Instrumento de avaliação do gerenciamento de resíduos de serviços de saúde

Abstract

Introduction: Good practices in Health Service Waste Management (HSWM) are essential for preserving public health, workers and the environment. In the Brazilian context, specific regulations play a fundamental role in guiding the safe management of solid waste. From this perspective, the use of structured instruments to assess HSWM compliance with these regulations are significant management initiatives in the search for safety and sustainability. Objective: To propose a structured instrument to evaluate Health Service Waste Management based on current regulations in Brazil. Materials and methods: A previous survey of the literature on the subject was carried out; conducted documentary search to verify the legal and regulatory framework in force in the country regarding waste from healthcare services with the compilation of laws, decrees, resolutions and standards relevant to the subject; a scope review was carried out according to the Joanna Briggs Institute - JBI (2020 version) methodology to map national empirical studies that proposed to evaluate the HSWM, with an analysis of the methodological strategies and evaluation instruments used by these initiatives; then the constituent aspects and final organization of the instrument were defined. Results: an instrument was proposed to evaluate the HSWM composed of two sessions: a semi-structured Interview Guide to be conducted by an interviewer to collect information about the HSWM, and a Field Observation Guide to verify the structural and operational compliance of the management of the HSWM. waste from healthcare services to be implemented during a visit to the healthcare facility. Conclusion: The proposed assessment instrument is versatile and applicable, offering support to healthcare institutions by certifying safe practices in compliance with legal requirements. This initiative is fundamental to improving the HSWM, contributing to the promotion of public health, worker safety, environmental sustainability and efficiency in health services.