Solid Medical Waste Research Articles

Analysis Of Factors Influencing Management of Medical Solid Waste of Hazardous and Toxic Materials (B3) at RSUD. Dr. H. Kumpulan Pane, Tebing Tinggi City on 2024

Background: Dr. H. Kumpulan Pane Regional Hospital, Tebing Tinggi City has 213 beds with a potential medical waste calculation of around 682 kg per day, but data from the last 3 months shows that B3 waste at Dr. H. Kumpulan Pane Regional Hospital is 79,142/kg/month or approximately 2,638 kg/day. Objectives: to analyze the factors that influence the management of solid media waste of hazardous and toxic materials at RSUD.Kumpulan Pane, Tebing Tinggi City. Research method: This research is a quantitative descriptive research with a cross sectional design. Results: In this study, momentary measurements were carried out on independent variables and concurrent variables (Point time approach), with the T test and F test, the results obtained were that the knowledge factor of sanitation officers did not affect the management of B3 medical solid waste, the infrastructure factor did not affect the management of B3 medical solid waste, the technical guideline factor did not affect the management of B3 medical solid waste, but the funding factor affected the management of B3 medical solid waste at the Hospital. Conclusion: The most influential factor among the four variables is the funding factor variable with a Beta value of 0.96.

Research on the construction of hazardous medical solid waste discharge coefficients in Quang Ninh and Ha Nam provinces

Research on the construction of hazardous medical solid waste discharge coefficients in Quang Ninh and Ha Nam provinces

Implementation of Green Hospital Concept in Solid Medical Waste Management

Hospitals are one of the institutions that use considerable energy and contribute the largest amount of waste. To reduce the impact, initiatives have emerged in the form of greening hospitals for effective use of resources. Green Hospital is a hospital concept that is designed by empowering the potential of nature as the main resource so that it is friendly to the environment and saves energy expenditure. The existence of Green Hospital is needed to overcome climate change that can cause human health problems and the environment, because hospitals are one of the contributors to pollution. In Indonesia, Green Hospital is still a concept that emphasizes effective and efficient use of water and electrical energy, as well as environmentally sound waste management. The purpose of this study is to analyze solid medical waste management in Saraswati Dental and Oral Hospital Denpasar in realizing the Green Hospital concept. This research is qualitative. Data were collected by in-depth interviews with1 staff at the Environmental Health Installation and 3 staff of cleaning service, observation, and document review. Data were analyzed by data reduction, data presentation, and conclusion. Data validity used source triangulation and method triangulation. Medical waste management in Saraswati Dental & Oral Hospital Denpasar is generally in has been accordance with the Indonesian health regulation No. 1204/2004, but does not yet have a policy or direction to realise Green Hospital. To achieve Green Hospital, hospitals can start by making policies to implement non-medical waste minimization and increasing the number of personnel in the field of medical and non-medical waste management.

Evaluation of Medical Waste Generated from Government Hospitals and Healthcare Centers in the City of Hodeidah, Yemen

In the present study, the current status of medical waste management in the city of Hodeidah was presented in terms of its definition, components, sources, and threats that may result from improper handling. This investi-gation aims to study the potential environmental and health impacts of existing medical waste produced by the government hospitals and healthcare entities in Hodeidah City, in addition to comparing the applied methods and procedures with the methods and procedures that are applied in developed countries. The research study was carried out from January 2022 until January 2023, and targeted ten government hospitals and healthcare institutions in Hodeidah City. It relied on descriptive and analytical scientific methods, which aim to describe and analyze medical solid waste generated from the selected institutions. The result of the study showed that the total quantities of waste produced in all studied government health facilities amounted to approximately 599,038 kg/year. The percentage of non-hazardous waste was about 67% against hazardous waste which was 33%. Hospitals that receive more patients and have more beds as well as a multiplicity of their specialties generate larger medical wastes. The present research investigation revealed that government hospitals and healthcare centers in the city of Al-Hodeidah have low levels of health and safety conditions. They do not meet the local and international standards and requirements in the Medical Waste Management Guides and Recommendations. The poor management situation of medical waste could expose Yemeni citizens to danger. The healthcare insti-tutions should be supervised and controlled and ensure management of medical waste following environmental regulations and laws.

