Propostas de melhorias a partir do estudo do gerenciamento dos resíduos de um hospital público de Dourados

Abstract

The Health Service Waste (HSW) are those that generate the services of human and animal health care and, due to the high index of danger to human health and the environment, its the generator’s duty to attend the rules established by environmental and hospital legislation in its management. The Health Services Waste Management Plan (HSWMP) is an instrument for the implementation of the National Solid Waste Policy (NSWP) and is used to a greater control of the generated waste by describing all actions related to the management steps of the HSW. A hospital of the public network of the city of Dourados was chosen as object of study, with the objective of making a diagnosis of how the internal process of RSS is occurring and, based on the presented results, to propose actions. The methodology was based on an exploratory evaluative research, contemplating a literature review of cur rent norms and laws on the subject and a documentary analysis of the hospital, such as contracts, bids, programs and plans. The obtained data have been confronted with legislation, and it has been observed that the PGRSS of localities all of the mandatory tasks of management, but allows opportunities for improvement. The segregation and the incorrect packaging allied with a high cost with treatment of the residues waste of those who could be reused gave birth to the proposals of actions and the use of sustainable technology. Thus, it was propose the weekly indicator control, the fines program for incorrect segregation and a consolidated continuing education program and a data management organization. The technology proposals were the reverse logistics of medicines, the waste treatment in the hospital, resulting of an economy projection of 84.9%, as also, organic compounds, which included the subsequent use of vegetable garden for the cultivation of vegetables in hospital meals, minimizing of costs in the purchase of 82.4% of these vegetables. In this way, the understanding of the effective HSW management represents quality of patient care with the mitigation of risks and reduction of environmental and economic impacts.