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Objective: Develop educational intervention on health care waste management and the use of personal protective equipment with nursing professionals. Methods: Action research, carried out with nursing professionals from a public hospital in northeastern Brazil, between January and July 2017. The data were organized with the support of webQDA © software and content analysis by Bardin. Results: Two categories emerged: Waste Management from Health Services and Use of Personal Protective Equipment. Part of the professionals had adequate knowledge about the management of waste from health services. The results show that a portion of the participants recognize the dangerousness that the health service waste groups have, adopting care in relation to these, however, they recognize the occurrence of unsafe conduct, such as incorrect use of personal protective equipment. In addition, nursing technicians demonstrated incipient knowledge about health service waste and expressed more exposure to occupational risks. Conclusion: The educational intervention carried out showed the need to carry out the construction of collective knowledge within the scope of permanent education related to GRSS and occupational risks among nursing professionals. Further studies are recommended to assess the effectiveness and impact of educational intervention in the hospital environment. [ABSTRACT FROM AUTHOR]

Copyright of Saberes Plurais is the property of Saberes Plurais and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objective: To analyze the forms of correct disposal of domestic waste from insulin therapy and develop a technology for patient education (booklet). Methods: Descriptive and exploratory study, integrative review type. The survey of publications was conducted between July and December 2021, from the Latin American Literature in Health Sciences (Lilacs), Scientific Electronic Library Online (Scielo) and Virtual Health Library (VHL) databases, using the following descriptors: Diabetes Mellitus; Insulin; Waste Management. Results: It was identified that the guidance to people with Diabetes Mellitus regarding the correct disposal of needles, syringes, lancets, reagent strips, among others is deficient and that the lack of specific Brazilian legislation for health care waste produced in households is the main problem for the inadequate management of health care waste. From the findings it was possible to develop a technology for education of people using insulin. Conclusion: There is a need to invest in guidance and prevention actions, to reinforce to users the care in the disposal of health services waste. The training of health professionals enables the transfer of appropriate and consistent guidance to users, aiming to protect those who produce waste, the collectors and the environment. [ABSTRACT FROM AUTHOR]

Objective: Evaluate the application of a technological strategy, Interactive Quiz "Handling Medical Waste", as a facilitating tool for in-service training on the management of Medical Waste for professionals working in High-Risk Maternity Hospitals. Methods: Exploratory, descriptive research, quantitative approach, developed in the period from January 14 to 17, 2020. The population consisted of 60 professionals from different categories, selected through convenience sampling. Data were collected through the application of a semi-structured questionnaire at the end of the participation of professionals in the training activity. The data found were entered into Google Forms, whose resources helped in the descriptive analysis of frequency and interpretation. Results: Of the total of 60 participants, 90% considered the relevance of the topic excellent, as much as 85% the subjects covered, 88.3% the methodology used, 58.3% the time devoted to the activity, 63.3% the use of the activity, and the contribution to improving the quality of care, 81.6%. However, 60% of the participants did not issue criticism or suggestions about the activity developed. Conclusion: The study showed that the implemented strategies were essential to encourage the involvement and participation of the multidisciplinary team in in-service education activities, contributing to Good Practices in the management of Medical Waste. [ABSTRACT FROM AUTHOR]

Copyright of Saúde Coletiva is the property of MPM Comunicacao and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objective: To unveil the meanings that nursing professionals attribute to practices related to waste management in health services, within the hospital context., Method: Qualitative research, whose theoretical and methodological references were, respectively, Complexity Theory and Grounded Theory. A total of 30 nursing professionals from a public hospital in Rio de Janeiro participated in the study, between January and August 2022. A semi-structured interview was used for data collection., Results: The professionals indicate the need for better knowledge about waste management in healthcare services, while revealing their understanding on the importance of this process and of themselves as important elements in impacting the environment and health., Conclusion: The complexity of the meanings attributed to healthcare waste management practices indicates the dialogue between the fragility of nursing professionals' knowledge and their expanded perceptions about the impacts they can have on this reality.

