scholarly journals lassification Study of Solid Medical Waste in Heet General Hospital

2017 ◽  
Vol 8 (1) ◽  
pp. 56-62
Author(s):  
Nazimul Islam ◽  
Parvin Akter Khanam ◽  
Shahidul Hoque Mollik ◽  
Nazmun Nahar

Background: Medical waste can be generated in hospitals or clinics where diagnosis and treatment are conducted. The management of these wastes are of public concern and health threats are associated with such wastes. The study assessed to explore the current situation of medical waste management and level of awareness related to impact of medical waste and its management among the different levels of professionals.Methods: A descriptive cross-sectional study was done and data were collected from September 2012 to December 2012 at BIRDEM General Hospital. Data were collected by simple random sampling method and semi-structured questionnaire were used in this study. The questionnaire included socio-demographic information, source of hospital waste, description of hospital waste, segregation of waste and assessment of medical waste management system. The questionnaires were interviewed to the doctors, nurses, paramedical staff and cleaners who were related to waste management practices.Results: A total of 186 participants were interviewed in this study. The mean and SD of age was 37.9 ± 10.4 years and the age range from 22 to 65 years respectively. The male and female subjects were 28.0% and 72.0% respectively. Of the total participants, doctors, nurses, paramedical staff and cleaners were 15.1%, 55.4%, 12.9% and 16.7% respectively. To assess the perception of the respondents about hospital waste management, the nurses (100.0%) and cleaners (100.0%) were found in a better position to follow color-coding system (CCS) and to use of protective bags while segregating primary waste, while doctors (21.4%) and paramedical staff’s (29.2%) practice were not encouraging. However, in terms of constituents of medical waste doctors and paramedical staff’s perception was better than the nurses and cleaners. Doctors (92.9%), nurses (96.1%) and paramedical staff (95.8%) were very comfortable about the present color coding system than compared with cleaners (74.2%), although the doctors are less compliant to follow the color-coding system (78.6% compliant) in practice. A substantial proportion of the doctors (71.4%) sometimes put waste in wrong bins as opposed to 51.5% nurses and 33.3% paramedical staff. Few of the respondents would consider the waste if some medical waste is accidentally put to the general waste bin, 85.7% of the doctors, 95.1% nurses, 66.7% paramedical staff and 100% cleaners told that they would consider the waste as medical waste. Nurse’s perception was also better compared to other occupants in sealing waste-bin for disposal. In view of improving the existing waste management system, most of the respondents of different categories were in favor on waste management system. Majority of the respondents think that there should be designated person (97.8%) or rules (97.8%) or monitoring (96.8%) at the administrative level for organizing and managing of waste collection, handling, storage and disposal of waste who will follow a definite rule during all these processes.Conclusion: The study observed that there is lack of knowledge affiliate and practice among the doctors, nurses, paramedical staff and cleaners in segregating hospital waste at the primary source of collection. However, nurses and cleaners were more aware than the doctors and paramedical staff in terms of practice of segregating primary waste. The study also found that perception of waste management was better in doctors and paramedical staff than compared with cleaners and other staffs. To improve the waste management system, it is needed to make policy and regulation guidelines to well-organized system of collecting and treating waste in the hospital.Birdem Med J 2018; 8(1): 56-62


2021 ◽  
Vol 1 (01) ◽  
pp. 40-47
Author(s):  
Galih Tri Puji Laksono ◽  
Agustina Sari

Introduction: The development of health service facilities is currently growing rapidly, but on the other hand, the waste produced is a threat in itself to environmental sustainability. Therefore, the health service unit has the obligation and responsibility to manage the waste produced, including in the hospital. Objectives: The research objective was to determine the relationship between knowledge, attitudes and infrastructure towards the behavior of medical waste treatment by cleaners in the Thousand Islands Regional Hospital in 2020. Method: The quantitative research method used a cross sectional design. The population of this study were all employees of the Seribu Kepuluan Regional General Hospital. The sampling technique used was purposive sampling with a total sample size of 106 people. The data used are primary data through distributing questionnaires and secondary data from books and literature. Data analysis was performed by univariate and bivariate with the chi- square test. Result: The results showed the relationship between knowledge with (p-value = 0,000 and OR = 43,333), attitude with (p-value = 0,000 and OR = 12,692), and infrastructure (p-value = 0,000 and OR = 25,143) on waste management behavior. medical by janitor. There is a relationship between knowledge, attitudes, and facilities and the behavior of medical waste management by cleaning workers. Conclution: It is hoped that the Seribu Islands Regional General Hospital will provide training, and provide complete facilities and infrastructure in medical waste management in order to increase the knowledge of hospital staff and maximize medical waste management.


