CD Tesis

Kajian Pengelolaan Limbah Medis Pada Puskesmas Di Kabupaten Bengkalis

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In an effort to protect and manage the environment, every business and / or activity must have an environmental permit. One of the responsibilities of an entity or business or by an individual or group in the field In an effort to protect and manage the environment, every business and/or activity must have an environmental permit. One of the responsibilities of an entity or business or by an individual or group in any field is contained in a statement of capability and environmental monitoring, (Law No. 32 of 2009). Waste generated from medical efforts such as Community Health Centers (Puskesmas), polyclinics and hospitals is a type of waste that is included in the biohazard category, namely a type of waste that is very dangerous to the environment. This waste contains a lot of viruses, bacteria and other harmful substances, so it must be destroyed by burning at temperatures above 800 degrees Celsius (LPKL, 2009). The World Health Organization (WHO) in 2009 reported that there were around 0.14 kg of medical waste piles per day in Indonesian hospitals or around 400 tons per year
Puskesmas waste generated from patient care and from other activities in general medical waste / waste can be grouped into two major groups, namely medical waste / waste and non-medical waste / waste, both solid and liquid. According to Aris (2008), based on laboratory tests on the ash from burning medical waste, it shows the high content of heavy metals in the ash from burning. Based on the data, it turns out that there are still health service facilities in Indonesia that do not have adequate waste water treatment plants (IPAL) to treat liquid waste and do not have incinerators (incinerators) to manage solid and radioactive waste. In addition, it seems that a special container system that should be distinguished between hazardous waste and other wastes has not been implemented. Based on Djaja's research (2006) which was conducted on 1,176 hospitals in 30 Indonesian provinces, it was found that the hospital that had an incinerator was 49%, meanwhile the hospital that had IPAL was only 36%
The condition of medical waste at the Puskesmas in Bengkalis Regency has not been properly managed, from the observation of interviews with the Puskesmas it is known that there is no medical waste management facility that meets standards, there is a buildup of medical waste, incomplete facilities and infrastructure such as temporary storage (TPS) are not yet available, Personal protective equipment (PPE) for medical waste management is incomplete, wastewater treatment plants (IPAL) are not in accordance with standard provisions, cooperation with third parties / medical waste management companies does not exist yet, health centers do not have medical waste management permits, syringes are included in safety box and joining other waste in the warehouse from this it is necessary to do research related to the study of medical waste management at the health center in Bengkalis Regency.
The aim of this research is to examine the technical and ecological aspects of medical waste management at the health center in Bengkalis district, to analyze the factors affecting medical waste management at the health center and to
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develop a medical waste management strategy at the health center in Bengkalis district. This research was conducted from May to October 2020. The research locations were 4 (four) Puskesmas in Bengkalis Regency. The Puskesmas are Bengkalis Puskesmas, Selatbaru, Puskesmas Batu Panjang and Puskesmas Duri.
In this study, the method used in this study is a survey method using SWOT analysis to determine strategies for problem solving and quadrant positions to formulate alternatives in the form of strategies to match internal strengths with external opportunities. The strategy on the results obtained is quadrant 1 supporting an aggressive strategy, namely a very favorable situation, the health center has the opportunity and strength so that it can take advantage of it. Quadrant 2 supports the diversification strategy, namely various threats and still has internal strength, by using strength to take advantage of long-term opportunities. Quadrant 3 supports a turn around strategy with a turnaround orientation, namely mitigating threats, reducing or minimizing internal problems in the puskesmas so that they can seize better market opportunities.
The results of the SWOT analysis research in the study of medical waste management at health centers were obtained a Strength Opportunity (SO) strategy, namely by taking advantage of opportunities as strengths, all opportunities can be utilized maximally. The conclusion is that the technical aspects of medical waste management are not yet fully implemented and the ecological aspects of medical waste management in health centers that are not in accordance with the provisions will have a harsh impact on the surrounding environment, the waste will pollute soil biota and water biota as well as bad odors around the puskesmas. There are still factors that affect the management of medical waste, including guidelines / standard operating procedures (SOP) only on the sorting process, limited human resources (HR), no budgetary funds, inadequate medical waste treatment infrastructure.
The following suggestions are for the puskesmas to immediately make a temporary storage area (TPS) for medical waste, the puskesmas must provide a colored trash can to separate the waste generated by services at the puskesmas and the domestic waste is not mixed with medical waste. Puskesmas through the Health Office must collaborate with third parties in terms of destroying medical waste at the puskesmas so that medical waste does not accumulate and combine with other waste in the warehouse. Puskesmas no longer burn medical waste and other waste.
Keywords : Management Study, Medical Waste, Strategy, Temporary Shelters, Personal Protective Equipment, Wastewater Management Installation.

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Ketersediaan

Informasi Detail

Judul Seri

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No. Panggil

10 01. 220 (0105)

Penerbit

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

Deskripsi Fisik

xii, 78 hlm,; ill.: 29 cm

Bahasa

Indonesia

ISBN/ISSN

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Klasifikasi

10 01. 220 (0105)

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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