PGRSS Application in a Public Hospital Unit of Manaus and its Sustainability Characteristics
DOI:
https://doi.org/10.31686/ijier.vol7.iss11.1915Keywords:
Environment, Solid waste, Management planAbstract
Solid waste from health services, the so-called “hospital waste”, has high risks to society and the environment. Because of this, it was necessary to create legislation that would indicate a whole treatment, seeking impact resolution without losing the quality of care provided. Thus are in force the CONAMA Resolutions 358/05, RDC ANVISA 222/18 and Law 12.305 / 10 that deal with health service waste management (SSR) steps and their management, defining the conduct of SSR agents to prevent and properly treat waste with potential contamination. This requires that every institution implements these safe-conduct strategies in the handling, storage, transportation, treatment and final disposal of SSR. In this research, the steps proposed by the Health Care Waste Management Plan (PGRSS) were analyzed: (segregation, packaging, identification, internal transport, temporary storage, treatment, external storage, collection and external transportation and final disposal). in a public hospital unit, located in the city of Manaus, by observing and describing the practices performed in the unit, resulting in 8 stages out of 9, which were presented, obtained satisfactory conditions in compliance with the legislation. What needs improvement in order to meet conditions responsive to legislation is local segregation. Another issue observed was related to sustainable responsibility, which hospital unit has. When adopting sustainable practices, there should be interactions of activities and awareness of all entities, which is already observed in this specific hospital unit, with sustainable practices based on certification because it meets the importance of the relationship with the environment, seeking to obtain increasingly satisfactory results, not only to respond to the legislative condition.
References
[2] COSTA; FONSECA. A importância do gerenciamento dos resíduos hospitalares e seus aspectos positivos para o meio ambiente. In. Revista Brasileira de Geografia Médica e da Saúde. p. 12 – 31, dez/2009.
[3] ABNT NBR 10.004/1987 (1987). Classifica os Resíduos Sólidos quanto aos riscos potenciais ao meio ambiente e à saúde pública. Associação Brasileira de Normas Técnicas. Brasília, DF, Brasil.
[4] BRASIL. Agência Nacional de Vigilância Sanitária. Manual de gerenciamento de resíduos de serviços de saúde. Brasília: Ministério da Saúde, 2006.
[5] ABNT NBR 10.004/2004 (2004). Resíduos Sólidos: classificação. Associação Brasileira de Normas Técnicas. Rio de Janeiro, RJ, Brasil.
[6] NODARI; REIS; RIZZON. Desafio no gerenciamento de resíduos em serviços públicos de saúde. In. Revista de Gestão em Sistemas de Saúde – RGSS, Vol. 4, N. 1. Janeiro/Junho. 2015. Disponível em: < http://www.revistargss.org.br/ojs/index.php/rgss/article/view/141>. Acesso em jun 2019.
[7] BRASIL. Agência Nacional de Vigilância Sanitária. Resolução nº 222, de 28 de março de 2018. Ministério da Saúde, Brasília, DF, p. 61, mar. 2018. Disponível em: < http://portal.anvisa.gov.br/documents/10181/3427425/RDC_222 _2018_. pdf/c5d3081d-b331-4626-8448-c9aa426ec410 >. Acesso em: 15 maio. 2019.
[8] CONAMA. Conselho Nacional do Meio Ambiente. Resolução nº 358, de 29 de abril de 2005. Diário Oficial da União, Brasília, DF, p. 63-65, abr. 2005. Disponível em: < http://www2.mma.gov.br/port/conama/legiabre.cfm?codlegi=462 >. Acesso em: 15 maio. 2019.
[9] PEREIRA, S.S. Resíduos de serviço de saúde: definição, classificação e legislação. In: Âmbito Jurídico, Rio Grande, XIV, n. 93, out 2011.
[10] CAFURE; GRACIOLLI. Os resíduos de serviço de saúde e seus impactos ambientais: uma revisão bibliográfica. In. INTERAÇÕES, Campo Grande, v. 16, n. 2, p. 301-314, jul./dez. 2015.
[11] FERREIRA, J. A. Solid Waste and Nosocomial Waste: An Ethical Discussion. Cad. Saúde Públ., Rio de Janeiro, 11 (2): 314-320, Apr/Jun, 1995.
[12] FANTINATO, M. Métodos de pesquisa. Apresentação de aula, USP 2015.
[13] GIL, A. C. Métodos e técnicas de pesquisa social. 5.ed. São Paulo: Atlas, 2017.
[14] BRASIL. Lei nº 12.305, de 02 de agosto de 2010. Institui a Política Nacional de Resíduos Sólidos e dá outras providências, 2010.
[15] BENTO; COSTA; LUZ; CLOCK. O gerenciamento de resíduos de serviço de saúde sob a ótica dos profissionais de enfermagem. In. Texto Contexto Enferm, 2017; 26(1): e6680015. Disponível em:<http://www.scielo.br/scielo.php?pid =S0104070720 17000100313&script=sci_arttext&tlng=pt>. Acesso em jun 2019.