2018 ◽  
Vol 9 (09) ◽  
pp. 21050-21059
Author(s):  
Ni Putu Resiki ◽  
Ni Nyoman Utari Vipriyanti ◽  
I Made Sukerta

The purpose of this study was to describe the quality of the implementation of the Program Management of Medical Waste-based concept of Tri Hita Karana in Sanglah Hospital in Denpasar in terms of context, input, process, product, and to describe the constraints any encountered in the implementation of the Program Management of Medical Waste-Based Concept of Tri Hita Karana at Sanglah General Hospital, Denpasar. The type of research used is evaluative. The number of samples used was 50 people. Data collection using a Likert scale questionnaire. Data were analyzed using CIPP. The results showed the conversion of the CIPP value to the Glickman prototype (+ + - +). If converted into quadrants prototype Glickman, then the quality of the implementation of the Medical Waste Management Program Based on the concept of Tri Hita Karana 2018 Sanglah Hospital located in quadrant II (second) or relatively effective. It is recommended to have a measurable measurement of training for employees of medical waste management and supervision


2013 ◽  
Vol 13 (2) ◽  
pp. 170-175

Objective of the work was to investigate correlations among hazardous medical waste generation rates and various hospital parameters in 2 departments and a clinic of a 40-bed Hellenic general hospital (Hospital of Ikaria). Medical waste was recorded at the bio-pathology lab, the pathology clinic and the emergency department 4 times daily during a 42 sampling day period (from December 2008 to May 2009). The hospital parameters recorded on a daily basis were the number of examinees, the number of patients that occupied beds and the number of tests performed daily at the clinical bio-pathology laboratory. The dependent variable was the medical waste generation rate (kg day-1) in all cases. Statistically significant linear correlations were established in all departments; the strongest correlation (R2≈0.75) was calculated at the clinical bio-pathology laboratory and the weakest (R2=0.30) at the emergency department. An analysis of variance (Tukey’s t-test) and a nonparametric statistical test revealed that medical waste generation rates from the clinical biopathology laboratory were statistically lower in the weekends compared to weekdays. In addition, medical waste amounts generated by the pathology clinic were statistically lower during December and January compared to February and April.


Author(s):  
Farida Aini ◽  
Enni Sari Siregar ◽  
Nora Zulvianti ◽  
Helmawati Helmawati

<p class="0abstract">Special handling is needed for the treatment of the management of solid medical waste, especially the hazardous and toxic wastes (B3) at the hospital so that the expected effects of this medical solid waste can be minimized. At the West Pasaman Regional General Hospital, the management of solid medical waste is carried out using a third party. In 2018, The hospital cooperated with PT Noor Annisa Kemikal with the number of the cooperation agreement Number 660/431 / RSUD-2018 and Number 0302 / NAK / PSM / II / 18 on 01-02-2018 and in 2019, with PT Andalas Bumi Lestari with the Agreement Number of Hazardous and Toxic Waste Treatment Services Number 445/003 / PKS / RSUD-2019 and Number 003.22 / ABL-PKS / II / 2019. In the implementation of management by third parties, the Hospital has to provide a quite large amount of budget for services for the management of solid medical waste by a third party. In order to make the existing budget effective and minimize the Budget absorption, the efforts taken are internal management systems so that some solid medical waste (especially Infusion Tubes) does not need to be handled by the third party and by utilizing existing technological equipment instead. Based on existing data, the West Pasaman Regional General Hospital undertakes efforts to process solid medical waste carried out internally by the Hospital itself by using a sterilization system using the existing technology, namely sterilizers. It is expected that the use of Sterilization technology can yield budget effectiveness approximately IDR. 168,890,000. - per year.  This is done specifically for infusion tubes with a large density and considered the safest to be sterilized and recycled.</p>


2021 ◽  
Vol 6 ◽  
Author(s):  
Ni Luh Putu Purna Yogiswari ◽  
I. G. A. N. Budiasih ◽  
I Putu Sudana ◽  
Ni Putu Sri Harta Mimba

This study aims to investigating the implementation of environmental cost accounting during the COVID-19 pandemic in relation to medical waste management at Wangaya General Hospital, Denpasar Indonesia using qualitative approach through case studies. Data were collected through field-observation, documentation and interviews with 4 key informants. The results show that the Wangaya Hospital had implemented environmental cost accounting, but had not made an explicit disclosure of environmental costs. There is no environmental cost report, and the operational statement is only reported in the goods and services expense account. But in other hand, Wangaya General Hospital already integrated among the economic, social, and environmental sustainability. The research results also show that Wangaya General Hospital still able to manage their business in the midst of the COVID-19 pandemic.


Author(s):  
Ronald S. Weinstein ◽  
N. Scott McNutt

The Type I simple cold block device was described by Bullivant and Ames in 1966 and represented the product of the first successful effort to simplify the equipment required to do sophisticated freeze-cleave techniques. Bullivant, Weinstein and Someda described the Type II device which is a modification of the Type I device and was developed as a collaborative effort at the Massachusetts General Hospital and the University of Auckland, New Zealand. The modifications reduced specimen contamination and provided controlled specimen warming for heat-etching of fracture faces. We have now tested the Mass. General Hospital version of the Type II device (called the “Type II-MGH device”) on a wide variety of biological specimens and have established temperature and pressure curves for routine heat-etching with the device.


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