Evaluasi Pengelolaan Sampah Medis Rsud Sogaten Kota Madiun

Lailyta, Rr Handita Nabil (2022) Evaluasi Pengelolaan Sampah Medis Rsud Sogaten Kota Madiun. Other thesis, Institut Teknologi Sepuluh Nopember.

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Abstract

RSUD Sogaten merupakan fasilitas pelayanan kesehatan kelas C milik pemerintah Kota Madiun. Aktivitas rumah sakit menghasilkan sampah medis antara lain, sampah patologis, radioaktif, bahan kimia, infeksius, benda tajam, dan farmasi. Sampah medis yang dihasilkan memiliki potensi berdampak buruk bagi manusia dan lingkungan. Untuk mengantisipasi penyebaran penyakit dan kerusakan lingkungan dari dampak yang timbul dibutuhkan pengelolaan pada sampah medis rumah sakit. Tujuan penelitian ini adalah untuk menentukan laju timbulan dan komposisi sampah medis berdasarkan jenis dan sumbernya, menentukan kondisi eksisting pengelolaan, dan mengevaluasi kesesuaian pengelolaannya di RSUD Sogaten berdasarkan peraturan yang berlaku. Penelitian dilakukan dengan pengukuran langsung dan wawancara untuk mendapatkan data laju timbulan sampah medis, komposisi, dan kegiatan dalam pengelolaan yaitu: pengemasan, pengumpulan dan penyimpanan. Selanjutnya dikaji kesesuaian teknis pengelolaan sampah medis dengan peraturan yang berlaku. Dalam melakukan pengukuran laju timbulan dan komposisi sampah medis menggunakan metode weight and volume analysis. Metode ini dilakukan dengan mengukur jumlah berat atau volume sampah yang masuk ke TPS dengan melakukan pengambilan sampel selama 8 hari berturut-turut. Untuk mendapatkan data dari kegiatan pengelolaan sampah medis dilakukan observasi dan melakukan wawancara dengan pihak sanitarian serta cleaning service yang menangani sampah medis. Hasil pengukuran menunjukkan bahwa timbulan rata-rata sampah medis terdiri sampah infeksius non benda tajam 125 kg/hari (77,55%), sampah farmasi 21,05 kg/hari (13,06%), sampah infeksius benda tajam 7,28 (4,52%), dan sampah patologi 10,87 kg/hari (4,9%). Sedangkan laju timbulan sampah medis rawat inap sebesar 1,15 kg/bed.hari dan laju timbulan sampah medis rawat jalan sebesar 0,16 kg/pasien.hari. Pengelolaan sampah medis eksisting di RSUD Sogaten belum berjalan baik. Hal ini ditunjukkan oleh antara lain segregasi limbah belum berjalan baik, kemasan untuk sampah infeksius non benda tajam dan farmasi masih belum baik, sistem pengumpulan belum berjalan dengan baik, dan fasilitas pelengkap seperti APAR, kotak P3K dan alarm di TPSLB3 belum tersedia
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RSUD Sogaten is a class C health service facility owned by the Madiun City government. Hospital activities produce MW (MW), which includes pathological, radioactive, chemical, infectious non-sharps, infectious sharps, and pharmaceuticals. The MW could potentially be harmful to human health and environment. To anticipate spread of emerging disease and harm to the environment, the MW has to be managed properly. This study aims to determine the generation rate and composition of MW based on its type and source, to evaluate the existing management condition and its suitability to the enacted regulations. Direct measurements and interviews were carried out to obtain MW generation rate, composition, and management activities data, such as packaging, collection, and storage conditions. Furthermore, the technical suitability of MW management was evaluated based on most related regulations. The MW generation rate and composition were measured using weight and volume analysis method. Samples were collected within 8 consecutive working days. The MW management activity data were obtained through direct observation and interview to sanitarians and cleaning service personnel, who handled the MW The results showed that the average generation rates of the MW components were: infectious non-sharp object 125 kg/day (77.55%), pharmaceutical waste 21.05 kg/day (13.06%), infectious waste sharps 7.28 (4.52%), and pathological waste 10.87 kg/day (4.9%). The generation rates of in-patient MW and the outpatient were 0.84 kg/bed.day and 0.23 kg/patient.day, respectively. The current MW management was still ineffective, as shown by MW segregation and infectious non-sharp objects and pharmaceuticals packaging activities, which were still improperly done. Additionally, MW collection and complementary equipment in temporary storage facility, such as fire extinguishers, first aid kits, and alarms, have not been provided. These shortcomings should be evaluated for a better management by the hospital manager.

Item Type:	Thesis (Other)
Additional Information:	RSL 628.445 Lai e-1 2022
Uncontrolled Keywords:	pengelolaan, RSUD Sogaten, sampah medis, management, medical waste
Subjects:	T Technology > TD Environmental technology. Sanitary engineering > TD789 Refuse and refuse disposal
Divisions:	Faculty of Civil, Planning, and Geo Engineering (CIVPLAN) > Environmental Engineering > 25201-(S1) Undergraduate Thesis
Depositing User:	Mr. Marsudiyana -
Date Deposited:	04 Dec 2024 06:45
Last Modified:	04 Dec 2024 06:45
URI:	http://repository.its.ac.id/id/eprint/115900

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