Milca Severino Pereira

Waste management in non-hospital emergency units

OBJECTIVE to analyze waste management in urgency and emergency non-hospital health care service units. METHOD Epidemiological cross-sectional study undertaken at three Non-Hospital Emergency Units. The data were collected using systematic observation, registered daily in a spreadsheet and checklist, and analyzed through descriptive statistics. RESULTS the generation of waste varied from 0.087 to 0.138 kg per patient per day. Waste management showed inadequacies in all stages, especially in the separation stage. Infectious waste was found together with common waste, preventing recycling, and piercing and cutting objects were mixed with waste from different groups, increasing the risk of occupational accidents. CONCLUSION the study reveals the lack of an institutional waste management policy, as demonstrated by the failure of operational stages, involving problems related to management, physical structure, material and human resources at the units. This is relevant for health care units, considering the quality of patient care and its interface with sustainability.OBJETIVO: analizar la gestion de los residuos en unidades hospitalarias de emergencias y urgencias. METODO: estudio epidemiologico. Los datos fueron recolectados por observacion sistematica, registrados diariamente en una hoja de calculo y check list y analizados mediante estadistica descriptiva. RESULTADOS: la generacion de residuos vario desde 0,087 hasta 0,138 kg / usuario / dia. La gestion de los residuos mostro deficiencias en todas las etapas, especialmente en la segregacion. Fueron encontrados residuos infecciosos anadidos a los comunes, invalidando el reciclaje, asi como materiales punzantes y cortantes mezclados con los diferentes grupos, amentando el riesgo de accidentes de trabajo. CONCLUSION: el estudio revela la ausencia de una politica institucional para la gestion de los residuos, como lo demuestran las fallas en las medidas operacionales, que implican problemas de gestion, estructura fisica, recursos materiales y humanos de las unidades. Muestra relevancia para los servicios de salud en lo que se refiere a la calidad del servicio para el usuario y su interfaz con la sostenibilidad.

Gerenciamento de resíduos em unidades não hospitalares de urgência e emergência

OBJECTIVE to analyze waste management in urgency and emergency non-hospital health care service units. METHOD Epidemiological cross-sectional study undertaken at three Non-Hospital Emergency Units. The data were collected using systematic observation, registered daily in a spreadsheet and checklist, and analyzed through descriptive statistics. RESULTS the generation of waste varied from 0.087 to 0.138 kg per patient per day. Waste management showed inadequacies in all stages, especially in the separation stage. Infectious waste was found together with common waste, preventing recycling, and piercing and cutting objects were mixed with waste from different groups, increasing the risk of occupational accidents. CONCLUSION the study reveals the lack of an institutional waste management policy, as demonstrated by the failure of operational stages, involving problems related to management, physical structure, material and human resources at the units. This is relevant for health care units, considering the quality of patient care and its interface with sustainability.OBJETIVO: analizar la gestion de los residuos en unidades hospitalarias de emergencias y urgencias. METODO: estudio epidemiologico. Los datos fueron recolectados por observacion sistematica, registrados diariamente en una hoja de calculo y check list y analizados mediante estadistica descriptiva. RESULTADOS: la generacion de residuos vario desde 0,087 hasta 0,138 kg / usuario / dia. La gestion de los residuos mostro deficiencias en todas las etapas, especialmente en la segregacion. Fueron encontrados residuos infecciosos anadidos a los comunes, invalidando el reciclaje, asi como materiales punzantes y cortantes mezclados con los diferentes grupos, amentando el riesgo de accidentes de trabajo. CONCLUSION: el estudio revela la ausencia de una politica institucional para la gestion de los residuos, como lo demuestran las fallas en las medidas operacionales, que implican problemas de gestion, estructura fisica, recursos materiales y humanos de las unidades. Muestra relevancia para los servicios de salud en lo que se refiere a la calidad del servicio para el usuario y su interfaz con la sostenibilidad.

Biological risk among hospital housekeepers.

Abstract Although not directly responsible for patient care, hospital housekeepers are still susceptible to accidents with biological material. The objectives of this study were to establish profile and frequency of accidents among hospital housekeepers, describe behaviors pre- and postaccident, and risk factors. This was a cross-sectional study with hospital housekeepers in Goiania, Brazil. Data were obtained from interviews and vaccination records. The observations were as follows: (1) participating workers: 94.3%; (2) incomplete hepatitis B vaccination: 1 in 3; and (3) accident rate: 26.5%, mostly percutaneous with hypodermic needles, and involved blood from an unknown source; roughly half occurred during waste management. Upon review, length of service less than 5 years, completed hepatitis B vaccination, and had been tested for anti-HBs (hepatitis B surface antigen) influenced frequency of accidents. These findings suggest that improper disposal of waste appears to enhance the risk to hospital housekeepers. All hospital workers should receive continued training with regard to waste management.

Description and molecular characterization of metallo-β-lactamase SPM-1 in Pseudomonas aeruginosa clinical strains from Goiânia, Brazil

The increasing prevalence of bacterial resistance calls for special attention since it restricts the number of available therapeutic options. The aim of this...

