scholarly journals Pengolahan Limbah Medis COVID-19 Pada Rumah Sakit

2020 ◽  
Vol 10 (2) ◽  
pp. 52-59
Author(s):  
Niki Tri Nurwahyuni ◽  
Laila Fitria ◽  
Olce Umboh ◽  
Dismo Katiandagho
Keyword(s):  
Emergency Room ◽  
Waste Treatment ◽  
Hospital Staff ◽  
Medical Waste ◽  
Third Party ◽  
Cross Sectional ◽  
City Environment ◽  
North Sulawesi ◽  
Residual Material ◽  
Referral Hospitals

COVID-19 medical waste is residual material from unused reuse which is contaminated by substances that protect infectious or in contact with patients and/or hospital staff who need COVID-19 patients from service activities in the emergency room, isolation room, ICU room, treatment rooms, and other service rooms. The purpose of this study was to discover waste treatment in referral hospitals in North Sulawesi Province arising from the implementation of COVID-19 in 2020. The research was conducted on 18 of COVID-19 Referral Hospitals in North Sulawesi Province in period May - June 2020, by using cross-sectional as a research design. The results showed that 11 hospitals (61.1%) treated COVID-19 medical waste using their own incinerator, while 7 other hospitals (38.9%) treated COVID-19 medical waste using third-party services. All of the hospitals that treat medical waste using an incinerator do not fully have an operational permit from the Ministry of Environment and Forestry. The results obtained, in an emergency (COVID-19 pandemic), are excluded from having permission to use incinerators. All health facilities are expected to carry out the process of arranging incinerator operational permit documents coordinating with the Provincial / Regency / City Health Office and Provincial / Regency / City Environment Offices, even in the COVID-19 pandemic.

scholarly journals Assessment of biomedical waste management of a multispeciality hospital in the light of new BMW rules 2016: what has changed from the past?

2017 ◽  
Vol 4 (9) ◽  
pp. 3224
Author(s):  
Ravishekar N. Hiremath ◽  
Sumeena Basandra ◽  
Renuka Kunte ◽  
Sandhya Ghodke ◽  
Tarana Sarah Edwards ◽  
...  
Keyword(s):  
Operating System ◽  
Waste Management ◽  
Waste Treatment ◽  
Cross Sectional Study ◽  
Medical Waste ◽  
Cross Sectional ◽  
Close Supervision ◽  
Waste Segregation ◽  
Outpatient Departments ◽  
Regular Training

Background: The hierarchies of Bio-Medical Waste (BMW) is largely based on the concept of the “3Rs”, namely reduces, reuse and recycle, and broadly relates to the sustainable practice of resources. The objectives of the study were to assess the Bio-Medical Waste (BMW) Management operating system in a multispecialty hospital and discuss the situation in terms of newly introduced BMW Rules 2016.Methods: A hospital based cross-sectional study was carried out by collecting data by means of independent surveys involving on-ground operating system of BMW management across different wards, outpatient departments, emergency departments, intensive care units and laboratories in the hospital.Results: The hospital was following Bio Medical Waste (Management and Handling) Draft rules, 2011 in the management of BMW. All the wastes were categorized into 8 categories as per 2011 draft rules. Efficient waste segregation, collection, storage, transport and waste treatment were followed as per norms with regular training of all health care workers under the close supervision and monitoring by dedicated BMW management committee. The hospital was registered for BMW management and renewal was being carried out every three years.Conclusions: It can be concluded that the hospital had an efficient and a well-organized BMW management system in place that was even conforming to the latest BMW Management Rules 2016 to some extent. Moreover, the hospital could upgrade the techniques of BMW management as per the newly introduced latest guidelines. As far as the categorization of BMW is concerned, it has to be changed accordingly to the new rules. Needless to say, a regular training and monitoring of BMW Management at all hospitals is the need of the hour and has a long way to go for environmental and human health.

scholarly journals Evaluation of solid waste management system in ‘X’ hospital, Cilegon city, Banten

2018 ◽  
pp. 3
Author(s):  
Linardita Ferial ◽  
Budi Rahayu Kosasih
Keyword(s):  
Waste Management ◽  
Solid Waste ◽  
Management System ◽  
Waste Treatment ◽  
Solid Waste Management ◽  
Medical Waste ◽  
Third Party ◽  
Waste Management System ◽  
Domestic Solid Waste ◽  
Solid Waste Management System