[16] BRASIL. Ministério do Meio Ambiente. Resolução CONAMA nº 237, de 19 de dezembro de 1997. Dispõe sobre a revisão e complementação dos procedimentos e critérios utilizados para o licenciamento ambiental. Disponível em: http://www.mma.
gov.br/ port/conama/legiabre.cfm?codlegi=237
[17] BRASIL. Resolução CONAMA nº 316, de 29 de outubro de 200 Dispõe sobre procedimentos e critérios para o funcionamento de sistemas de tratamento térmico de resíduos. DOU n. 224, de 20 de novembro de 2002, Seção 1, páginas 92-95
[18] CHUMBO GROSSO. Hospital Público Amazonense recebe 2 certificações internacionais de Qualidade ISO 9001-2015 e Selo AQUA-HQE. Publicação, Manaus 18 de out de 2019. Disponível em: < https://chumbogrossomanaus.com.br/saude-publica/hospital-publico-amazonense-recebe-2-certificacoes-internacionais-de-qualidade-iso-9001-2015-e-o-selo-aqua-hqe/ >. Acesso em: 20 de out de 2019.
[19] ABRELPE. Panorama dos Resíduos Sólidos no Brasil, 2017. Disponível em: < http://abrelpe.org.br/download-panorama-2017/>. Acesso em jun 2019.
Downloads
Published
Issue
Section
License
Copyright (c) 2019 Tatiane Gomes Ferreira, Fabiana Rocha Pinto, David Barbosa de Alencar, Manoel Henrique Reis Nascimento
This work is licensed under a Creative Commons Attribution-NoDerivatives 4.0 International License.
Copyrights for articles published in IJIER journals are retained by the authors, with first publication rights granted to the journal. The journal/publisher is not responsible for subsequent uses of the work. It is the author's responsibility to bring an infringement action if so desired by the author for more visit Copyright & License.
How to Cite
Most read articles by the same author(s)
- Andreza Pinto de Oliveira, Fabiana Rocha Pinto, David Barbosa de Alencar, Gisele de Freitas Lopes, Analysis of the Off-Grid Solar Energy Implementation in the Aracari Community in Novo Airão - Amazonas , International Journal for Innovation Education and Research: Vol. 7 No. 11 (2019): International Journal for Innovation Education and Research
- Rilmar Pereira Gomes, Brendo Corrêa dos Santos, Douglas Vinicius Silva dos Santos, Elias Cardoso de Araújo Silva, Kaian Soares De Sousa Meireles, Hemerson Allan Silva de Moraes, David Barbosa de Alencar, Benefits of Assistive Technology for Children with Monoplegic Motor Disabilities , International Journal for Innovation Education and Research: Vol. 10 No. 7 (2022): International Journal for Innovation Education and Research
- Mariana Ribeiro Alves, Mazurkevs Matos dos Santos, Igor Bezerra de Lima, David Barbosa de Alencar, Proposal for a Polysportive Framework with a Community Center Integrated in Petrópolis - Manaus-AM , International Journal for Innovation Education and Research: Vol. 7 No. 10 (2019): International Journal for Innovation Education and Research
- Gessica de Castro Mendes, Lucas Barbosa de Castro Delgado, Igor Bezerra de Lima, David Barbosa de Alencar, Feasibility Study on the Use of Cold Premixed Asphalt in Coari - AM , International Journal for Innovation Education and Research: Vol. 7 No. 10 (2019): International Journal for Innovation Education and Research
- Alessandro Figueiredo da Silva, Fabiana Rocha Pinto, David Barbosa de Alencar, Ricardo Silva Parente, Management System Design Using Smart-Grids in Manaus , International Journal for Innovation Education and Research: Vol. 7 No. 11 (2019): International Journal for Innovation Education and Research
- Marco Antônio Brandão, Fabiana Rocha Pinto, David Barbosa de Alencar, Manoel Henrique Reis Nascimento, An analysis of the compliance aspects of NR 10: a case study in a substation of the Manaus Metropolitan Region - AM , International Journal for Innovation Education and Research: Vol. 7 No. 11 (2019): International Journal for Innovation Education and Research
- Fernanda Yakushijin Gomes dos Santos, David Barbosa de Alencar, Alexandra Priscilla Tregue Costa, Marden Eufrasio dos Santos, Air Conditioner Production Failure Analysis Techniques , International Journal for Innovation Education and Research: Vol. 7 No. 10 (2019): International Journal for Innovation Education and Research
- Gisele de Freitas Lopes, Manoel Henrique Reis Nascimento, Alexandra Amaro de Lima, Nadime Mustafa Moraes, José Roberto Lira Pinto Júnior, Ana Priscila Barbosa de Alencar, David Barbosa de Alencar, Application of the nonlinear autoregressive model with exogenous inputs for river level forecast in the Amazon , International Journal for Innovation Education and Research: Vol. 10 No. 3 (2022): International Journal for Innovation Education and Research
- Wallace Cevalho da Silva, Rândrea Grazziella Verçosa Guimarães, Fabiana Rocha Pinto, David Barbosa de Alencar, Gisele de Freitas Lopes, Evaluation of environmental changes as a function of climatic variables from 2008 to 2018 in the city of Manaus - Amazonas , International Journal for Innovation Education and Research: Vol. 7 No. 11 (2019): International Journal for Innovation Education and Research
- João Batista Lopes Gonçalves Junior, Livia da Silva Oliveira, David Barbosa de Alencar, Jorge de Almeida Brito Junior, Electric Energy Reuse of Plastic Injection Machine Motors for Lighting Circuit in a Manaus-Amazonas Industrial Pole Company , International Journal for Innovation Education and Research: Vol. 7 No. 10 (2019): International Journal for Innovation Education and Research