Gestão e gerenciamento das soluções parenterais de grande volume no Hospital de Clínicas da Universidade Federal do Triângulo Mineiro

Abstract

The Human activities generate a diverse range of waste that, when disposed in an improper way, degrade the environment and expose the population to serious health risks, especially the health care waste (HCW). The objective of the present study was to evaluate the management of Large Volume Parenteral Solutions (LVPS) at the Hospital de Clinicas (HC) of the Federal University of Triângulo Mineiro (UFTM). The LVPS were identified through an inventory that was performed at HC-UFTM warehouse. Standard analytical methods (titulometric analysis) and instrumental (flame photometer) were used to quantify the constituent electrolytes of each past due and non-overdue sample. The microbiological analysis of expired and non-overdue LVPS was performed using the Pour Plate technique. The management evaluation was performed through an observation roadmap based on the current legislation and through the application of questionnaires to the HC servants who work directly or involved with the LVPS. There were inventoried 6.3 tons of overdue LVPS. The chemical analysis showed that there was no statistical difference (p <0.05) for the concentrations of electrolytes present in the past due and non-overdue sample. There was no microbial growth in the past and non-overdue SPGV samples. The analysis of the questionnaires showed that the majority of the interviewees do not know about the specific legislation on health care waste or the Health Services Waste Management Plan (HSWMP) of HC. Considering the above, it is necessary to invest in server training on the management and health service waste management, especially the waste from group B, in addition, the overdue LVPS, a decision-making process to address the risks related to environmental quality and generate savings for hospital clinics.