Waste from health services accounts for about 2% of the waste produced in the country and because of its infectious characteristics need special treatment not to be disposed of in landfills along with solid waste. The cities must have strategies for the correct disposal of this material at risk of suffering high fines by the public power. In Teresina, PI, the municipal government has provided all this service for waste health services, however, through research has been reported discarding hospital material in the local landfill, which may constitute civil and environmental liability to the State, the company responsible for disposal, as well as hospitals and other health services responsible for such waste. It is expected that public agencies act in the monitoring and assessment of offending agents with a view to animal and human health as well as maintenance of a healthy environment. [ABSTRACT FROM AUTHOR]

Copyright of Ciencia, Cuidado e Saude is the property of Universidade Estadual de Maringa and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objective: investigate the factors associated with appropriate Health-Care Waste (HCW) management among Nursing professionals. Method: cross-sectional, analytic study involving 461 professionals at a public, state-owned hospital in São Luís, Maranhão, Brazil, between June 2014 and January 2016. Results: 40.13% were between 30 and 39 years, 92.84% were women, 63.99% had <12 years of education, 50,3% possessed 1-5 years of experience on the job, 63.99% performed the HCW management appropriately, 27.99% used all Personal Protective Equipment during the waste segregation. Improper HCW management was associated with ages between 30 and 39 years (p=0.010), the category nursing technician (p=0.013) and the inappropriate definition of HCW (p<0.001). Conclusion: professionals between 30 and 39 years of age, nursing technicians and professionals unable to define HCW were associated with inappropriate HCW management. [ABSTRACT FROM AUTHOR]

Objective: to evaluate the specifications of the physical plant for residues of dangerous hazardous chemical waste shelters generated at a hospital. Methodology: This is a descriptive research that takes place at University Hospital of the University of Sao Paulo. Data collection was carried out through the Chemical Waste Management Data Sheet Dangerous. Results: The data showed 11 specifications, 7 (63.63%) non-conformities in the internal storage and 6 (54.54%) conformities in external storage. The results pointed out the aspects to be reviewed by the Hospital, with respect to the adequacy of the physical plant of hazardous chemical waste shelters, awaiting external collection. They also offered guidelines for the standards of construction of shelters, supporting the Waste Management Plan of hazardous chemicals. Conclusion: With this Plan it was possible to prevent accidents and diseases related to work and the promotion of human and environmental health and sustainability factors within the hospital sector. [ABSTRACT FROM AUTHOR]

Copyright of Revista Eletrônica de Enfermagem is the property of Revista Eletronica de Enfermagem and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

This study aimed to evaluate the measures undertaken in the health units of Picos - PI for the management of solid waste. It was developed a cross-sectional study with a quantitative approach with 19 nurses by applying a semi-structured form. The results showed that 63.2% had a waste management plan, 89.5% segregated waste sharps, 52.6% chemical residues, 73.7% potentially contaminated waste and 68.4% common waste. We highlight the lack of a formal plan for managing the waste produced in some units, this being essential document to the correct management of waste. [ABSTRACT FROM AUTHOR]

Copyright of Enfermagem Brasil is the property of Atlantica Editora and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Ciencia, Cuidado e Saude is the property of Universidade Estadual de Maringa and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objective: to identify the reasons for refusal of corneas., Method: this was a cross-sectional, retrospective, descriptive and correlational study composed of 5,560 optical corneas. The information was taken from the notification, organ procurement and distribution centers database as well as donor records. Descriptive statistics were used for the analysis of categorical variables and specific tests with a significance level of 5% for assessing the associations between variables. This study met the ethical aspects of scientific research., Results: 60% of the donors were male and 40% died by circulatory problems. The main reason for refusal as informed by transplant teams is the donor's age and the endothelial cell count. For each year added to the donor's age, there is a 1% decrease in the chance that this cornea will be used for transplantation, and the increase of 100 cells per mm2 increases the chances that this cornea will be used by 9%., Conclusion: the main cause of refusal in the acceptance of corneal tissue is related to the age and the endothelial cell count.

Objective: to analyze sustainable actions from an environmental point of view in the medication process, from the reception of the prescription of the pharmacy to waste discard by nursing., Method: study before and after performed through Lean Six Sigma methodology. The sample consisted of the amount and type of waste resulting from the pharmacy and nursing services of a medical-surgical clinical unit., Results: after the intervention was obtained at the pharmacy a reduction of 74.8% of chemical, infectious and sharps waste, an increase of 33.3% of common recyclable and 20% of common non-recyclable. In nursing, there was a reduction of 22.5% of chemical, infectious and sharps waste, an increase of 22.9% of common recyclable and an increase of 20% of common non-recyclable., Conclusion: the practice of sustainable actions in the hospital is possible, contributing to the optimization of resources and waste production with benefits to the institution, environment, and health.

