Waste from Health Services: what has changed in the legislation?

Authors

DOI:

https://doi.org/10.5433/1679-0367.2022v43n1p15

Keywords:

Nursing, Waste from Health Services, Brazilian legislation, Management Plan of Waste from Health Services

Abstract

Introduction: Waste from Health Services (RSS) has been a source of concern for hospital managers, as they need to meet legal requirements; in recent years there have been changes in Brazil with the publication of the current Resolution of the Collegiate Board 222/18, which regulates the internal management of waste.
Objective: to compare Resolution of the Collegiate Board 306/04 with Resolution of the Collegiate Board 222/18 regarding the management of RSS, as well as present the implications of the legislation in force.
Material and Method: this is an exploratory and descriptive research, with a qualitative approach of the documentary type; for this, an analysis script was created based on the steps of managing the RSS; the results were presented in tables by groups (A, B, C, D and E) which were the document categories for the comparison of legislation Resolution of the Collegiate Board 306/04 with Resolution of the Collegiate Board 222/18.
Results: important changes were observed in the current law, with an impact on managers and professionals working in hospitals, such as the disposal of blood bags and anatomical parts characterized as A1, release of disposal of Personal Protective Equipment as waste from Group D common, syringes and needles can be disconnected when they have the safety device, new criteria for disposing of eight groups of drugs, among others. Discussion: the aforementioned changes need to be incorporated into management plans, planning new waste segregation flows and acquisition of new collectors that in the medium term can contribute to reducing the financial cost, and reducing the environmental impacts of these wastes when disposed of safely.
Conclusion: by comparing the two legislations, this study contributes to direct the necessary adjustments, in order to meet the current legislation, with direct information to guide new classification, packaging, treatment and final disposal criteria for the safe management of waste in the services of health.

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Author Biographies

Lucas Eduardo Carneiro, Autarquia Municipal de Saúde - AMS

Graduated in Nursing from the State University of Londrina (UEL), Londrina, Paraná, Brazil. Post-graduate student at the lato sensu level in Multiprofessional Residency in Family Health at the Municipal Health Authority (AMS), Apucarana, Paraná.

Giovana Alves Santos, Universidade Estadual de Maringá - UEM

Master's Student in the Postgraduate Program in Nursing at the Universidade Estadual de Maringá  (UEM), Maringá, Paraná

Danielly Negrão Guassú Nogueira, Universidade Estadual de Londrina - UEL

Doctorate in Nursing Management from the School of Nursing at the Universidade de São Paulo (EEUSP), São Paulo, São Paulo, Brazil. Professor at the Department of Nursing at the State Universidade Estadual de Londrina, Londrina, Paraná

References

Agapito N. Gerenciamento de resíduos de Serviço de Saúde. Grupo de Estudos Logísticos. [Internet]. 2007 [citado 2019 nov 17]. Disponível.em: https://docplayer.com.br/859933-Gerenciamento-de-residuos-de-servicos-de-saude.html

Agência Nacional de Vigilância Sanitária (BR). Resolução RDC nº 306, de 07 de dezembro de 2004. Dispõe sobre o Regulamento Técnico para o Gerenciamento de Resíduos de Serviços de Saúde. [Internet]. 2004 Dez 7 [citado 2021 out 12]. Disponível em: https://www.saude.mg.gov.br/images/documentos/res_306.pdf

Alves SB, Souza ACS, Tipple AFV, Rezende KCD, Rezende FR, Rodrigues ÉG. Manage¬ment of waste generated in home care by the Family Health Strategy .Rev Bras Enferm. [Internet]. 2012 [cited 2019 nov 30]; 65(1):128-34 Available.from:.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-71672012000100019&lng=en&nrm=isso

Associação Brasileira de Empresas de Limpeza Pública e Resíduos Especiais (ABRELPE). Panorama de Resíduos Sólidos no Brasil: edição especial de 10 anos. [Internet]. São Paulo; 2016 [citado 2016 mar 22]. Disponível em: http://www.abrelpe.org.br

Canini SRMS, Gir E, Hayashida M, Machado A. Needlestick injuries among nursing staff members at a university hospital in the in-terior of São Paulo State. Rev Latino-Am Enfermagem. [Internet] .2002 [cited 2019 nov 17]; 10(2):172-78. Available from:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0104-11692002000200008&lng=en&nrm=isso

Chaerul M, Tanaka M, Shekdar AV. A system dynamics approach for hospital waste manage-ment. Waste Management. [Internet]. 2008 [cited 2019 nov 17]; 28(2):442-49. Disponível em: https://doi.org/10.1016/j.wasman.2007.01.007

Conselho Nacional do Meio Ambiente (BR). Resolução CONAMA nº 358, de 29 de abril de 2005. Dispõe sobre o tratamento e a disposição final dos resíduos dos serviços de saúde e dá outras providências .[Internet] .2005 Abr 29 [citado 2021 out 12]. Disponível em: https://www.saude.mg.gov.br/images/documentos/res_358.pdf

Crema D, Carmo DRB, Turrin I, Silveira IR, Zotelli MFM, Paschoal MLH, et al. Gerencia-mento de resíduos: a experiência de um hospi-tal universitário. In: PROENF: Programas de Atualização em Enfermagem: Saúde do Adulto: Ciclo 2, Módulo 3 .[Internet]. Porto Alegre: Artmed: Panamericana; 2007 [citado 2019 nov 17]. Disponível em: https://repositorio.usp.br/item/002183981

Gil AC. Como elaborar projetos de pesquisa. 4a ed. São Paulo: Atlas; 2002.

Hassan MM, Ahmed AS, Rahman KA, Biswas TK .Pattern of medical waste management: existing scenario in Dhaka City, Bangladesh. BMC Public Health. [Internet]. 2008 [cited 2019 nov 17]. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2254398/

Kripka RML, Scheller M, Bonotto DL. Docu¬mentary Research: consideration of concepts and features on Qualitative Research. Inves¬tigação Qualitativa em Educação. [Internet]. 2015 [cited 2019 nov 17]; (2):243-47. Available from: https://proceedings.ciaiq.org/index.php/ciaiq2015/article/view/252/248

Ministério da Saúde - MS (BR). Resolução da Diretoria Colegiada - RDC nº 222, de 28 de março de 2018. Regulamenta as Boas Práticas de Gerenciamento dos Resíduos de Serviços de Saúde e dá outras providências. [Internet]. 2018 Mar 28 [citado 2021 out 12]. Disponível em: https://bvsms.saude.gov.br/bvs/saudelegis/anvisa/2018/rdc0222_28_03_2018.pdf

Published

2022-01-13

How to Cite

1.
Carneiro LE, Santos GA, Nogueira DNG. Waste from Health Services: what has changed in the legislation?. Semin. Cienc. Biol. Saude [Internet]. 2022 Jan. 13 [cited 2024 Nov. 24];43(1):15-26. Available from: https://ojs.uel.br/revistas/uel/index.php/seminabio/article/view/41456

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Artigos