Authors: Gabrielle Gimenes Lima and Anderson Rossatto (FEBRAF, Brazil).
The range of services offered by hospitals - from clinical treatments from high technology to complex surgeries to basic hospitality services - makes it complex and expensive waste management and its supervision and control extremely challenging. Ensuring control over these complexes entities requires depth and breadth of knowledge to understand all the components of a hospital and integrate them effectively, whereas monitoring performance and resource usage requires reliable and up-to-date information. 1
Hospital waste is part of this problem and comes assuming great importance in recent years. Correct disposal of parts anatomical, tissues, blood transfusion bags, medications, reagents, residues with heavy metals, sanitizing, flammable, materials resulting from nuclear medicine and radiotherapy services, food scraps, disposable clothing and sharp cutting materials, among others, is fundamental so that the environment is not impacted. In this sense public policies and legislation were created related to the management of hospital waste that has as its guideline the sustainability of the environment and health preservation. 2
The management of hospital waste consists of a set of management procedures, planned and implemented from a database legal, technical and scientific, with the objective of providing the waste generated safe and efficient routing, aiming at human protection, the preservation of the environment, natural resources and public health. At stages of hospital waste management, according to ANVISA 306 (2004) are: identification, segregation, packaging, internal transport, temporary storage, external storage, collection and transportation treatment, treatment and final destination. 3
Producing entities must ensure the management of the waste produced, these being the main responsible for sending the waste to the entities licensed for waste management. It is essential that hospital waste is separated into its various groups, so that each group is given proper treatment. 4
On the other hand, producing companies must ensure that they are treated by other companies specialized in the area, since they are contributing so that the health they preserve in the sick is not attacked due to lack of commitment in the treatment of the waste they produce.4
Since negligence in the management of hospital waste can lead to the public health, since the residues are carriers of several microorganisms that can transmit to human beings the most varied diseases and also to the affect of the environment, through pollution, is therefore a priority that all waste hospitals are managed in the most correct manner and by the bodies licensed to do so. 5
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