Analysis of the Solid Medical Waste Management System Personal Protective Equipment (PPE) at the Special Covid-19 Isolation Facility in Suryah Khairudin Regional General Hospital
Abstract
Background: The generation of solid medical waste Personal Protective Equipment (PPE) generated in special facilities for Covid19 isolation is increasing and is an infectious waste that poses a risk of transmitting Covid19 to the environment. The occupancy rate (BOR) in the Covid19 special isolation room at Suryah Khairudin Hospital in 2020 was 14.75% of 51 beds, with an average number of inpatients 13 people/month, the total amount of solid medical waste PPE produced reached 60.69 kg/month.
Subjects and Method: This was a descriptive qualitative study. The study informants were waste management officers. The data were obtained from interviews and observation. The data were extracted and analyzed using SWOT analysis.
Results: The PPE solid medical waste management system at the Suryah Khairudin Hospital as a special Covid19 facility in West Tanjung Jabung Regency is quite good in terms of sorting, transportation is carried out less than 24 hours after being collected, and processing is carried out using incinerator. This is in accordance with KMK No. HK 01.07/MENKES/537/2020. Meanwhile, what has not been fulfilled is the labeling of plastic bags containing PPE waste because the use of black bags is still found but it is not labeled "biohazard" or a description of COVID19 waste, there are no TPS that meet the requirements in accordance with PermenLHK No. 56 of 2015 for storing Covid19 medical waste before processing it using an incinerator and the lack of awareness of waste transport officers in the use of PPE in carrying out their duties.
Conclusion: The importance of providing biohazard symbols or information on Covid19 waste, socializing officers on the importance of using PPE, accelerating the implementation of making TPS that meet standards and building collaboration with surrounding companies to get support in the form of assistance for activities related to the management of PPE solid medical waste in special Covid19 facilities. 19 can be done well.
Keywords: Covid19, PPE solid medical waste, waste management system
Correspondence: Syarifah Aini. Study Program of Environmental Sciences, Postgraduate School, Universitas Jambi. Jl. Raden Mattaher 21 Pasar Jambi, Kota Jambi, Indonesia. Email: syarifah.22aini@gmail.com. Mobile: +6285266079299.
Journal of Health Policy and Management, (2022), 07(02): 125-138
https://doi.org/10.26911/thejhpm.2022.07.02.04
References
Adhani R (2018). Pengelolaan limbah medis pelayanan kesehatan (Health care medical waste management). Lambung Mangkurat University Press, Banjarmasin. http://eprints.ulm.ac.id/id/eprint/2939
Alfitrah M (2017). Strategi pengelolaan sanitasi lingkungan dalam penyelenggaraan pelabuhan sehat di pelabuhan talang duku jambi (Environmental sanitation management strategy in the implementation of a healthy port at Talang Duku port, Jambi). Tesis,Universitas Jambi. https://doi.org/1/10.22437/jpb.v1i2.5399
Amalia V, Hadisantoso EP, Wahyuni IR, Supriatna AM (2020). Penanganan limbah infeksius rumah tangga pada masa wabah covid19. Jurusan Kimia UIN Sunan Gunung Djati Bandung (Handling household infectious waste during the COVID19 outbreak. Department of Chemistry, UIN Sunan Gunung Djati Bandung). http://digilib.uinsgd.ac.id/id/eprint/30736
Axmalia A, Sinanto RA (2021). Pengelolaan limbah infeksius rumah tangga pada masa pandemic covid19 (Management of household infectious waste during the covid19 pandemic). Jurnal Kesehatan Komunitas 7(1): 7076. DOI: 10.2531/keskom. Vol7. Iss1.857
Departemen Kesehatan (2002). Pedoman sanitasi rumah sakit di indonesia (Guidelines for hospital sanitation in Indonesia). Jakarta.Direktorat Jenderal PPM & PPL dan Direktorat Jenderal Pelayanan Medik. Jakarta.
Hesti Y (2020). Upaya penanganan limbah B3 dan sampah rumah tangga dalam mengatasi pandemi corona sesuai dengan edaran no. Se.2/Menlhk/Pslb3/Plb.3/3/2020 tentang pengelolaan limbah infeksius (limbah B3) dan sampah rumah tangga dari penanganan corona virus disease (covid19) (Efforts to handle B3 waste and household waste in dealing with the corona pandemic in accordance with Circular no. Se.2/Menlhk/Pslb3/Plb.3/3/2020 regarding the management of infectious waste (B3 waste) and household waste from handling corona virus disease (covid19)). Jurnal umitra.ac.id.
