CD Tesis
Evaluasi Pengelolaan Limbah Medis Pada Masa Pandemi Covid-19 Di RSUD Petala Bumi Provinsi Riau
Services for COVID-19 infections have an impact on increasing the amount of infectious waste so that it burdens health care facilities. The Petala Bumi Regional General Hospital, Riau Province, is one of the hospitals that provide services to patients with suspected or confirmed Covid-19. Before the 2019 pandemic, the amount of medical solid waste generated was an average of 25 kg/day or 8,304.4 kg during 2019. In 2020 it increased by 45.07% or 12,047.7 kg/year, for 2021 it increased by 51.56% or 18,257 .5 kg/year.
The formulation of the problem in this study is how the condition of the existing sources, the type and amount of Covid-19 medical waste produced and the number of patients treated, how the input components which include human resources, facilities and infrastructure, how are the process components which include reduction and sorting, storage and storage, transportation and processing of Covid medical waste, and what is the output of the implementation of Covid medical waste management. With the aim of analyzing all research subjects.
The research was conducted at Petala Bumi Hospital, Riau Province, Dr. Soetomo Street Number 65 Pekanbaru with an implementation time of March to April 2022. This type of research is quantitative and qualitative with a Mixed Method Research research design. The research sample for quantitative is total sampling with a total of 165 samples and for the qualitative type; data is obtained through in-depth interviews with 9 respondents.
The rooms that produce Covid-19 medical waste come from three sources, namely the Pinere Emergency Room, the Isolation Room and the Laboratory Room. In the laboratory room, there are more types, because the laboratory room is a place of service which includes blood examination activities (hematology examination, clinical chemistry examination, and serology examination), urine and vesicle examination and examination of BTA. Sources and types of waste generated are in accordance with existing regulations.
The results of the analysis of the data on the input component were carried out quantitatively with research variables: knowledge, training acquisition, officers' actions, facilities and infrastructure. Knowledge is an important factor that can determine how officers manage waste starting from reduction and sorting, internal transportation containers, storage, external transportation and final waste treatment. the knowledge of officers in the management of medical waste for covid-19 68 people (41.8%) were categorized as adequate with the acquisition of training in the category of frequently receiving training obtained through zoom meetings and brochures or leaflets provided by related parties and carried out periodically in accordance with applicable regulations. there is. For the actions of officers in managing COVID-19 medical waste in the room/waste source, it was in accordance with the standard operating procedures set by the hospital.
For qualitatively processed data, it includes process component variables and output components. The results of the research on process components which
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include reduction and sorting, containment and transportation, storage and processing, concluded that during the peak period of the pandemic in July-September 2021, it had been implemented but not in accordance with existing standards. At the peak of the third wave of the pandemic, the implementation of activities on process components also did not meet the standards, especially at the waste storage stage, at the peak of the second wave there was a buildup of waste outside the existing storage capacity, the transporter had not been able to meet the demand for transportation due to the busy schedule of the transporter so that the waste stored in TPS outside of clog storage exceeding the shelf life of the waste, which is more than two days, while according to existing regulations, the Regulation of the Minister of Environment and Forestry Number P.56/MENLHK-SETJEN/2015.
The results of the research on the process component show that the overall Covid-19 medical waste generated by the Petala Bumi Hospital, Riau Province in 2021 has been managed by carrying out management stages starting from reducing and sorting waste at the waste source, storing and transporting waste to B3 waste TPS. , storage of waste at TPS as well as transportation and final disposal of waste carried out by a tripartite agreement between the hospital, transporter and the processing party.
The results of the analysis on the output component. The implementation of infectious medical waste management during the Covid-19 pandemic at the Petala Bumi Hospital, Riau Province as a whole has been carried out according to the existing stages.
Key Words: Evaluation, Medical Waste, Covid-19 Pandemic
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