Sergiane Bisinoto Alves

Manejo de resíduos gerados na assistência domiciliar pela Estratégia de Saúde da Familia

This study aimed to analyze the management of waste generated by home care. Data were collected through observation of care provided by professionals and users and/or caregivers. Data were recorded on a checklist developed according to the recommendations of RDC 306. The following wastes were generated: syringes (38.1%), needles (36.5%), adhesive plasters (31.7%), gauze (31.7%) and lancets (28.5%). The residues of group A were not segregated in all opportunities and group E were segregated 100% and 10.5% by professionals and users, respectively. It is concluded that, given the inadequacies found, wide collective discussion is required for the proposal of public policies that address the specific waste management of home health services, aiming to provide safety to workers, community and the environment.O estudo objetivou analisar o manejo dos residuos gerados pela assistencia domiciliar. A coleta de dados ocorreu pela observacao da assistencia prestada pelos profissionais e usuarios e/ou cuidadores. Os dados foram registrados em check list construido conforme recomendacoes da RDC 306. Os residuos gerados foram: seringas (38,1%), agulhas (36,5%), esparadrapos (31,7%), gazes (31,7%) e lancetas (28,5%). Os residuos do grupo A nao foram segregados em todas as oportunidades e os do grupo E foram segregados 100% e 10,5% pelos profissionais e usuarios, respectivamente. Conclui-se que, diante das inadequacoes encontradas, e necessaria uma ampla discussao coletiva para a proposta de politicas publicas que atendam as especificidades do manejo dos residuos de servicos de saude nos domicilios, com intuito de dar seguranca aos trabalhadores, comunidade e ambiente.

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.

The reality of waste management in primary health care units in Brazil

A large number of users are serviced in primary health care units in Brazil, both in health facilities and in households. These services generate waste that must be managed safely, but there is no legislation that regulates this type of waste management in Brazil. The objective of this study was to analyse the production and management of waste in primary health care. A direct observation was performed of the stages in the handling and weighing of waste generated in primary health care units in the municipality of Goiânia (Brazil). The units generated infectious, chemical, and common waste, as well as sharp objects. The generation of waste ranged between 0.027 and 0.075 kg user-day. The generated waste was classified mostly as common and recyclable. Flaws were observed in the management of all types of waste. The critical point is segregation. Only 34.1% of the waste disposed of as infectious actually belonged to this group, the rest was ordinary waste. Flaws at this stage increase the volume of infectious waste, the occupational and environmental risks, and associated costs. Intervention to change this reality is needed and it requires the careful preparation of a waste management plan, corroborating structural changes to the implementation of this plan, and professional training and public policies to guide waste management in primary care, especially those generated in households.

Hospital housekeepers: Victims of ineffective hospital waste management

ABSTRACT Improper waste management exposes hospital housekeepers to biological risk. The objectives of this study were to identify the frequency and profile of exposure incidents, classify the role of sharps waste, and compare the first and last occurrences for hospital housekeepers with multiple exposure incidents. A retrospective epidemiological study using Brazilian records from 1989 to 2012 was conducted. Data analyzed included hospital treatment records and the state notification database. Probabilistic linkage was performed using LinkPlus and data analysis using SPSS. There were 996 (11.6%) injuries, with 57 (6.1%) workers reporting multiple occurrences, for a total of 938 workers. These were primarily needlestick injuries (98.5%), involving blood (85.6%), caused by hypodermic needles (75.1%), and improper sharps disposal (70.8%). The number of workers completing vaccination after their first injury and before their last injury was statistically significant. Additional efforts to prevent and manage exposure incidents are needed.

Management of waste generated in home care by the Family Health Strategy

This study aimed to analyze the management of waste generated by home care. Data were collected through observation of care provided by professionals and users and/or caregivers. Data were recorded on a checklist developed according to the recommendations of RDC 306. The following wastes were generated: syringes (38.1%), needles (36.5%), adhesive plasters (31.7%), gauze (31.7%) and lancets (28.5%). The residues of group A were not segregated in all opportunities and group E were segregated 100% and 10.5% by professionals and users, respectively. It is concluded that, given the inadequacies found, wide collective discussion is required for the proposal of public policies that address the specific waste management of home health services, aiming to provide safety to workers, community and the environment.O estudo objetivou analisar o manejo dos residuos gerados pela assistencia domiciliar. A coleta de dados ocorreu pela observacao da assistencia prestada pelos profissionais e usuarios e/ou cuidadores. Os dados foram registrados em check list construido conforme recomendacoes da RDC 306. Os residuos gerados foram: seringas (38,1%), agulhas (36,5%), esparadrapos (31,7%), gazes (31,7%) e lancetas (28,5%). Os residuos do grupo A nao foram segregados em todas as oportunidades e os do grupo E foram segregados 100% e 10,5% pelos profissionais e usuarios, respectivamente. Conclui-se que, diante das inadequacoes encontradas, e necessaria uma ampla discussao coletiva para a proposta de politicas publicas que atendam as especificidades do manejo dos residuos de servicos de saude nos domicilios, com intuito de dar seguranca aos trabalhadores, comunidade e ambiente.

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.

Gestión de residuos generados en la atención domiciliaria prestada por la Estrategia de Salud de la Familia

This study aimed to analyze the management of waste generated by home care. Data were collected through observation of care provided by professionals and users and/or caregivers. Data were recorded on a checklist developed according to the recommendations of RDC 306. The following wastes were generated: syringes (38.1%), needles (36.5%), adhesive plasters (31.7%), gauze (31.7%) and lancets (28.5%). The residues of group A were not segregated in all opportunities and group E were segregated 100% and 10.5% by professionals and users, respectively. It is concluded that, given the inadequacies found, wide collective discussion is required for the proposal of public policies that address the specific waste management of home health services, aiming to provide safety to workers, community and the environment.O estudo objetivou analisar o manejo dos residuos gerados pela assistencia domiciliar. A coleta de dados ocorreu pela observacao da assistencia prestada pelos profissionais e usuarios e/ou cuidadores. Os dados foram registrados em check list construido conforme recomendacoes da RDC 306. Os residuos gerados foram: seringas (38,1%), agulhas (36,5%), esparadrapos (31,7%), gazes (31,7%) e lancetas (28,5%). Os residuos do grupo A nao foram segregados em todas as oportunidades e os do grupo E foram segregados 100% e 10,5% pelos profissionais e usuarios, respectivamente. Conclui-se que, diante das inadequacoes encontradas, e necessaria uma ampla discussao coletiva para a proposta de politicas publicas que atendam as especificidades do manejo dos residuos de servicos de saude nos domicilios, com intuito de dar seguranca aos trabalhadores, comunidade e ambiente.