Abstrak: Pelayanan rumah sakit menghasilkan limbah medis padat yang harus dikelola dengan baik dan komprehensif sejak limbah dihasilkan hingga dikelola di tempat pembuangan akhir. Berdasarkan pengamatan, masih ada petugas kebersihan di Rumah Sakit Haji Jakarta yang tertusuk jarum saat melakukan pengolahan limbah medis yang berarti pengelolaan limbah masih belum optimal dilakukan dan berpotensi menimbulkan dampak kesehatan bagi petugas dan lingkungan sekitar. Penelitian ini bertujuan menganalisis sistem pengelolaan limbah medis padat sesuai dengan Keputusan Kemenkes 1204 tahun 2004. Metode penelitian menggunakan pendekatan kualitatif dengan disain studi kasus. Pendekatan kualitatif dilakukan untuk menganalisis sistem pengelolaan limbah medis di Rumah Sakit Haji Jakarta yang terdiri dari input, proses, output dan rekomendasi. Hasil penelitian menunjukkan bahwa pada faktor input poduksi limbah medis tergolong besar sebesar 128 kg/hari. Pada faktor proses mulai dari pewadahan, tercampur antara limbah medis dan non medis serta benda tajam (jarum suntik), pengangkutan belum menggunakan trolly khusus dan penyimpanan limbah medis belum memenuhi syarat sesuai dengan Kepmenkes 1204 tahun 2014. Oleh karena itu pemilahan (pewadahan) limbah medis yang dimulai dari sumbernya, perilaku petugas dan penyediaan sarana limbah medis menjadi faktor penentu didalam pengelolaan limbah medis sehingga diharapkan dampak resiko kecelakaan kerja dan lingkungan sekitar dapat dikurangi dan bahkan dihindari (zero accident).
Kata Kunci : Limbah Medis Padat, Rumah Sakit Haji

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Hospital services produce solid medical waste that must be managed properly and comprehensively since the waste is produced until it is managed in a landfill. Based on the observation, there is still a janitor at Haji Hospital Jakarta who punctured needle while doing medical waste treatment which mean waste management still not optimal done and have potential to cause health impact for officer and environment. This research discusses solid waste medical management system based on regulation of Ministry of Health No. 1204 2004. The research method used qualitative approach with case study design. A qualitative approach was undertaken to analyze the medical waste management system at Haji Jakarta Hospital consisting of inputs, processes, outputs and recommendations.The results showed that in the input factor of medical waste production is large amounted to 128 kg/day. In process factors starting from containers, mixed between medical and non-medical waste and sharp objects (syringes), transportation has not been using special trolly and medical waste storage has not been eligible according to regulation of Ministry of Health No. 1204 2004. Therefore, the sorting of medical waste starting from the source, the behavior of the officer and the provision of medical waste becomes the determining factor in the management of medical waste, so that it is expected that the impact of occupational accident risk and the surrounding environment can be reduced and avoided (zero accident).
Keywords : Solid Medical Waste, Haji Hospital

Abstrak: Skripsi ini membahas tentang sistem penilaian kinerja karyawan di Rumah SakitHaji Jakarta. Ada sembilan variabel yang diteliti yaitu penilai, karyawan yangdinilai, metode penilaian, instrumen penilaian, periode dan waktu penilaian,pelaksanaan penilaian, pengolahan hasil penilaian, tindak lanjut hasil penilaiandan hambatan dan kendala dalam penilaian. Penelitian ini adalah penelitian kualitatif dengan desain studi kasus. Pengumpulan data dalam penelitian ini menggunakan metode wawancara mendalam dan telaah dokumen. Penelitian ini dilaksanakan selama tiga bulan, yaitu Oktober sampai Desember 2012. Informan dari penelitian ini terdiri dari sembilan orang. Hasil penelitian menunjukkan bahwa sistem penilaian kinerja karyawan di Rumah Sakit Haji Jakarta belum berjalan secara optimal, bias dan subyektivitas dalam penilaian masih tinggi. Berdasarkan hasil penelitian tersebut, penulis menyarankan agar merevisiinstrumen penilaian dengan menambah unsur penilaian yang lebih terukur danstandar yang jelas, dilakukan sosialisasi kepada penilai dan karyawan yang dinilaitentang penilaian kinerja, dalam memberikan penilaian juga bisa dilibatkan atasan,bawahan, dan rekan kerja, penilai dapat membuat catatan khusus setiap karyawanyang dinilai sebagai dasar dalam memberikan penilaian, dan mengoptimalkanpemanfaatan hasil penilaian dengan membuat program pengembangan karyawansesuai dengan kebutuhan karyawan.Kata Kunci: Penilaian Kinerja Karyawan, Rumah Sakit Haji Jakarta.

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The focus of this study is about overview of the employee performance appraisalsystem in Haji Jakarta Hospital. There are nine variabeles studied, namelyappraiser, employees who appraised, appraisal methods, appraisal instrument,time and appraisal period, appraising, processing of appraisal result, follow-upappraisal result, barriers and constraints in appraisal. This research was qualitativeapproach with a design case study. Data collection in this research used in-depthinterviews and document review. This research was conducted in three months,October until December 2012. Informant of this research consists of nine persons.The results of this research showed that the employee performance appraisalsystem in Haji Jakarta Hospital not running optimally, bias and subjectivity inappraisal is still high. Based on these results, the author suggest to revising theappraisal instruments with adding the element of appraisal that is measurable andclearly defined standards, conducted socialization to the appraiser and employeeswho appraised about performance appraisal, in appraising could also be involvedsuperiors, subordinates and peers, appraiser can make special note of anyemployees who is appraised as a basis for appraising, and optimizing the use ofappraisal results by creating employee development programs according to theneeds of the employees.Key Words: Employee Performance Appraisal, Haji Jakarta Hospital.