forthose four activities are Rp. 199.925. To keep the environmental health activities run, it needsupervision, monitoring and support from the local community health center and association ofmidwives, and SOP for each of the existing and planned effort should be developed.

Stakeholders’ Practices and Perspectives on Solid Medical Waste Management: A Community Based Study in Accra, Ghana

Solid medical waste (SMW) is hazardous and requires specific treatment prior to final disposal. Limited information addresses the management of SMW in non-traditional settings such as in households, traditional birth attendants’ (TBAs) homes and chemical seller (CS) shops. A descriptive, exploratory study was conducted to identify major disposal practices and perceived hazards associated with SMW and explore their views regarding segregation as a potential management option. Twenty-nine household members, 10 TBAs and 8 CS who volunteered to participate in the study were involved in 6 focus group discussions (FGDs). Additionally, five key informants in private sector waste management companies were interviewed. FGDs were audio recorded, transcribed and translated, manually coded into themes and sub-themes using an iterative approach, and integrated with data from the interviews. In households, medicines were discarded by dosage forms with solid forms discarded in the household bin, while syrups were mostly emptied into drains. TBAs buried material used for delivery in clients’ compounds and CS tended to burn expired medicines or discard them with general waste. Participants perceived the following as hazards associated with SMW: infection transmission, penetrative injury, poisoning and aesthetic nuisance. Despite this awareness, they reported barriers to source segregation as a potential management option. Barriers included implied consumer costs, lack of supportive logistics and operational knowledge, and possible injury. Reported methods of disposing SMW supported earlier studies and could be potentially hazardous if not addressed. Provision of storage facilities, supportive logistics and public sensitization might encourage source segregation as a potential management option for SMW in the community.

Analisis Pengelolaan Limbah Medis Padat Puskesmas Di Kabupaten Siak

Clinics’ solid medical waste at Siak Regency was not been carry out well. Based on the data at environment healt division of Siak health department, the volume of solid medical waste that produced was 0,74 kg/bed/day goods waste of patient treatments, 0,167 kg/patients/day waste of stay room, 0,071 kg/patient/day waste of delivery rooms and ICU rooms, and 0,004 kg/patients/day waste of polyclinic. The total of clinics’ solid medical waste at Siak Regency was 1,62 kg/day. There were 70% officers who responsible in managing the clinics’ solid medical waste did not act based on the rule, which is KEPMENKES RI No. 1428/MENKES/SK/XII/2006, 80% officers did not have knowledge about solid medical waste, 70% officers were irresponsive and 4 incinerators ini 4 clinics (Perawang, Kandis, Bunga Raya, and Mampura Clinics) were out of order. This research was conducted to analyze the officers action in managing the clinics’ solid medical waste. The population of this research was all waste labor manager and the sample was 66 waste labor manager. The data analysis was done in Univariat, Eksploratif and Multivariate.The finding shows that the officers’ act reduced to 66.7% the officers’ knowledge about clinics’ solid medical waste reduced to 59,1%, the irresponsive behaviour reduced 62,1%, and the waste facility was 72,7%. Based ont the multivariat test, it can be concluded that the officers who has irresponsive behaviour will did 14,2 times bad action in managing the clinics’ solid medical waste compared to positive action that controlled by knowledge variabel. The most impact of clinics’ solid medical waste management in 2016 was pruritis that was 52,33% and the least was get stabbed that was 3,7%.

