Avaliação do gerenciamento de resíduos de serviços de saúde – estudo de caso em uma clínica no interior da Bahia

Abstract

The surplus final product of the various activities carried out by man is called waste. Among the various types of waste, health service waste (RSS) stands out, due to its risk potential, which needs to be properly managed. This work is a qualitative assessment of RSS management in a medium-sized clinic located in the interior of Bahia. The bases for this assessment were established by ANVISA Resolution No. 306/04 and the proposals for improvements made in accordance with RDC ANVISA No. 222/18. To this end, the studies were divided into four distinct phases: the first consisted of a bibliographical survey, establishment of study authorization and availability of the PGRSS implemented in the clinic. In the second stage, technical visits were carried out at the clinic's facilities, the third stage included weighing the waste and the fourth stage consisted of analyzing the observations made and proposing improvements for the management of RSS in the clinic. It was found that the health establishment contemplates in practice the stages of segregation, packaging and identification, internal transport and collection, temporary storage, external transport and collection, treatment and final disposal of RSS management set out in ANVISA resolutions, however some of these steps are not included in your Health Service Waste Management Plan (PGRSS), and should therefore be added. It was also found that some of these steps do not meet the recommendations described by ANVISA, with some improvements being proposed in the management of RSS and in the facilities, adapting their infrastructure.