Medical waste in mobile prehospital care

Adriana Aparecida Mendes1, Tatiane Bonametti Veiga1, Tânia Márcia Lopes Ribeiro1

  • 1Programa de Pós-Graduação Enfermagem em Saúde Pública, Escola de Enfermagem de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brasil.

Abstract

Insights

Medical Waste (MW) management in Mobile Prehospital Care (MPC) in São Paulo is not compliant with regulations, posing risks to safety and the environment. Further research and management focus are recommended.

Area of Science:

  • Environmental Health
  • Occupational Safety
  • Healthcare Management

Background:

  • Mobile Prehospital Care (MPC) services are critical for emergency response.
  • Effective Medical Waste (MW) management is essential for public health and environmental protection.
  • Current MW management practices in MPC services require thorough investigation.

Purpose of the Study:

  • To identify and characterize Medical Waste (MW) generated by Mobile Prehospital Care (MPC) services in São Paulo.
  • To assess the current MW management practices within these services.
  • To quantify the types and amounts of MW produced.

Main Methods:

  • An exploratory and descriptive field study was conducted.
  • Data collection followed the Pan American Health Organization (PAHO) methodology.
  • Waste generation and characteristics were analyzed over eight consecutive days.

Main Results:

  • Medical Waste (MW) management in MPC services does not comply with RDC 306/04 regulations.
  • Non-compliance presents risks to occupational safety for workers.
  • Potential negative impacts on patient safety, community health, and the environment were identified.

Conclusions:

  • Health managers must prioritize improving MW management in MPC services.
  • The identified gaps highlight the need for enhanced regulatory oversight.
  • Further research is crucial to address the lack of studies on MPC waste management.

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