ACIDENTES COM MATERIAL BIOLÓGICO EM SERVIÇOS DE URGÊNCIA E EMERGÊNCIA

ABSTRACT Objective: To analyse cases of biological material accident among nursing staff in emergency areas. Method: Exploratory research held May and July 2009, with approval by the Ethics Committee (No 065/08, 12/08 and 118/08). Two checklist were used for data collection. Results: Eight accidents occurred, and the most involved * Enfermeira. Doutora em Enfermagem. Docente do Instituto Federal de Educacao, Ciencia e Tecnologia de Goias. Campus Goiânia Oeste. Goiânia-Goias-Brasil. Email: katiane2303@gmail.com ** Enfermeira. Doutora em Enfermagem. Docente da Faculdade de Enfermagem da Universidade Federal de Goias. Goiâ-nia-Goias-Brasil. Email: anaclara.fen@gmail.com *** Enfermeira. Doutora em Enfermagem. Coordenadora do Programa de Mestrado em Atencao a Saude da Pontificia Uni-versidade Catolica de Goias. Goiânia-Goias-Brasil. Email: adeniciafen@gmail.com **** Enfermeira. Doutora em Enfermagem. Pro-Reitora de Pos-Graduacao e Pesquisa da Pontificia Universidade Catolica de Goias. Goiânia-Goias-Brasil. Email: milcaseverino@gmail.com

ACCIDENTS WITH BIOLOGICAL MATERIAL IN URGENCY AND EMERGENCY SERVICES

ABSTRACT Objective: To analyse cases of biological material accident among nursing staff in emergency areas. Method: Exploratory research held May and July 2009, with approval by the Ethics Committee (No 065/08, 12/08 and 118/08). Two checklist were used for data collection. Results: Eight accidents occurred, and the most involved * Enfermeira. Doutora em Enfermagem. Docente do Instituto Federal de Educacao, Ciencia e Tecnologia de Goias. Campus Goiânia Oeste. Goiânia-Goias-Brasil. Email: katiane2303@gmail.com ** Enfermeira. Doutora em Enfermagem. Docente da Faculdade de Enfermagem da Universidade Federal de Goias. Goiâ-nia-Goias-Brasil. Email: anaclara.fen@gmail.com *** Enfermeira. Doutora em Enfermagem. Coordenadora do Programa de Mestrado em Atencao a Saude da Pontificia Uni-versidade Catolica de Goias. Goiânia-Goias-Brasil. Email: adeniciafen@gmail.com **** Enfermeira. Doutora em Enfermagem. Pro-Reitora de Pos-Graduacao e Pesquisa da Pontificia Universidade Catolica de Goias. Goiânia-Goias-Brasil. Email: milcaseverino@gmail.com

ACCIDENTES CON MATERIAL BIOLÓGICO EN LOS SERVICIOS DE URGENCIA Y EMERGENCIA

ABSTRACT Objective: To analyse cases of biological material accident among nursing staff in emergency areas. Method: Exploratory research held May and July 2009, with approval by the Ethics Committee (No 065/08, 12/08 and 118/08). Two checklist were used for data collection. Results: Eight accidents occurred, and the most involved * Enfermeira. Doutora em Enfermagem. Docente do Instituto Federal de Educacao, Ciencia e Tecnologia de Goias. Campus Goiânia Oeste. Goiânia-Goias-Brasil. Email: katiane2303@gmail.com ** Enfermeira. Doutora em Enfermagem. Docente da Faculdade de Enfermagem da Universidade Federal de Goias. Goiâ-nia-Goias-Brasil. Email: anaclara.fen@gmail.com *** Enfermeira. Doutora em Enfermagem. Coordenadora do Programa de Mestrado em Atencao a Saude da Pontificia Uni-versidade Catolica de Goias. Goiânia-Goias-Brasil. Email: adeniciafen@gmail.com **** Enfermeira. Doutora em Enfermagem. Pro-Reitora de Pos-Graduacao e Pesquisa da Pontificia Universidade Catolica de Goias. Goiânia-Goias-Brasil. Email: milcaseverino@gmail.com

Manejo de residuos en las unidades no hospitalarias de urgencia y emergencia

OBJECTIVE to analyze waste management in urgency and emergency non-hospital health care service units. METHOD Epidemiological cross-sectional study undertaken at three Non-Hospital Emergency Units. The data were collected using systematic observation, registered daily in a spreadsheet and checklist, and analyzed through descriptive statistics. RESULTS the generation of waste varied from 0.087 to 0.138 kg per patient per day. Waste management showed inadequacies in all stages, especially in the separation stage. Infectious waste was found together with common waste, preventing recycling, and piercing and cutting objects were mixed with waste from different groups, increasing the risk of occupational accidents. CONCLUSION the study reveals the lack of an institutional waste management policy, as demonstrated by the failure of operational stages, involving problems related to management, physical structure, material and human resources at the units. This is relevant for health care units, considering the quality of patient care and its interface with sustainability.OBJETIVO: analizar la gestion de los residuos en unidades hospitalarias de emergencias y urgencias. METODO: estudio epidemiologico. Los datos fueron recolectados por observacion sistematica, registrados diariamente en una hoja de calculo y check list y analizados mediante estadistica descriptiva. RESULTADOS: la generacion de residuos vario desde 0,087 hasta 0,138 kg / usuario / dia. La gestion de los residuos mostro deficiencias en todas las etapas, especialmente en la segregacion. Fueron encontrados residuos infecciosos anadidos a los comunes, invalidando el reciclaje, asi como materiales punzantes y cortantes mezclados con los diferentes grupos, amentando el riesgo de accidentes de trabajo. CONCLUSION: el estudio revela la ausencia de una politica institucional para la gestion de los residuos, como lo demuestran las fallas en las medidas operacionales, que implican problemas de gestion, estructura fisica, recursos materiales y humanos de las unidades. Muestra relevancia para los servicios de salud en lo que se refiere a la calidad del servicio para el usuario y su interfaz con la sostenibilidad.