Evaluation of Solid Medical Waste Management at Prof. Dr. W. Z. Johannes Kupang Hospital

Background : Analyze resources in the management of solid medical waste include : Human Resources (quality and quantity), costs, facilities, Standard Operating Procedures (SOP), operational technique, output of solid medical waste management at hospital. Analyze phases of solid medical waste management process includes : a source of waste, minimization, segregation, collection, transportation, temporary storage, processing and final disposal. Methods : This is a evaluation research which describe medical solid waste management system. Result :Analyze the results of medical solid waste management include : the conditions in temporary storage and the final disposal. Minimization stages acquire good category with score 86,11%, segregation stages acquire sufficient category with score 67,33%, collecting stages acquire good category with score 88,89%, transportation stages acquire good category with score 84,72%, temporary storage stages acquire sufficient category with score 75,40%, processing stages acquire sufficient category with score 58,33% and final disposal stages acquire sufficient category with score 70,63%. Conclusion : For human resources in the management of solid medical waste in hospitals Prof. Dr. Z. W. Johannes Kupang, sanitary installations officers have not been trained in the management of solid medical waste hospitals, nfrastructure is still lacking, socialization SOP related waste management is still lacking. TPS condition in a permanent housing is open, so no unauthorized parties can enter and not free from vermin. No incidence of occupational accidents resulting solid medical waste includes physical injury

English

Increased awareness about inadequate management of solid medical waste (SMW) has led to increased independent surveys in African countries and yet published data remain scanty on the subject in Africa as compared to the rest of the world. To evaluate the overall compliance with World Health Organization (WHO)’s ten recommendations on SMW practices in Africa through a literature review, we conducted literature search using search terms as “medical waste OR clinical waste OR biomedical waste OR hospital waste OR healthcare waste OR hazardous waste AND Africa” in PubMed, African Journals Online, Web of Science, Proquest, Embase, Google scholar and Scopus. Additional articles were included from open google search. Articles were selected for inclusion if they described SMW management activities such as waste segregation, collection, transport (on-site and/or off-site), temporary storage, treatment and final disposal; were located in an African country and were written in English; or if written in a different language, had an English abstract with the relevant information. Evaluations were based on fifty eight (58) full text articles which were pooled together. The fifty eight (58) full text articles represented research undertaken in 20 countries. Overall, six countries (30%) broadly met half of the WHO’s 10 recommendations. Based on the reviewed articles, the greatest compliance was shown with “daily collection of waste from the service areas” (100%). Areas of least compliance were “appropriate use of color codes” (18%) for labeling waste bins, “off-site conveyance” (16%) and “periodic training” (18%). In spite of growing awareness, SMW management in most African countries was sub-standard. Appropriate use of color codes, periodic training and off-site conveyance need to be addressed in terms of reporting and practice. Common challenges and unremarkable progress in SMW management in Africa raise a question about whether a unified approach should replace independent country efforts. Key words: Africa, hospital waste, solid medical wastes, waste management.

EVALUATION on SOLID MEDICAL WASTE MANAGEMENT IN THE DISTRICT HOSPITAL OF BANGIl PASURUAN 2014

Medical waste denoted solid waste products that proved to be hazardous to hospitals and maycause health problems if not managed properly. An initial survey has been conducted in Bangil districthospital in Pasuruan. Outside components. that proved to have met the requirements, several problemswere discovered such as a practice of mixing medical waste and non - medical solid wastes, wastemedical bins were found to have different shape, size and color and there were no labels, the temperaturereached by incenerator combustion chamber was only :t: 800°C and it was not equipped with gas cleaningmechanism, and no special handling of the resulted ashes. This study was aimed to evaluate themanagement of solid medical waste in Bangil Pasuruanhospital.With regard to the research method, this was .a descriptive research. This research wasconducted in March - May 2014, the collected data were subjected to descriptive type of analysis/ resultswere discussed in reference to Minister of Health decree No. 1204/Menkes/SK/X/2004 on EnvironmentalHealth Requirementsfor Hospital.Solid medical waste generated in Bangil Pasuruan hospital were derived from health careactivities, ERand other facilities that included infectious materials and sharps. The largest generation ofsolid medical wastes was on Saturdays at 214.7 kg, while the smallest production was Wednesdaysthatamounted to 118.8 kg. Evaluation of solid medical waste management resulted in a value of 64, 1 % andcategorized as poor. The smallest percentage was obtained. at the generation phase by 25 % and thehighest percentage related to storage 90 %.This study concluded that the management of solid medical waste in Bangil Pasuruan hospital didnot meet the designated requirements. As a suggestion, Bangil Pasuruan hospital needs to reform themanagement of solid medical wastes, to complete insfrastructures and job descriptions should be madeavailable in writing, all requirements should be tailored to Minister of Health Decree No.1204/Menkes/SK/X/2004 on Environmental Health Requirementsfor Hospital.

