A determinação da geração de resíduos hospitalares como ferramenta para o gerenciamento: estudo de caso em uma clínica de médio porte

Abstract

To prepare the Health Service Waste Management Plan, it is necessary to know the generation data and characterize the waste. Quantitative analysis makes it possible to evaluate the amount of waste generated in each type of disposal and its characteristics. This work is a diagnosis of the generation of waste from healthcare services in a medium-sized medical clinic, which could serve as an information base for improving a management model. The study was divided into four phases. The first is the acceptance of the project by the Clinic. The second phase includes a visit to the study site, with the aim of learning about the internal and external waste collection/storage service and the generation sectors. The third phase consists of the evaluation of the PGRSS regarding the quantification of waste. In the fourth phase, weighing was carried out for 7 days. The data obtained revealed a total average daily generation of 41.84 kg/day, with 38 kg of class D waste and 3.84 kg of class A, B and E waste. In addition, the average generations by number of service of 129 g/service/day and by number of employees of 520 g/employee/day. The gravimetric composition of waste at the clinic is made up of 90.82% Class D and 9.18% Class A, B and E, and common waste, which is sent to landfill, could be minimized through implementation of selective collection. It is recommended that, if generation increases, it is possible to check the possibility of smaller containers, to reduce the exposure time of waste.