Cara Kerja Aman (Job Safety Procedure) Pada Fasilitas Pelayanan Kesehatan

Pada saat kapan anda harus melakukan pembersihan, desinfeksi atau sterilisasi?

Sesuai hirarki pengendalian resiko, pada saat kapan anda melaukan eliminasi, subtitasi atau bahkan tidak melakukan keduanya ?

Bagaimana penanganan laundri,Sprei dan pakaian medis yang terinfeksi ?

Keselamatan hal mutlak yang dibutuhkan oleh setiap pekerja, termasuk pada fasilitas pelayanan kesehatan. Pekerja pada fasilitas kesehatan memiliki resiko bahaya yang tinggi, baik bahaya kimia, fisika dan biologis. Pekerja pada fasilitas kesehatan selalalu beraktifitas dengan pasien dan keluarga pasien yang dapat menjadi sumber bahaya bagi pekerja. Berdasarkan buku panduan keselamatan dan kesehatan pekerja pada pelayanan kesehatan yang diterbitkan oleh ILO & WHO , terdapat beberapa cara bekerja aman yang sering digunakan pada fasilitas kesehatan. Cara kerja tersebut dapat meminimalisir resiko bagi pekerja sehingga pekerja dapat terbebas dari bahaya penyakit yang mungkin menular kepada pekerja.

http://www.scribd.com/doc/211443763/Job-Safety-Procedure

Green Hall, The Combination Of Nature, Culture And Investment In Disaster Management

Global Innovation Challencge. Socialab And Unicef Come Together To Promote A Culture Of Social Innovation And Entrepreneurship That Contributes To Developing Solu­tions For The First 72 Hours After A Humanitarian Disaster.

KHAIRIL ARDHI A.M.KL

Sanitarian at Port Heallth Office Class III Dumai

Directorate General CDC and Environment Health

Minsitr Of Health Republic of Indonesia

Background

Disaster have a major impact on social and economic conditions. However,these impacts can be minimized by reducing exposure to use traditional and new strategies in disaster management. Disasters have occurred giving experience and serve as guidelines for improving resilience in the face of impending disaster.Natural disaster include evemts such as earthquakes, lansides, storm and etc. ptionsLosses and costs incurred as a result of very large disasters,economic activity , education and so forth can be stopped immediately. Disasters can happen at any place and any time so that people do not see the need to be alert to disasters in communities especially in disaster  prone  area. Disaster management should be done as soon as possible, evacuation of casualties is most important to be done. People are very susceptible to psychological disorders and health at the time of the disaste, the situation is normal because they are in a condition far from safety, comfort and convenience limitations in activity. In disaster situation required a healthy shelter, sanitation facilities that meet the health requirements ,sources of healthy food and adequate nutrition, as well as the availability of energy. Of course this need not be perfect to be available but the availability of it in the beginning is very useful for disaster victims. An idea can be used to meet the needs of the victims are with the development of Green Jambur(Green Hall).

Green Jambur (Green Hall) 

I have adopted this idea and I modification of traditional building called Jambur. Jambur is a traditional building which is indigenous or local wisdom inkaro tribe at Karo Regency , Indonesia. Jambur is a traditional building which large is used by indigenous people for events such as weddings, events and suave death in Karo tribe. Jambur is not for residential buildings because the building is not walled. Jambur contained in each village or village. In this Jambur available various facilities, such as warehouses, kitchen, bathroom and a little open land for customary activities for outdoors activities.

At the time of the eruption of Mount Sinabungoccurred in Karo District. The affected communities were evacuated to Jambur as temporary shelter. In the process of disaster management, Jambur very helpful because Handling Team no longer need to build camps with large quantities, have provided sanitation facilities such as bathrooms, lavatories and waste water disposal. In addition, Jambur also has a kitchen that can be used as an emergency kitchen.

The addition of Jambur as a means to create a better evacuation.These additions can make Jambur as a perfect shelter while maintaining local wisdom. The addition of these facilities can be referred to the concept of Green Jambur. That Jambur combines nature and culture for disaster management. Its activities, Green Jambur can also be managed with business principles. People who use Jambur Green Green Jambur can rent for wedding purposes, traditional parties, exhibitions and many other events.

Green Jambur brought the idea to the availability of facilities from natural and local knowledge to disaster management. Green Jambur concept in disaster is the availability of food  security, safe sanitation facilities, energy security in times of disaster. Jambur this green concept can be described as follows :

1. Sanitation facilities 
1. Clean water. Water is a vital need during a disaster . Clean water can be found from groundwater or river. If the quality is not the health requirements can do simple processing when a disaster such as slow sand filters or chlorination by providing small pools or ponds oxidation. Available as a rainwater tank which large size can help water needs in times of disaster . The water tank can be built under the ground with a large size so it does not reduce the land area. The availability of rain water in the water tank can be a backup in the event of a disaster.
   
2. Waste Management.Liquid waste management systems are centralized wastewater management . Liquid waste from the kitchen, bathroom and water close managed centrally so that the processing can produce energy like methane gas. The gas can be used for cooking and as fuel to turn an electric generator. Liquid waste treatment can be done with a septic tank, anaerobic and aerobic ponds and pools oxidation. Energyresulting from the management of the waste can be stored as energy reserves in the event of a disaster so that activities on the refuge can run well. While solid waste management can be done with composting that the results can be used as fertilizer for plants that exist on the jambur area.
2. Food Security. At the time of the disaster could  isolation off access to location so that the food supply is not up to localized disasters . To overcome this, the availability of food crops in the area around Jambur can help the availability of food at the beginning of the disaste . Food crops that can be planted to grain , rootand other plants that can be adapted to the local food on the affected communities.
3. Energy Security . Energy is the source of activity at the time of the disaster . electricity and fuel into the lifeblood of activity . Without their activity can nott walk normally . Access is interrupted when a disaster causes the fuel supply stopped and the disaster can also damage the existing power generation facilities in the disaster area . With Green Jambur concep , the presence of energy management can be a source of energy reserves in times of disaster . energy generated from management of liquid waste can be collected in the form of methane gas that can be managed alternative energy at the time of the disaster . in addition, methane gas that can be used to turn electrical generators . With this, the energy requirements can be met during a disaster.