EVALUATION STUDY MANAGEMENT OF SOLID MEDICAL WASTE AT DR. H. SLAMET MARTODIRDJO HOSPITAL PAMEKASAN

Results of the conducted initial survey found that there were some issues where medicalwaste containers were not in place and incineration of solid medical waste was not done withinthe usual 5 day period. This study was aimed at evaluating the management of solid medicalwaste at Dr. H. Siamet Martodirdjo hospital in Pamekasan.This study was designed as a descriptive study, conducted in February - June of 2013.Data were analyzed descriptively and to be discussed with reference to the KepMenKes NO.1204/Menkes/SK/X/2004 on Hospital Environmental Health Requirements.Results of this study indicated that solid medical waste at hospital of Dr. H. SiametMartodirdjo Pamekasan was generated from health care activities performed in the emergencyroom, leu and other units in the form of infectious materials and sharps. Largest amount ofsolid medical waste was produced usually on Monday at 50kg, while the smallest amountgenerated in any other day of the week wasapproximately 12kg. Evaluation on the solid medicalwaste management resulted in a score of 75.64% and considered as a non-compliance. Thesmallest percentage achieved in the assessment was 28.6% obtained by janitorial service andthe largest percentage was from the transportion as much as 90%.The study concluded that the management of solid medical waste in Pamekasan hospitalsis not complying to the desiqnated standards. The study suggested that Dr.H.SlametMartodirdjo Pamekasan hospital should make immediate corrections pertaining to medical solidwaste management and improvement of the janitorial service, the system, and a schedule thatis in compliance to the KepMenKes NO.1204/Menkes/SK/X/2004 on Hospital EnvironmentalHealth Requirements.Keywords: Solid medical waste, Hospital

STUDI PERILAKU PETUGAS PARAMEDIS DAN CLEANING SERVICEDALAM PENGELOLAAN LIMBAH MEDIS PADAT 01 RSUD DR SOETOMO SURABAYA

RumahSakit Umum Daerah Dr. Soetomo, Surabaya as one of medical service means, isa place where both sick and healthy people are gathering together. Activities of RSUD Dr.Soetomo will produce solid and liquid medical waste thatmay affect ennironmental pollution andhealth disorder. The behavior of Paramedic and Cleaning Service personnel significantly affectin managing the solid medical waste management.This research is a descriptive one, namely a research method aimin to assess thebehavior of Paramedicand Cleaning Service personnel, comprising of knowledge level, attitude,and action in managing those solid medical wastes in Rumah Sakit Umum Daerah Dr. Soetomo,Surabaya. Population in this research was 298 Paramedic and Cleaning Service Personnel,spread in 13 wards, total sample was 75 Paramedic personnel and 3 Cleaning Servicepersonnel. Data obtained was further analyzed descriptively with table.The research result on solid medical waste management in Rumah Sakit Umum DaerahDr. Soetomo Surabaya, having satisfactorily knowledge level assessment each was 50,6% forParamedic personnel and 67% for Cleaning Service personnel. While for satisfactorily attitudeassement was 53,3% for Paramedic personnel and 100% for Cleaning Service personnel.Regarding satisfactorily performance assessment, it ,was achieved of 18,6% for Paramedicpersonnel, andO%for Cleaning Service personnel.Following the observation result of Paramedic and Cleaning Service personnel, it issuggested for their further guidance and briefing in behavior improvement regarding solidmedical waste management.Keywords : Behavior, Hospital