Health service activities by the hospital produce a waste of any activity in the form of medical activities and non-medical activities. The purpose of this research is to analyze the solid waste management system in  'X' Hospital, Cilegon City, Banten. The result showed that the source of solid waste generated were classified into 2 types, namely 2% of medical waste and 98% non medical, where the waste treatment process included sorting, characteristic wastage, transporting garbage to TPS, weighing, temporary storage and transportation. The method of handling solid, B3 and domestic solid waste in 'X' Hospital is done in each unit which is sorting according to its characteristic, but still finding the placement of waste which is not in accordance with its characteristic and solid waste processing process is not done by the hospital but given to a third party. Therefore, it can be concluded that the effort to evaluate the solid waste management of 'X' Hospital must refer to the Decree of the Minister of Health of the Republic of Indonesia Number 1204 / Menkes/ SK / X / 2004 on Hospital Health Requirements and need to improve supervision and good cooperation with nurses and janitors in the separation of medical and non-medical waste.

scholarly journals Perceptions of hospital staff on the performance of Quality Improvement teams in the regional referral hospitals in Tanzania: A cross sectional study

PLoS ONE ◽  
2021 ◽  
Vol 16 (2) ◽  
pp. e0246927
Author(s):  
Godfrey Kacholi ◽  
Ozayr H. Mahomed
Keyword(s):  
Logistic Regression ◽  
Quality Improvement ◽  
Quality Care ◽  
Hospital Staff ◽  
Cross Sectional Study ◽  
Public Hospitals ◽  
Sectional Study ◽  
Multivariate Logistic Regression ◽  
Cross Sectional ◽  
Referral Hospitals

Background To ensure patient-centered quality care for all citizens, Quality Improvement (QI) teams have been established across all public hospitals in Tanzania. However, little is known about how hospital staff perceive the performance of hospital QI teams in Tanzania. This study assessed the perceptions of hospital staff of the performance of QI teams in selected regional referral hospitals in Tanzania. Methods This cross-sectional study was conducted in four selected regional referral hospitals between April and August 2018. A self-administered questionnaire was used to collect data from 385 hospital staff in the selected hospitals. Measures of central tendency, proportions and frequencies were used to assess level of perception of hospital staff. Bivariate and multivariate logistic regression was used to test the association between the perceptions of hospital staff of the performance of QI teams and their socio-demographic factors. Results The overall mean perception score of the performance of QI teams was 4.84 ± 1.25. Hospital staff aged 35 and over (n = 130; 68%), female hospital staff (n = 144; 64%), staff in clinical units (n = 136; 63%) and staff with post-secondary education (n = 175; 63%) perceived that the performance of QI teams was good. Improved hospital cleanliness was viewed as strength of QI teams, whilst inadequate sharing of information and inadequate reduction in patient waiting time were considered as weaknesses of QI team performance. Bivariate and multivariate logistic regression analyses showed that there was no statistical association between the perceptions of hospital staff and their socio-demographic characteristics. Conclusion The overall perception of hospital staff of the performance of QI teams was good, with the main limitation being sharing of hospital QI plans with hospital staff. Hospital staff should be involved in the development and implementation of hospital QI plans, which would promote a positive perception of staff of the performance of QI teams and enhance sustainability of QI teams.

scholarly journals Assessment of bio medical waste management practices of staff nurses according to newer guidelines in a teaching hospital of rural Vadodara, Gujarat

2017 ◽  
Vol 4 (10) ◽  
pp. 3922 ◽  
Author(s):  
Bhavesh R. Bariya ◽  
Grishma D. Chauhan ◽  
Aarti Jadeja ◽  
Meet Jain
Keyword(s):  
Waste Management ◽  
Teaching Hospital ◽  
Management Practices ◽  
Hospital Staff ◽  
Healthcare Services ◽  
Cross Sectional Study ◽  
Medical Waste ◽  
Staff Nurses ◽  
Cross Sectional ◽  
Medical Waste Management

Background: The healthcare services while providing curative, promotive or preventive services inevitably produce waste which may be hazardous to health of patients and hospital staff as well as to the environment. The bio medical waste (management and handling) rules were recently updated by Government of India notification 2016. The present study was carried out to observe and assess the BMW management Practices among staff nurses in a teaching hospital of Vadodara district.Methods: A cross sectional study was carried out to assess BMW management practices in the hospital using BMW Checklist. Observation was the predominant method for data collection.Results: Segregation of BMW at the site of generation was found in 72.73%. Sharp and non-sharp infectious waste was correctly segregated in 72.73% and 100% of areas respectively. Bio medical Waste was found covered in bins, but overfilled in 81.82%. In 6 out of 11, BMW was kept beyond 48 hours. IV set, bottles, syringes, latex gloves, catheters etc. were cut by scissors before disinfection in 45.45%. Staff nurses were using gloves while handling syringe and needles in 10 out of 11 places.Conclusions: Staff nurses were knowledgeable about segregation of BMW, but storage and pretreatment of BMW before its final disposal needs to be improved. An orientation programme about newer guidelines may improve the current practice. 

