CD Tesis

Strategi Pengelolaan Limbah Bahan Berbahaya Dan Beracun Fasilitas Pelayanan Kesehatan Rumah Sakit Umum Daerah (RSUD) Mandau

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Hospitals as health care institutions that provide complete individual health services, are generators of B3 waste which is quite large and evenly distributed throughout Indonesia, both medical B3 waste and non-medical B3 waste in solid and liquid phases. Medical hazardous waste is generated from inpatient cares, outpatient cares, installation or emergency unit, operating room, laboratory and dialysis, pharmacies and other operational supporting facilities. The amount of hazardous and toxic wastes generated from hospitals, from year to year is expected to continue to increase. This is in line with the growth rate of health facilities in Indonesia. The hospital management is obliged to prevent pollution and environmental damage and maintain public health. This can be achieved by carrying out proper and correct medical waste management in accordance with applicable regulations. Mandau Regional Hospital has implemented medical waste management although it is not optimal and still has many shortcomings.
The purpose of this study was to analyze medical waste management at Mandau Regional Hospital using a regulatory approach and the factors that were considered to influence medical waste management from the input and process aspects to then formulate a management strategy using SWOT analysis.
This type of research is observational research, namely by describing the medical waste management system from the input and process aspects to find out the problems that exist in medical waste management at Mandau Regional Hospital using quantitative analysis and develop a medical waste management strategy based on factors that affect both internal and external using qualitative analysis. The types of data used are primary data, secondary data and literature studies.
The results showed that the stages in medical waste management were not in accordance with applicable regulations. At the reduction and sorting stage, the storage stage and processing stage have not met the stipulated technical terms and conditions. The mixing of medical waste at the source, storage of medical waste in unauthorized places and processing facilities that do not meet standards are the main technical problems. With an average medical waste generation of 88.98 kg/day and the inoperable condition of medical waste treatment equipment, Mandau Hospital is considered to be facing serious medical waste management problems that must be immediately sought out. Further management of the resulting medical waste must then rely on third parties. The accumulation of medical waste will continue to occur and be accumulative in nature due to a gap between the amount of medical waste submitted to third parties and the amount of medical waste generated.
The main problem found in the input aspect is the inadequate planning process in the system development, operation and maintenance budgeting, which has an impact on handling the generation of medical waste. Meanwhile, in the process aspect, operational technicalities that have not met the applicable
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regulations have resulted in conflicts that have resulted in the rejection of incinerator operations. On the other hand, this incinerator operation has not yet obtained a processing permit from the authorized agency.
Apart from the problems faced, there are supporting factors and opportunities that can cover the weakness and threat factors. The support from the Central and Local Governments, the availability of technology and alternative methods, budget support, human resources and equipment are strategic factors that must be utilized in improving the performance of the medical waste management system.
The medical waste management strategy based on an IFAS value of 2.23 and an EFAS value of 2.33 lies in quadrant I or the SO strategy with an alternative growth strategy. SO strategy is a strategy using strength and taking advantage of the opportunity. Meanwhile, the growth strategy is a strategy to expand, enlarge and accelerate the company's growth.
The SO strategy that has been formulated in the SWOT matrix is to carry out efforts to develop and improve medical waste treatment facilities utilizing government support, availability of human resources, budget, facilities and infrastructure as well as the availability of technology to then take advantage of opportunities for cooperation with other parties in medical waste treatment.
Keywords : medical waste, hospital, hazardous and toxic wastes, SWOT

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Ketersediaan

Informasi Detail

Judul Seri

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No. Panggil

10 01. 220 (0084)

Penerbit

Pekanbaru : Universitas Riau – Pascasarjana – Tesis Ilmu Lingkungan., 2020

Deskripsi Fisik

xiv, 102 hlm,; ill.: 29 cm

Bahasa

Indonesia

ISBN/ISSN

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Klasifikasi

10 01. 220 (0084)

Tipe Isi

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Tipe Media

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Tipe Pembawa

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Edisi

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Subjek

ILMU LINGKUNGAN

Info Detail Spesifik

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Pernyataan Tanggungjawab

FATAH

Versi lain/terkait

Lampiran Berkas

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