Management of Solid Medical Waste at Regional Public Hospital of West Papua Province

This study aims to characterize, identify and evaluate the management of solid medical waste in the West Papua Province Regional Public Hospital. This research is descriptive qualitative research conducted in December 2023 -January 2024 at the emergency room, obstetrics ward, pediatric ward, perinatology ward, surgical room, internal disease department and laboratory. The results research are the average amount of solid medical waste in West Papua Province Regional Public Hospital is 282.3 kg/month, consisting of infectious solid medical waste of 229 kg/month and the amount of infectious sharps medical waste of 53.3 kg/month. The process of solid medical waste management of hospitals in West Papua Province Regional Public Hospital has referred to the Government Regulation of the Republic of Indonesia Number 7 of 2019, although the results are not all appropriate.

Evaluation of Solid Medical Waste Management

Medical solid waste management still faces obstacles several problems such as the lack of use of complete personal protective equipment (PPE) by officers and the absence of special routes for transporting waste. This study aims to evaluate medical solid waste management in hospitals. The method used was qualitative with a purposive sampling technique of 10 informants at the location concerned. Data was collected through in-depth interviews, field observations, and document review, then processed and analyzed using a triangulation table of sources and methods. Even though hospitals have SOPs that are socialized to staff, adequate human resources, funds, facilities and infrastructure, not all of them meet the requirements. The waste reduction process has not been implemented, TPHS B3 has been used as a rest area for officers, the sulo has not been closed because medical waste is buried in non-medical waste, and there is no waste transportation route available. The research results show that the management of medical and non-medical waste is not fully in accordance with applicable regulations. Therefore, it is recommended that hospitals reduce waste, monitor waste officers, and provide special routes for transporting waste in accordance with applicable regulations

Evaluation of solid medical waste management system in Undata Regional General Hospital, Palu city, Central Sulawesi Province, Indonesia

Waste is an environmental problem that is still not fully resolved properly even though the resulting impact has a major effect on environmental pollution, especially solid medical waste. The purpose of this study was to assess the characteristics of solid medical waste at Undata Hospital based on its sources and types, calculate the average weight of solid medical waste generated per day, and evaluate the solid medical waste management system with sorting, packaging, collection and transportation modes in accordance with the criteria of Permen of Environment and Forestry Number 56 of 2015 and Permenkes Number 2 of 2023. This research uses a qualitative approach with a descriptive research type. This research was conducted in August-September 2023. The sampling technique in this study used Purposive Sampling, with 18 informants selected from each unit/room/installation at Undata Hospital, Palu City. Based on the results of the study, it was found that every day Undata Palu Hospital produces domestic waste as much as ± 270 kg / day. The results of the evaluation of the solid medical waste management system at Undata Palu Hospital show that basically it is quite effective but not optimal, because the storage process shows non-compliance with the guidelines for medical waste management by the Ministry of Health Number 2 of 2023, namely storage in TPS which should not be more than 2x24 hours, but in fact the accumulation of solid medical waste is stored for 1 month in the LB3 TPS due to delays in transportation by third parties. This causes a large amount of solid waste in the TPS so that the TPS becomes full and dangerous because the waste undergoes a process of decomposition and decay, which is harmful to the environment and human health. Undata Hospital needs to maximize the procurement of internal medical waste processing equipment (incineration equipment) which needs to be supported by the Environmental Agency and the relevant Health Office to prevent environmental pollution from medical activities.

Proses Pengelolaan Limbah Medis Padat di Rumah Sakit Umum Mamami Kupang

Mamami Kupang General Hospital as a health service facility produces medical and non-medical waste. The results of surveys carried out by infectious solid medical waste at Mamami General Hospital are usually collected from waste producing places/rooms, including the Emergency Unit (ER), laboratory, nurse station, operating room, pharmacy installation, VK room, outpatient room/polyclinic. . For the process of burning/destroying medical waste, Mamami General Hospital collaborates with PT. Wastec Internasional (destroyer) and PT. Sagraha Satya Sawahita (Carrier). The average amount of solid infectious waste produced every day is around 7 kg. This research aims to determine the process of managing solid medical waste at the Mamami Kupang General Hospital. This type of research is quantitative research, with a descriptive research design. The population in this study was the solid medical waste producing unit at the Mamami Kupang General Hospital and health workers who handled the problem under study. The technique used in this research is nonprobability sampling, namely total sampling. The research results show that the medical waste management process at Mamami Kupang General Hospital, especially in temporary shelters, still requires attention. Transportation of solid medical waste from waste generating units is not encouraged using special trolleys and the accumulation of medical waste in temporary storage areas due to the unavailability of containers.