scholarly journals Solid Medical Waste Management on the Budget Effectiveness at West Pasaman Regional General Hospital West Sumatera

2019 ◽  
Vol 15 (10) ◽  
pp. 4
Author(s):  
Farida Aini ◽  
Enni Sari Siregar ◽  
Nora Zulvianti ◽  
Helmawati Helmawati
Keyword(s):  
General Hospital ◽  
Waste Treatment ◽  
Medical Waste ◽  
Third Party ◽  
Toxic Waste ◽  
Management Systems ◽  
Cooperation Agreement ◽  
The West ◽  
Treatment Services ◽  
Medical Waste Management

<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>

scholarly journals Projection of incinerators for medical waste processing during a pandemic: a case study of COVID-19 in Jakarta Province

2021 ◽  
Vol 909 (1) ◽  
pp. 012011
Author(s):  
M H Aryantie ◽  
T Widodo ◽  
R Wahyuni ◽  
B Purwanto ◽  
M Y Hidayat
Keyword(s):  
Waste Management ◽  
Large Scale ◽  
Disease Outbreaks ◽  
Data Retrieval ◽  
Medical Waste ◽  
Third Party ◽  
Budget Planning ◽  
Infectious Disease Outbreaks ◽  
Referral Hospitals ◽  
Almost All

Abstract Medical waste management due to the COVID-19 pandemic is important and urgent. An approach is needed to assess the weight of medical waste and to design appropriate waste management. The research was conducted in 2020 when the pandemic was still ongoing and had not yet reached the peak of the outbreak. Thus, the analysis was built based on assumptions and available data. The research was quantitative. Data were collected digitally (by big data retrieval and web survey) on the COVID-19 referral hospitals in Jakarta Province. The results showed that before the pandemic the weight of inpatients' medical waste was 1.57 kg/bed/day, while for COVID-19 inpatients was 1.84 kg/bed/day. The last number was processed with a limited projection of Jakarta population in 2020, then tested using two scenarios. First scenario was a pandemic condition without treatment. Second scenario was a pandemic condition plus vaccinations on D11. First scenario resulted that on D75, almost all residents of Jakarta would be infected with the SARS-COV2 virus and the maximum capacity of hospital incinerators in Jakarta was reached on D11. Second scenario resulted that the plague rate is resolved so that it does not infect all residents of Jakarta, but the capacity of hospital incinerators in Jakarta is still not adequate (limit on D11). Research has implications for environmental management budget planning in dealing with infectious disease outbreaks. The research recommendation is to calculate the weight of COVID-19 medical waste according to current conditions, which includes parameters such as the maximum hospital occupancy rate and the availability of large-scale incinerators belong to third-party.

Analisis Faktor Determinan Pelaksanaan Inisiasi Menyusu Dini Oleh Bidan Di Rumah Sakit Umum Anutapura Palu

2018 ◽  
Vol 1 (1) ◽  
pp. 34
Author(s):  
Ni Nyoman Novita ◽  
Gusman Arsyad
Keyword(s):  
Emergency Room ◽  
Peer Support ◽  
Statistical Tests ◽  
Bivariate Analysis ◽  
P Value ◽  
Chi Square ◽  
Cross Sectional ◽  
Implementation Processes ◽  
Chi Square Test ◽  
The Government

Implementation of IMD in hospitals has decreased from the previous year and has not reached the target set by the government. Some IMD implementation processes have not been carried out according to applicable standards. So that babies do not get an IMD in accordance with existing SOPs. The purpose of this study was to determine the determinant factors associated with the implementation of the IMD by midwives in the Midwifery and Maternity Room Emergency Room (IGD) at the Anutapura General Hospital in Palu. This research method is analytical with cross sectional approach. The population of this study was that all midwives in the obstetrics emergency room and maternity room at Anutapura Palu Hospital were 37 respondents. The sample in this study is total sampling. The analysis used was univariate, and bivariate analysis using the chi square test with a confidence level of 95% (α = 0.05). The results of statistical tests on variable knowledge of midwives with the implementation of IMD p value: 0.018 (p value <0.05). APN training with the implementation of IMD p value: 0.697 (p value> 0.05). length of work with the implementation of IMD p value: 0.029 (p value <0.05). and peer support with the implementation of IMD p value: 0.007 (p value <0.05). Conclusions there is a relationship between knowledge, length of work, peer support with the implementation of the IMD, and training factors that have nothing to do with IMD implementation. The strongest factor in the relationship is peer support. It is recommended that the Anutarapura Palu Hospital be able to motivate midwives so that they can further enhance their role in the implementation and provide support to their colleagues so that the implementation of the IMD can be carried out in accordance with applicable standards.Keywords: Knowledge, APN Training, Duration of work, Implementation of IMD

