CD Tesis

Strategi Pengelolaan Penggunaan Alat Pelindung Diri (APD) Di Laboratorium Klinik Kota Pekanbaru

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Every year there are more than 250 million accidents at work and more than 160 million workers become sick because of hazards at work. The Managing Social Security Agency (BPJS) noted the number of workplace accidents in Indonesia tends to continue to increase. According to national statistics, there has been an increase in work accidents by around 20% compared to accidents happened in 2016. There were 157,313 work accident cases during 2018. Laboratories are workplaces that have many potential hazards. Potential hazards include chemical solution spills, chemical reaction explosions, punctured needles in health laboratories, other infectious materials that can interfere with workers' health. Workers in the laboratory must use the proper PPE (personal protective equipment), especially masks, laboratory coats, shoes and gloves. Managers need to provide the equipment in the workplace acording to the Indonesian national standards (SNI). The use of ineffective laboratory equipment is one of the problems that arise in the field. The waste of the material that has been used in the laboratory unwisely becomes a separate problem that can cause environmental pollution. Therefore, the manager is obliged to carry out management of disposal and annihilation.
A management strategy for the use of PPE that is appropriate in every laboratory is needed to improve the health status of workers and reduce unexpected costs caused by innapropriate waste management system. The purpose of this study is to analyze (1) Behavior of laboratory personnel in terms of knowledge and practical performance (2) The role of managers in management, budgeting in procurement and PPE availability (3) The effect of staff awareness on existing policies, training, awards and warnings. (4) Work health and safety insurance provided to workers can improve the health status of workers and (5) the right strategy in managing the use of PPE in Clinical Laboratories in Pekanbaru City.
The analysis used in this research was descriptive analysis that explains in detail about the behavior of officers and the role of the manager / person in charge of the availability, management, policy, work guidance and training budget to each laboratory officer. The appropriate strategy analysis which was used is SWOT calculation from a questionnaire that has been distributed to each respondent. This research sample includes 20 laboratories consisting of 10 accredited clinical laboratories (5 are government owned and 5 are private) and 10 clinical laboratories that have not been accredited (5 are government owned and 5 are private) with a total of 137 respondents.
Conclusions obtained from this study are as follows: The percentage of clinical laboratory staff behavior in Pekanbaru City in terms of knowledge is in the quite good category. Percentage of PPE use practices in Clinical Laboratory of Pekanbaru City in the form of use of laboratory suits, work shoes, latex gloves and masks, are in the good category. The percentage of the role of laboratory manager / head to management, budget provision in procurement and the number of PPE in the laboratory is in the good category.Unfortunately, most clinial laboratory of Pekanbaru City don’t provide appropited shoes based on safety work standart. Management of PPE residual waste in every clinical laboratory uses a third party as an auxiliary party in the destruction of used infectious waste. The party appointed by each clinical laboratory in Pekanbaru City is PT. Berkah Cendikia Lestasi (BCL) and PT. Transmulti Cargo.
The regulation for employee’s reward and punishment categorized as poor, due to bad implementation of work safety police. The percentage of clinical laboratories in Pekanbaru City that already have work guidelines (SOPs) falls into the quite good category (65%). Furthermore, the percentage of clinical laboratories in Pekanbaru City that has signs or symbols for the use of PPE in each access categorized as poor (30%) based on goverment regulation PER.08/MEN/ VII/2010.
The percentage of clinical laboratories in Pekanbaru City that gave training to each of their officers on the functions and benefits of using PPE was in the poor category (40%). The percentage of clinical laboratories in Pekanbaru City that already have workers' health insurance in the form of MCU falls into the unfavorable category (50%) and vaccination as a preventive effort is also included in the unfavorable category (10%). This can be seen from the still found several workplace accidents in the form of a needle stick injection in clinical laboratory of Pekanbaru City. Trainings and health insurance worker’s safety knowladge and health status in the clinical laboratory, whare there might be higt risk dangerous work. If the laboratory management doesn’t provide the workers with appropriate trainings and health insurance, it may lead to decreasing of knowladge quality of every workers about PPE usage and also low health status.
The right strategy used for managing the use of PPE in the Pekanbaru City clinical laboratory is a defensive strategy. The strategy aims to minimize the weaknesses and threats which comes from internal factors in the clinical laboratory environment in the city of Pekanbaru. The weakness of the clinical laboratory in Pekanbaru City is the absence of signs or symbols of PPE guidelines when entering the laboratory which can then reduce the awareness of officers. While the threat that exists in clinical laboratories in Pekanbaru City originates from the remnants of PPE that have been used, which if not managed properly according to B3 waste regulations will contaminate the environment.Clinical laboratory managers needs to provide work guidelines and apply the policy of PPE waste management by following local regulations, so it won’t result environtment pollutions or nosocomial infections caused by infectious waste chamical produced by clinical laboratory in Pekanbaru City.
Keywords: Strategy, Management, PPE and Clinical Laboratory

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Ketersediaan

Informasi Detail

Judul Seri

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No. Panggil

10 01. 220 (0002)

Penerbit

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

Deskripsi Fisik

xv, 115 hlm.; ill.; 29 cm

Bahasa

Indonesia

ISBN/ISSN

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Klasifikasi

10 01. 220 (0002)

Tipe Isi

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Tipe Media

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Tipe Pembawa

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Edisi

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Subjek

PASCASARJANA (MAGISTER) ILMU LINGKUNGAN

Info Detail Spesifik

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Pernyataan Tanggungjawab

FATAH

Versi lain/terkait

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