Disinfection of Medical Solid Waste through the Application Ozone Technology: Feasibility and Effectiveness Study.

We aimed to determine the feasibility of ozone for disinfection of infectious solid waste in hospital. Spores of Bacillus atrophaeus were used to monitor the process of inactivating microbial agents using ozone in medical solid waste in the hospitals of Tabriz City, Iran. For this purpose, culture medium containing the mentioned bacteria was placed in the bags containing medical wastes. The ozone generator was equipped with a constant dose of 5 grams per liter, with a discharge of 1 and 3 liters per minute and contact time of 10 to 120 min. Then the ozone exposure indicators were incubated for 24-48h at 36 ± 1 °C and, finally, the absence of colony growth in the culture medium was considered as the success of ozone in disinfection of infectious solid waste. This process was performed with 4-time replications. The complete removal of B. atrophaeus was obtained for non-compacted and compacted infectious solid waste, at contact time of 15 and 50 min, respectively. The efficiency of removal of B. atrophaeus by the process of wet ozone injection through a glass column was 100% in 30 minutes and by separate injection of water vapor into the contact tank was 100% in 50 minutes. The results of this study showed that the use of ozone technology was effective in the inactivation and destruction of microbial agents in medical solid waste. Employing different advanced technology of oxidization especially ozone in order to decrease the environmental pollution is considered as one of management approaches.

Solid medical waste management system at the Regional General Hospital (RSUD) Puri Husada Tembilahan 2023

Solid medical waste management system at the Regional General Hospital (RSUD) Puri Husada Tembilahan 2023

Research on the impact mechanism of changes in the production of medical solid waste in China before and after COVID-19.

The changes of medical solid waste (MSW) output in recent years have had a significant impact on the spread of the virus. There is a high-risk transmission of MSW in various stages such as storage, transportation, and treatment during the COVID-19. To cope with the risks brought by the epidemic, normalized prevention consumes a large amount of protective clothing, medical masks, goggles, packaging bags, and other related medical supplies. There is a significant uncertainty in the amount of MSW output that poses a risk of COVID-19 infection in the event of an emergency, which increases the difficulty of collecting and handling epidemic prevention MSW. The analysis of MSW data from 2000 to 2022 found a stable growth trend before 2019. However, the MSW data was a sudden increase trend from 2020 to 2022, and the COVID-19 in China was characterized by an initial stage, an outbreak stage, and a stable growth stage. The range of MSW output during the epidemic was (1.19-1.75) × 106 t a-1. The amount of MSW was approximately 1.19 × 106 t a-1 during the normalized epidemic period, and its treatment cost was as high as 3.57 × 109 yuan (RMB)·a-1. The distribution of MSW output was uneven due to factors such as climate conditions, population data, and local economy. This study has important reference value for epidemic medical material reserves and MSW treatment.

Analisis Pengelolaan Limbah Medis Padat Di Rumah Sakit Cinere Depok Tahun 2022 Berdasarkan Kepmenkes Nomor 1204/MENKES/SK/X/2004

A health facility is a meeting place for people who are affected by disease and who provide health services, as well as for people and their surroundings. Therefore, it can spread disease if the hospital environment conditions are inappropriate; one that is generated from the hospital is waste. The objective of this study is to be able to find out the analysis of the management of solid medical waste at the Puri Cinere Depok Hospital in 2022. The results of the research on solid medical wastes have been carried out in accordance with the operational standards contained in the Sanitation Hospital according to Kemenkes No. 1204/MENKES/SK/X/2004. The purpose of the clearance is to make disposal and destruction easier so that there are no mistakes in the final process. The collection of waste from the hospital to the B3 temporary storage facility is carried out so that the waste is properly sorted before being placed in the temporary shelter so that it can be disposed of and handled properly in the final process. The disposal used for the disposal of waste at the temporary disposal site is good because it has already carried out the sorting well and adjusted the operational standards for the containers used. The transportation carried out by Cinere Depok Puri Hospital has been in accordance with the procedures established by the government, as the transportation is carried out by Oxularry officers with self-protection equipment provided for safety in transportation, either from the room to the storage site or from the warehouse to the final disposal site. The collection to the final disposal site from the temporary storage site is sufficiently good, as it is sorted and weighed before being taken to the last disposal place. The final disposal or disposal of waste is already working together with PT. Prasadha Pamunah Limbah Industri (PPLi) because it does not have an inquirer and land for disposal, so the Hospital Puri Cinere Depok uses a third party that has been authorized and certified, but for wastewater management, it has been assured that it can be itself because it already has the equipment.

