Diagnóstico do gerenciamento de resíduos sólidos de saúde dos hospitais do extremo oeste do estado de Santa Catarina.

Abstract

This thesis was developed in hospital units of the far west of Santa Catarina and it aims to diagnose the real situation of the management of health solid waste generated in the different hospitals of these cities. And thus have a clear model that will bring results that might collaborate in the efficiency from the health area. In this sense, the methodological trajectory consisted firstly in elaborating the theoretical foundation about the topic addressed, followed by an analysis with the application of the management tools. This study is methodologically classified as descriptive and methodological, with qualitative and quantitative data analysis. In the methodological study, tools were used for evaluations and propositions, where the application of the tools allows generate information and manage results. The management tools used in different hospital units are: Brainstorming, aiming to identify failures in the waste management system, the emergence and the collection of ideas towards improvement. After the identification of the problem, the Leopold Matrix was used as a method to evaluate the magnitude and importance of the management phases and different aspects. Also, the GUT Matrix was used to evaluate the seriousness, urgency and trend in order to set priority indexes for subsequent adjustments; and finally, based on the diagnosis of the situation of the hospital units, the 5W2H tool was used as a prognosis. In the prognosis, objective improvement actions with the development of schedule, person in charge and costs are planned. After the application of the tools it became apparent that those hospitals have relatively serious problems regarding to their waste management. It is also noticed that all institutions and professionals involved in the process need training, and more information regarding to solid waste management of health services are necessary. Yet, it was observed that hospital units do not have internal waste storage shelters, a problem that is relevant in the transmission of vectors and also an occupational safety hazard, as well as sorting errors related to class, their packaging and identification. Another important issue observed is the constant turnover of professionals which crowd the units, making it impossible to properly train a work team. It is possible to conclude that there is a need of more adequate environmental management in hospital units that should prioritize professional training for those involved in the Solid Waste Management Plan in accordance with the legislation.