Objective: the objective of this study is to identify how Medical Waste (MW) is managed in Mobile Prehospital Care (MPC) services in the state of São Paulo as well as characterize and quantify this waste., Method: exploratory and descriptive field study with data collection based on the methodology proposed by the Pan American Health Organization (PAHO), which was conducted over eight consecutive days to identify the production and characteristics of generated waste., Results: it was found that the MW management of the MPC is not yet in line with the requirements of RDC 306/04, which could affect the occupational safety of workers, patients, the community, and the environment., Conclusion: it is recommended for the health managers to focus on this issue. The lack of studies with regard to MPC also indicates the need for further studies on the waste management.

The objectives of this study were to identify the perceptions of nursing workers regarding the handling of hazardous chemical waste at the University of São Paulo University Hospital (HU-USP), and develop a proposal to improve safety measures. This study used a qualitative approach and a convenience sample consisting of eighteen nursing workers. Data collection was performed through focal groups. Thematic analysis revealed four categories that gave evidence of training deficiencies in terms of the stages of handling waste. Difficulties that emerged included a lack of knowledge regarding exposure and its impact, the utilization of personal protective equipment versus collective protection, and suggestions regarding measures to be taken by the institution and workers for the safe handling of hazardous chemical waste. The present data allowed for recommending proposals regarding the safe management of hazardous chemical waste by the nursing staff.

Health service waste gives rise to controversy regarding its importance for human, animal and environmental health. Occurrences of clinically relevant bacteria in piles of health service waste in a sanitary landfill and their antimicrobial susceptibility profile were evaluated. Aliquots of leachate were processed for selective isolation of Staphylococcus sp, Gram-negative rods of the Enterobacteriaceae family and non-fermenters. Bacterial resistance to all the antimicrobials tested was observed in all microbial groups, including resistance to more than one drug. The results make it possible to suggest that viable bacteria in health service waste represent risks to human and animal health. Furthermore, occurrences of multiresistant strains support the hypothesis that health service waste acts as a reservoir for resistance markers, with an environmental impact. The lack of regional legislation concerning segregation, treatment and final disposal of waste may expose different populations to risks of transmission of infectious diseases associated with multiresistant microorganisms.

Designing a Health Care Service Waste Management Plan, according to the RDC 306 rules, is a responsibility of all those who produce such waste. Since radioimmunoassay (RIA) is one of the most employed techniques, we studied the impact of replacing this technique by liquid chromatography (HPLC) with regard to the reduction of the radioactive residues routinely produced by the Unifesp steroid laboratory. The residues produced by the determination of serum cortisol and 17 alpha-hydroxyprogesterone were classified, and those belonging to groups B and C were evaluated. We observed that, when RIA is used, chemical residues (group B) and radioactive waste (group C) are produced, whereas HPLC generates only chemical residues. Adequation of these techniques showed to be advantageous, by significantly reducing the time of analysis and mainly by eliminating and/or reducing the generation of radioactive waste, encouraging its application to other methodologies, as well as its adoption by other research units.

This study investigated potentially infectious waste (feces, urine, blood, body fluids) in the composition of total municipal solid waste. From August to September 2002, solid waste samples from southern Belo Horizonte, capital of the State of Minas Gerais, were collected and sent to the solid waste treatment and disposal site at BR-040 for segregation and quantification. Sharps (objects that can cause cuts or puncture wounds) made up 0.02+/-0.02% of the collected waste, while non-sharps accounted for 5.47+/-1.11%. In the sharps category, the majority were razor blades (0.01+/-0.01%), while among non-sharps the most frequent components were toilet paper (3.00+/-0.90%), diapers (2.21+/-1.08%), and sanitary napkins (0.22+/-0.12%). Household infectious waste was twice the total amount of waste (infectious + common) from healthcare units. The study was discussed in light of the health hazards and safety aspects for formal and informal waste collectors.

The objective of this study was to identify target microorganisms as indicators of environmental contamination. The study evaluates the main environmental aspects and epidemiological chain related to such agents. Microorganisms were selected through key information about microbiological characterization of health care facilities' solid waste and evaluation of risk of infection from discarded sharps. The form of evaluation proposed for criteria adopted in the selection of contamination indicators included prior submission of a structured questionnaire to a network of specialists from the Federal District of Brazil. The specialists' multidisciplinary background, including professionals from the health field and an environmental microbiologist, helped define environmental contamination indicators by consensus. Pathogens such as Mycobacterium tuberculosis and hepatitis A and B viruses were specifically identified as capable of environmental survival or resistance.

Environmental clean-up involves a series of factors, among them the question of solid wastes, which are not always properly managed. The problem is more serious with respect to medical waste. The awareness of people and the attention of administrators are of fundamental importance for an equilibrated coexistence with the physical environment.