UPAYA PENINGKATAN KINERJA PERAWAT GAWAT DARURAT MELALUI BERBAGAI GAYA KEPEMIMPINAN DI RSUD DAERAH ISTIMEWA YOGYAKARTA

2017 ◽  
Vol 6 (3) ◽  
pp. 186-194
Author(s):  
Deby Zulkarnain Rahadian Syah ◽  
Muhamat Nofiyanto
Keyword(s):  
Emergency Room ◽  
Leadership Style ◽  
Quantitative Research ◽  
Secondary Data ◽  
Cross Sectional ◽  
Organizational Goals ◽  
Democratic Leadership ◽  
The Right ◽  
Research Type ◽  
Special Region

Background: Nurses in charge of the Emergency Room are required to have more ability than nurses serving patients in other units. Emergency Room is an initial service in a hospital. One's leadership style will greatly affect the effectiveness of a leader. The selection of the right leadership style can lead to the achievement of individual or organizational goals. Objective: To know the various leadership style used by the head of room in improving the performance of nurses of Emergency Room RSUD in in Special Region of Yogyakarta. Method: This research includes quantitative research type, using cross sectional approach. The population of this study was the head of the treatment room. Secondary data of nurse's performance is taken from nursing care which is written in medical record file of Emergency Room of RSUD in Special Region of Yogyakarta. Results: The performance of nurses at Emergency Room RSUD A in the good category was 100%. The performance of nurses at Emergency Room RSUD B in the enough category was 45%. The performance of nurses at Emergency Room C in good category was 80%. The performance of nurses at Emergency Room RSUD D in good category was 55%. The performance of nurses at RSUD E in the good category was 95%. The result of cross tabulation between leadership style and nurse performance of RSUD in the whole DIY with good performance is leader who use democratic leadership style equal to 35%. Conclusion: Most of the nurse's good performance in Emergency Room is followed by democratic leadership style of head of space.  Keyword: leadership style, head of space, performance of nurses

RESULTS OF ENVIRONMENTAL MONITORING IN 6 PROVINCIAL HOSPITALS HIGHLAND AREA 2011-2013

2016 ◽  
pp. 101-108
Author(s):  
Duy Tao Tran ◽  
Trong Si Hoang
Keyword(s):  
Waste Water ◽  
Radioactive Waste ◽  
Waste Management ◽  
Environmental Monitoring ◽  
Monitoring And Evaluation ◽  
Medical Waste ◽  
Contamination Rate ◽  
Cross Sectional ◽  
Medical Waste Management ◽  
Central Highlands

Objective: Monitoring and evaluation of air environmental quality, waste water and medical waste management activities in some hospitals in the Central Highlands. Research Methodology: Cross-sectional descriptive survey was deployed in 6 provincial hospitals of the Central Highlands in 7th- 8th months every year for 3 years, 2011, 2012, 2013. Observing the process of waste management in hospitals, weighing the medical solid waste generated daily, sampling and environmental monitoring of air, water waste samples after treatment of hospitals. Findings: The percentage of substandard sample of radioactive 2011 was 5.88%, in 2012 was 5%, 2013 was 0.02%. Mainly in dose laboratories, rinse the nuclear medicine department, hatch covers radioactive waste storage. 100% of the air sample of wastewater treatment areas have NO2 target and 60% of SO2 target sample have not reached allowed regulations. The atmosphere at the garbage area hospitals in Kon Tum and Lam Dong provinces through 2 years of monitoring in 2012, 2013 exceeded SO2 target standards. Monitoring results incinerator emissions sample at 3 hospitals: Kontum, Gia Lai, Dak Nong in 3 years reached Regulations allow. The observation sample treated waste water of the hospital in 2013 with low contamination rate than in 2011 and 2012 in terms of physics and chemistry. Particularly criteria Total coliforms 3 years are from 40-50% of samples exceeded standards. Regarding waste management, the results of monitoring in 2013 showed that 60% of faculties have sharps instruments and 20% of the faculties have satisfactory utensils anatomical waste. 59.48% of the faculties have the guidelines for waste separation. Condition misclassified not many and occur in two hospitals Gia Lai, Dak Lak. Only Lam Dong hospitals have waste transportation vehicles secured closed during transport. The amount of waste / beds / 24 hours is 1.097kg. In particular infectious waste is 0.26kg. Only two hospitals in Daklak, Lam Dong has generated radioactive waste with a total of 0.9 kg/day. Key words: Medical waste, medical waste management.

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