<![CDATA[The management of hazardous and toxic medical waste (B3) at UPTD Datu Beru Regional General Hospital, Central Aceh Regency, faces an urgent challenge due to the high risk of environmental pollution and cross-infection resulting from segregation errors at the ward level, waste accumulation at the Temporary Storage Facility (TPS), and limitations in external transportation logistics due to the mountainous geographical conditions of the region. This study aims to recapitulate and identify the management flow and dynamics of B3 medical waste generation at UPTD Datu Beru Regional General Hospital. The study employed a qualitative descriptive evaluation design through SOP compliance analysis, monthly quantitative trend analysis, and root cause analysis. Actual waste weight was measured using a calibrated digital scale, supported by Festronik/logbook records, observation sheets based on Minister of Environment and Forestry Regulation No. 56/2015, and structured interviews. The results showed that the total accumulation of B3 medical waste during the January–May 2026 period reached 14,528 kg, with an average generation of 96.8 kg/day or 2,905.6 kg/month. The highest monthly waste generation occurred in January, reaching 3,511 kg (24.17%), while the estimated budget allocation for third-party waste treatment amounted to IDR 726,400,000.00. In conclusion, the monitoring and management system for B3 medical waste has been implemented relatively well, achieving 90% compliance, and has provided legal assurance, environmental protection, and mitigation of nosocomial infection risks. Management is advised to upgrade and reorganize the capacity of the B3 TPS storage area, strengthen source segregation by medical personnel and nurses, intensify supervision and routine education on the use of personal protective equipment (PPE) and SOP compliance by the Hospital Occupational Health and Safety (K3RS) and Infection Prevention and Control (IPC) teams, and improve preparedness for third-party transportation scheduling.]]>
