Gestão de resíduos dos serviços de saúde / RSS: o caso do hospital universitário Alcides Carneiro.

Abstract

Waste of health services (RSS) represent a significant portion of municipal solid waste, not so much in terms of volume, but the risks that are present in them and that can affect public health, because their pathogenic characteristics. Because of biological risks, these residues require a specific management through a proper management, as a way of avoiding the generation of environmental liabilities. The National Agency for Sanitary Surveillance – ANVISA, with Board Resolution – RDC nº 306, of December 2004, and the National Council of the Environmental – CONAMA, with Resolution nº. 358, May 2005, provide for the technical regulation for managing RSS. A waste management plan of health services (PGRSS), being deployed in a healthcare facility, has a direct consequence of the decrease in the share infectious or dangerous to the environment and people’s health. Given the above, the main objective of this work is to analyze the management considering the perceptions of the different actors involved. The research can be characterized as descriptive and exploratory and used the case study method. The data collection instruments used were the questionnaire, semi-structured interviews and participant observation active, secondary data were also used. The research subjects were the actors involved in the management of RSS (servers health, outsourced employees of hygiene, community, managers and regulatory agencies). The results showed that there are discontinuities legal matters related to the management of RSS, mainly caused by the inadequacy of the Plan of Waste Management of Health Services, which did not meet current legislation, do not press the preservation of public health and the environment and not promotes compliance with the steps for managing RSS; management incurs the low involvement of stakeholders, lack of training in these generating incorrect segregation in inadequate resulting in low involvement of actors, also due to lack of training, inadequate physical infrastructure/technology physical infrastructure/technology in higher costs to the treatment of RSS and lack of standardization and lack standardization of management procedures of RSS, incurring the weakening of the management of the HUAC RSS.