Analisis Pengelolaan Limbah Medis Padat di Rumah Sakit Umum Daerah Haji Abdoel Madjid Batoe (RSUD HAMBA) Kabupaten Batanghari

Regional General Hospital Haji Abdoel Madjid Batoe (RSUD HAMBA) Batanghari Regency is included in the ten hospitals that produce the most solid medical waste in 2021. In 2022, 115,781 kg of waste is generated, consisting of 14,425 kg of infectious solid waste and 14,425 kg of non-infectious waste 101.356 kgs. If the increase in medical waste is not addressed and managed seriously, it will cause massive environmental degradation. The purpose of this research is to analyze the management of solid medical waste (Sorting and Container, Transportation, Storage and Processing) and develop a solid medical waste management strategy at HAMBA Hospital in Batanghari Regency according to Minister of Environment and Forestry Regulation P.56/Menlhk-Setjen/2015. The process of sorting and container has been separated directly from the waste producer, transportation and storage are transported by special officers (Cleaning Service) and stored in the temporary storage area (TPS) of B3 waste. Processing using its own incinerator which already has a permit. The strategy for managing solid medical waste at HAMBA Hospital in Batanghari Regency with a SWOT analysis, namely, establishing cooperation with other hospitals and health centers, providing education and training budgets for management officers and operators to obtain B3 waste management competency certification.

Analysis of Solid Medical Waste Management at X Hospital, West Sumatra

Analysis of Solid Medical Waste Management at X Hospital, West Sumatra

Qualitative Study of Solid Medical Waste Management at dr. R. Koesma Regional Hospital, Tuban, East Java

Qualitative Study of Solid Medical Waste Management at dr. R. Koesma Regional Hospital, Tuban, East Java

Pendampingan Teknis Dalam Analisa Timbulan Limbah Medis Padat Pada Rumah Sakit SMS Berjaya Kabupaten Kolaka

Medical waste is produced in hospitals by a variety of means, including solid waste, gas, and liquid. Therefore, it is necessary to support the analysis of the production of solid medical waste at RS SMS Berjaya District of Kolaka. The purpose of this technical support is to find out the monthly quantity of solid medical waste as well as the solid medical waste disposal system carried out at SMS Berjaya Hospital. Use both qualitative and quantitative descriptions. The accompanying results showed that the solid medical waste produced from medical activities in each room during the observation was a source of non-acute infectious garbage. Class II and III hospital facilities produce the highest percentage of medical garbage 23.13 kg/day (46.26%), and the smallest unit of medical waste in each room is 2.59 kg/ day (5.18%). And in the Infectious Object Garbage, the largest in Class II & III facilities is 1.32 kg/day (29,53%). And Nifas/Perinatology facilities are much smaller than 0.4kg/day (8.95%). SMS Berjaya Hospital has a solid, well-implemented medical waste management system.

Strategi Pengelolaan Limbah Medis Padat Pada UPTD Puskesmas Lampahan yang Berdampak Pencemaran Lingkungan

The aim of the research is to get an overview of the types, determine management factors, get recommendations to determine the right strategy in order to reduce environmental pollution due to solid medical waste at the UPTD of the Lampahan Community Health Center and in the community environment. Data analysis was carried out using several parameters through statistical tests and discussed quantitatively descriptively. The results of the research showed that to identify types of solid medical waste, syringes, Nald heating, gauze, infusion bottles, handscoons, medicine bottles, masks, abocaths, needles, used plasters, urine catheters, urine bags and basturi were identified. Several factors include the knowledge of officers regarding the management and handling of solid medical waste which still varies greatly, especially in the field of health services, such as in the ER, inpatient rooms, drug distribution (pharmacies) and midwives who do not yet understand how to actually manage medical waste. Another risk factor occurs in community groups regarding their ability to act regarding the presence of solid medical waste originating from the Puskesmas environment, including actions in handling it. The strategy that will be used as a recommendation in managing solid medical waste is through increasing the capacity of human resources, increasing support for budget allocations, increasing monitoring of officer compliance in using PPE, and proposals for procuring waste management facilities as well as strengthening cooperation with third parties, licensing related to storage. , packaging, labeling and providing waste symbols.

