Gerenciamento de resíduos de serviços de saúde: proposta de redução de risco á saúde pública e ao meio ambiente.

Abstract

The health service is waste material from activities carried out in different institutions, which is increasing daily and that require, in most cases, special care from its generation to its final disposal. This residue even though it represents a small amount when compared to ordinary waste, deserve special attention pose a risk to health and the environment. In this sense this work was to analyze the management of health care waste in a hospital of reference south of Mato Grosso, located in Rondonópolis / MT. The methodology exploratory research was carried out, descriptive, quantitative, observational, cross-sectional field and data collection through a questionnaire with systematic observation. The study site was the Hospital Santa Casa de Misericordia and Maternity Rondonópolis (HSCMMR), a charity which aims to promote health. The population consisted of all employees (681) of the health institution chosen, but the sample consisted of 391 for the evaluation of knowledge and work process on compliance with PGRSS. Data were collected through semi-structured questionnaire from February / 2015 to January / 2016. Another stage of the research was to follow the RSS path from production to final disposal, but it was only possible in the hospital, because the third party gathering, treatment and disposal has not authorized the monitoring of this path. Was classified and quantified RSS produced by the institution for the period 2010 to 2015. In addition, the analysis of the last Plan of Waste Management of Health Services was held. Considering the large amount of data was restricted for this research analysis data collection questionnaire (prioritizing the knowledge of employees on the management of waste from health services), gravimetric rate calculation of the years 2010 to 2015 and the ratio of the amount of RSS 6 years with the amount of work accidents with this type of material during the same period. The study was conducted in accordance with Resolution No. 466/2012 of the National Health Council and only after evaluation of CEP-HUJM and institutional commitment, initiated the development of the research itself. It can be concluded that the knowledge of management of RSS by respondents was satisfactory, especially is necessary to encourage them to participate in more training courses / update on the theme addressed in order to make them more aware of their role in reducing the generation of waste, thus preserving human health and the environment.