Infeksi Emerging Kementrian Kesehatan, 2020. Situasi terkini perkembangan novel corona virus (24 januari 2020) (The latest situation on the development of the novel corona virus (January 24, 2020).). https://infeksiemerging.kemkes.go.id/situasiinfeksiemergin/situasiterkiniperkembangannovelcoronavirus24januari2020
Isykapurnama S, Sarastri D, Hega AM (2021). Potensi teknologi pengolahan limbah berbasis pirolisis dalam penanganan limbah alat pelindung diri yang menumpuk di masa pandemi covid19 (The potential of pyrolysisbased waste treatment technology in handling personal protective equipment waste that has accumulated during the COVID19 pandemic). Journal of Research in Pharmacy 1(1). https://doi.org/10.14710/genres.v1i1.9797
Kasumayanti E (2017). Faktorfaktor yang berhubungan dengan infeksi nosokomial pada pengelola limbah medis padat (cleaning service) di RSUD Bangkinang tahun 2016 (Factors related to nosocomial infections in solid medical waste management (cleaning service) at Bangkinang Hospital in 2016). Jurnal Ners.1 (2); 2017.
Keputusan Menteri (2020). Nomor.HK.01.07/MENKES/537/2020 Tentang pedoman pengelolaan limbah medis fasilitas pelayanan kesehatan dan limbah dari kegiatan isolasi atau karantina mandiri di masyarakat dalam penanganan coronavirus desease 2019 (Covid19),Jakarta (Regarding guidelines for managing medical waste in health care facilities and waste from isolation or selfquarantine activities in the community in handling coronavirus disease 2019 (Covid19), Jakarta).
Pratiwi D, Maharani C (2013). Pengelolaan limbah medis padat pada puskesmas kabupaten pati (Management of solid medical waste at the Pati district health center). Jurnal Kesehatan Masyarakat. http://journal.unnes.ac.id/nju/index.php/ kesmas.
Peraturan Menteri Kesehatan Nomor 7 Tahun 2019 Tentang kesehatan lingkungan rumah sakit. Menteri Kesehatan Republik Indonesia.
Peraturan Menteri Lingkungan Hidup dan Kehutanan Republik Indonesia Nomor.P.56/MENLHKSETJEN/2015 Tentang tata cara dan persyaratan teknis pengelolaan limbah bahan berbahaya dan beracun dari fasilitas pelayanan kesehatan. Menteri Lingkungan Hidup dan Kehutanan Republik Indonesia. Jakarta.
Rachmawati DD, Sulistryorini L, (2018). Timbulan limbah medis padat dan penggunaan alat pelindung diri pada petugas limbah medis rumah sakit X jawa timur (The generation of solid medical waste and the use of personal protective equipment for medical waste officers at X Hospital, East Java). Jurnal Penelitian Higien, 4 (3)
Rangkuti F (2017) . Analisis SWOT: teknik membedah kasus bisnis cara perhitungan bobot, rating, dan OCAI (SWOT analysis: a technique to dissect business cases how to calculate weights, ratings, and OCAI). PT.Centro Inti Media.Jakarta
Raodhah S, Gemely D (2014). Faktorfaktor yang berhubungan dengan penggunaan alat pelindung diri pada karyawan bagian packer PT. semen bosowa maros tahun 2014 (Factors related to the use of personal protective equipment for employees of the packer section of PT. cement bosowa maros 2014). Jurnal : Public Health Science Journal. 6 (2)
Retnaningsing (2020). Ensefalitis pada infeksi corona virus disease 2019 (Covid19) sebuah tinjauan literatur (Encephalitis in infection with coronavirus disease 2019 (Covid19) a literature review). Journal of Clinical Medicine. Medical Hospitali, 7 (1), Semarang.
Sitepu PY, Nurmaini, Dharma S (2015). Sistem pengelolaan limbah medis padat dan cair serta faktorfaktor yang berkaitan dengan pelaksanaan pengelolaan limbah medis padat dan cair di rumah sakit kabanjahe kabupaten karo tahun 2015 (Solid and liquid medical waste management system and factors related to the implementation of solid and liquid medical waste management at Kabanjahe Hospital, Karo Regency in 2015). Universitas Sumatera Utara FKM. Medan.