GAMBARAN MANAJEMEN PENGELOLAAN LIMBAH PADAT MEDIS DI RUMAH SAKIT UMUM DAERAH WAIBAKUL KABUPATEN SUMBA TENGAH

Hospitals are public service delivery organizations that have responsibility for every health service, including preventive, promotive, curative, and rehabilitative services. Hospital activities last 24 hours and involve various activities of many people so that they have the potential to produce large amounts of waste. This research aims to determine the Management of Medical Solid Waste Management at the Waibakul Regional General Hospital, Central Sumba Regency in 2023. This type of research is descriptive research with a survey method. The sample size is 10 people who are directly responsible for the process of managing medical solid waste in hospitals. The variables studied are management people/staff, funds, facilities, and infrastructure as well as medical solid waste management methods. The results of the research show that the existing medical solid waste management people are not sufficient in terms of quality, namely inadequate educational status, lack of knowledge/experience lack of training, and insufficient in terms of quantity, namely insufficient incinerator personnel. The source of funds (money) in managing medical solid waste in hospitals is considered insufficient so the procurement of facilities and infrastructure to support medical solid waste processing, operational costs, and costs for repairing infrastructure are still insufficient so that the management of medical solid waste in hospitals is less than optimal. Existing facilities and infrastructure (machines) cannot yet adapt to all the waste produced by hospitals and do not meet the requirements. The method for managing medical solid waste in hospitals has gone through a waste management process by the standards of the Republic of Indonesia Minister of Health Regulation No. 7 of 2019 concerning Hospital Environmental Health which starts from the process of sorting, containing, transporting, storing, and processing or destroying medical solid waste.

Penanganan Limbah Medis Padat di Puskesmas X

Public Health Centre facilities are integral to the healthcare system, playing a vital role in safeguarding public health at the primary level. These facilities, beyond delivering medical services, generate substantial quantities of medical waste due to various healthcare procedures. The management of medical waste in these centers presents challenges, notably the need for interim storage before third-party collection. Additionally, monthly solid medical waste transportation from all District health centers poses concerns about potential waste accumulation. This study falls into the category of descriptive research, aiming to provide an illustrative snapshot of current solid medical waste management. A survey at Public Health Centre X found that each polyclinic produces an average of 0.49 kg of solid medical waste daily, totaling 76.4 kg per month. Notably, all samples during packaging, transportation, and storage phases failed to meet specified criteria. Similarly, during sorting, the majority (83%) did not meet standards, with only one sample (16.3%) complying. This underscores the pressing need for staff training in medical waste procedures. To elevate medical waste management standards, health centers must integrate policies and regulations into their daily operations. Additionally, improving current facilities, infrastructure, and procedures is paramount to address this issue effectively. In conclusion, Public Health Centre facilities, vital for primary healthcare, grapple with medical waste management challenges. This study underscores the importance of immediate action in staff training and policy integration while investing in facility enhancements to achieve optimal medical waste management.

Evaluation of Solid Medical Waste Management in Bogor Regional Public Hospitals

Healthcare facilities generate medical waste. If not properly managed, medical waste can damage the environment and spread diseases. Many hospitals in Indonesia do not adhere to medical waste management regulations. This study aimed to evaluate the management of solid medical waste at four public hospitals in Bogor District, Indonesia. A case study design was used to obtain a comprehensive description of the solid medical waste management activities in the hospitals. Data were collected through direct observations, interviews, and document reviews. This study revealed that the medical waste generated in all hospitals was infectious, pathological, pharmaceutical, chemical, and cytotoxic, totaling approximately 4,000-12,000 kg. Hospitals A, B, C, and D fulfilled the Ministry of Environment and Forestry Regulation No. P56 of 2015 criteria, achieving compliance rates of 77%, 83.78%, 83.3%, and 86.48%, respectively. However, several activities of the hospitals did not meet the standards for waste reduction, segregation, on-site transport, temporary storage, and human resource quality. It is important that hospitals establish comprehensive and compliant medical waste management systems.