Gestão de resíduos de serviços de saúde: estudo de caso no Hospital Municipal Esaú Matos, Vitória da Conquista, Bahia

Abstract

This study addresses the management of health care waste produced by the Municipal Hospital Esau Matos, located in Vitória da Conquista in Bahia. This research is a case study, exploratory, on the implementation of waste legislation for health services. The overall objective of this research is to evaluate the status of management of health care waste in Esau Matos Hospital in the city of Vitoria da Conquista, confronted with the laws of the National Health Surveillance Agency (ANVISA) RDC 306/2004 and Resolution 358 / 2005 of the National Council for the Environment (CONAMA). During site visits was a questionnaire, which was prepared by the methodology used in the resolutions 306/2004 of ANVISA and Resolution 358/2005 of CONAMA. The study and according to current standards, it was observed that the hospital produces waste that are classified as group A waste - biological, group B - chemical, D group - common and group E - sharps. It was found that the hospital does not have a Health Plan Services Waste Management (PGRSS) and the internal management of waste needs to be reassessed in order to correct the disagreements. The practices carried out as identification, segregation, packaging, internal transport, final packaging and waste under are not in accordance with current legislation. Thus, inadequate management of this waste increases the risk of accidents, cause contamination risks that cause negative effects to the environment, through spoilage environmental impacts of plant and animal life. But this risk can be controlled when taken the necessary precautions by applying techniques described in the current legislation and through the use of personal protective equipment and collective, PPE and EPCs, suitable to the process undertaken in waste management. Given the results found in the research proposals and mitigation measures for improvement of waste management were prepared.