Soemiarno SS (2020). Penanganan limbah B3 infeksius covid19: analisa gap kapasitas dan alternatif solusi” (Handling COVID19 infectious B3 waste: capacity gap analysis and alternative solutions). disampaikan pada webinar Pengelolaan Limbah Medis B3 Covid19, 28 April 2020.
Supriyanto (2017). Analisis kebijakan pencegahan dan pengendalian kebakaran hutan dan lahan di provinsi jambi (Policy analysis of forest and land fire prevention and control in Jambi province). Tesis. Universitas Jambi. https://doi.org/10.22437/jpb.v1i2.5413.
Surat Menteri Lingkungan Hidup dan Kehutanan Nomor S.167/MENLHK/PSLB3/PLB.3/3/2020. Perihal: Pengelolaan limbah B3 medis pada fasilitas pelayanan kesehatan darurat covid19 (Subject: Management of medical B3 waste at Covid19 emergency health service facilities). Menteri Lingkungan Hidup dan Kehutanan. Jakarta.
Surat Edaran Nomor: SE.2/MENLHK/ PSLB3/PLB.3/3/2020 Tentang Pengelolaan limbah infeksius (limbah B3) dan sampah rumah tangga dari penanganan corona virus disease (Covid19) (Regarding the management of infectious waste (B3 waste) and household waste from handling corona virus disease (Covid19)). Menteri Lingkungan Hidup dan Kehutanan. Jakarta .
Susilo A (2020). Coronavirus disease 2019: tinjauan literatur terkini (Coronavirus disease 2019: a review of the current literature). Jurnal Departemen Ilmu Penyakit Dalam. Fakultas Kedokteran Universitas IndonesiaRSUPN dr. Cipto Mangunkusumo. Jakarta.http://dx.doi.org/10.7454/jpdi.v7i1.415
Wiriani ERE (2018). Analisis kualitas air sungai batanghari berkelanjutan di kota Jambi (Analysis of sustainable Batanghari river water quality in Jambi city). Jurnal Khazanah Intelektual. 2(2). https://doi.org/10.37250/newkiki.v2i2.26
WHO (2020). Infection prevention and control during health care when covid19 is supspected. https://www. who.int/publicationsdetail/infectionpreventionandcontrolduringhealthcarewhennovelcoronavirus(ncov)infectionissuspected2000125
Yanto E (2019). Sistem pengelolaan limbah medis padat puskesmas berkelanjutan di kabupaten tanjung jabung barat dengan studi kasus di puskesmas rawat inap purwodadi, berdasarkan Permen LHK No. P56 /setjenklhk/2015 (The solid medical waste management
system of a sustainable health center in Tanjung Jabung Barat district with a case study at the Purwodadi inpatient health center, based on the Minister of Environment and Forestry Regulation No. P56 /setjenklhk/2015). Universitas Jambi. https://doi.org/10.22437/jpb.v3i2.8880.
Yolarita E, Kusuma DW (2020). Pengelolaan lmbah B3 medis rumah sakit di sumatera barat pada masa pandemi covid19 (Management of hospital medical B3 waste in West Sumatra during the COVID19 pandemic). Jurnal Ekologi Kesehatan 19(3): 148160. https://doi.org/10.22435/jek.v19i3.3913
Zahara R, Effendi S, Khairani N (2017). Kepatuhan penggunaan alat pelindung diri (APD) pada petugas instalasi pemeliharaan sarana dan prasarana rumah sakit (IPRS) (Compliance with the use of personal protective equipment (PPE) for hospital facilities and infrastructure maintenance installation officers (IPRS)). Jurnal Imu Kesehatan. 2(2): 153158. DOI: 10.30604/jika.v2i2.60
Zuhriyani (2018). Study pengelolaan limbah bahan berbahaya dan beracun (B3) berkelanjutan di rumah sakit umum daerah raden mattaher jambi (Study on sustainable management of hazardous and toxic waste (B3) at the Raden Mattaher Jambi general hospital).Universitas Jambi. Jambi. 1(1): 26222310. https://doi.org/10.22437/jpb.v21i1.5101
