Analysis of Hazardous and Toxic Medical Waste Management at Hospital

Main Article Content

Candra Ferdian Handriyanto
Eska Distia Permatasari
Avita Fitri Agustin
Salwa Dwi Sabrina
Triya Amanda Setiawati
Irhamsyah Adji
Ahmad Dwi Septian

Abstract

Hospital X in Surabaya generates various types of hazardous and toxic (B3) medical waste that pose potential risks to healthcare workers, patients, the community, and the environment. This study analyzes the B3 medical waste management process, encompassing source segregation, packaging, storage at the temporary hazardous waste storage facility (TPS B3), transportation, and final treatment by licensed third parties. The results indicate that the hospital has implemented waste management practices in accordance with applicable standards and regulations, supported by auxiliary systems such as a 3R temporary storage facility (TPS 3R) for non-B3 waste and a wastewater treatment plant (WWTP) for liquid waste. Nevertheless, enhanced personnel training and strengthened monitoring are still required to ensure more optimal waste management performance.

Article Details

Section
Articles

References

Aju N. Evaluasi Pengelolaan Limbah Medis Bahan Berbahaya dan Beracun (B3) di RSUD X. Journal of Law and Social Politics. 2023;1(3):223–40.

Anggreni D, Budihardjo MA, Muhammad F. Public perception of the management of medical B3 waste and wastewater at health centers in Rejang Lebong Regency. E3S Web of Conferences. 2025;605:1–10.

Arlinda VP, Windraswara R, Azinar M. Analisis Pengelolaan Limbah Medis. Jurnal Penelitian dan Pengembangan Kesehatan Masyarakat Indonesia. 2022;3(1):52–61.

Azmi NT, Hendrasarie N. Evaluasi Pengelolaan Limbah Medis Padat B3 Rumah Sakit Kelas A, B, C, dan D. Envirous. 2023;3(2):88–92.

Badan Standardisasi Nasional. SNI 3242:2018-Pengelolaan Limbah B3 Rumah Sakit . BSN Jakarta; 2018.

Elvania NC, Purwaningrum SI. Analisis Sistem Pengolahan Limbah Medis Padat Bahan Berbahaya dan Beracun (B3) di Rumah Sakit Bojonegoro. Jurnal Teknik Silitek. 2025;4(20):146–54.

Iswara D, Augia T, Putri NW. Analisis Sistem Pengelolaan Limbah B3 Medis Padat Covid-19 di RSUD Dr. Achmad Mochtar Bukittinggi. Jurnal Keselamatan, Kesehatan Kerja, dan Lingkungan. 2022;3(1):36–44.

Karini AE, Airlangga AS, Permatasari ED, Handriyanto CF, Deviatin NS, Agustin AF. Analisis Bahaya Limbah Medis di Klinik X Gresik. Journal of Industrial Safety and Health [Internet]. 2025;2(2):8–17. Available from: https://journal.univgresik.ac.id/index.php/jish/article/view/735

Kementerian Kesehatan Republik Indonesia. Permenkes Nomor 269/MENKES/Per/III/2008 tentang Rekam Medis dan Pengelolaan Limbah Rumah Sakit. Kemenkes RI Jakarta; 2008.

Kementerian Kesehatan Republik Indonesia. Peraturan Menteri Kesehatan Nomor 7 Tahun 2019 tentang Kesehatan Lingkungan Rumah Sakit. Kemenkes RI Jakarta; 2011.

Kementerian Kesehatan Republik Indonesia. Peraturan Menteri Kesehatan Nomor 7 Tahun 2019 tentang Kesehatan Lingkungan Rumah Sakit. Kemenkes RI Jakarta; 2011.

Kementerian Kesehatan Republik Indonesia. Pedoman Pengelolaan Limbah Medis Fasilitas Pelayanan Kesehatan. Kemenkes RI Jakarta; 2019.

Kementerian Lingkungan Hidup dan Kehutanan. Peraturan Menteri LHK Nomor P.56/MENLHK/SETJEN/KUM 1/2015 tentang Tata Cara dan Persyaratan Teknis Pengelolaan Limbah B3. KLHK Jakarta; 2015.

Larasati A, Riogilang H, Riogilang H. Evaluasi Pengelolaan Limbah Medis Bahan Berbahaya Dan Beracun (B3) Di RSUP Prof. Dr. R. D. Kandou Manado. TEKNO. 2022;20(82):1021–30.

Nasution NA, Chania AP, Komala PS. Evaluasi Pengelolaan Limbah Bahan Berbahaya & Beracun (Limbah B3) di Rumah Sakit. Jurnal Serambi Engineering. 2025;10(2):12794–801.

Pavitasari KK, Najicha FU. Pertanggungjawaban Pihak Ketiga Jasa Pengolah Limbah B3 dalam Mengolah Limbah B3. Tanjungpura Law Journal. 2022;6(1):78–92.

Pemerintah Republik Indonesia. Permen LHK Nomor 12 Tahun 2017 tentang Pengelolaan Limbah Bahan Berbahaya dan Beracun. KLHK Jakarta; 2017.

Permatasari ED. Penanganan Limbah Medis dan Non Medis: Konsep dan Penerapan Kesehatan dan Keselamatan Kerja. 1st edision. Purbalingga: CV Eureka Media Aksara; 2025.

Rochmawati ES, Syarifah DF. Analisis Pengelolaan Limbah Medis Padat di Rumah Sakit Medika Mulia Tuban. Journal of Public Health Science Research (JPHSR). 2022;3(2).

Shareefdeen Z, Babar Z Bin, Haider R, Sattar H, Elkamel A, Bhojwani J, et al. Hazardous Waste Management: Advances in Chemical and Industrial Waste Treatment and Technologies. Vol. 1, Springer Nature. Sharjah; 2022. 1–207 p.

Sidiq AN, Nurkayah N. Analysis of The Impact of Hospital Medical Waste on The Surrounding Environment. Innovative: Journal Of Social Science Research [Internet]. 2023;3(6):7188–99. Available from: https://j-innovative.org/index.php/Innovative/article/view/7293

Sriwinarno H, Jumiati J, Astuti AM. Standar Teknis Sistem Pengelolaan Limbah Rumah Sakit Tipe B Jawa Barat. Jurnal Rekayasa Lingkungan. 2024 Dec 17;24(2):23–8.

Sutanto YS, Karianga K. Hukum Terkait Pengelolaan Limbah Bahan Berbahaya Dan Beracun Medis Rumah Sakit. Jurnal Hukum Kesehatan Indonesia. 2023 Oct 28;3(2):103–15.

Undang-Undang Republik Indonesia. UU No. 44 Tahun 2009 tentang Rumah Sakit. Sekretariat Negara Jakarta; 2009.

Windarti S, Kadir AF. Gambaran Pengelolaan Limbah B3 di RSUD Haji Kota Makassar. Jurnal Penelitian Kesehatan Pelamonia Indonesia. 2022;5(1):109–22.

World Health Organization. Management of Hazardous Health-care Waste in Hospitals. Geneva; 2021.

World Health Organization. Healthcare Waste Management: Global Guidance and Framework. Geneva; 2021.