Construção de fluxograma para gerenciamento de descarte de explantes ortopédicos em um hospital macrorregional no Nordeste do Brasil

Abstract

Metallic explants resulting from orthopedic surgical therapeutic are classified as Solid Healthcare Waste (SHW). Due to their potential for contamination, they require management for disposal, with a view to controlling and reducing risks to public health, environmental health and worker health. General objective: To build and to validate orthopedic explant disposal management flowchart. Method: methodological study with a qualitative approach, developed with Nurses and Nursing Technicians who work in the Surgical Center and Material and Sterilization Center of a Macroregional Hospital in Maranhão state. Study consisting of four stages: First Stage: carrying out a documentary search on current SHW regulations. Second Stage: holding a focus group to identify and to describe how orthopedic explant waste is segregated in the hospital unit; present the concepts of RDC 15/2012 to support the orthopedic explants management. The meetings with the focus groups were recorded and later transcribed, whose data were analyzed from the perspective proposed by Minayo. Third Stage: development of a flowchart on the orthopedic explants management, following the RDC 15/2012 guidelines and the results obtained from the focus group meetings. Fourth Stage: validation of the flowchart on orthopedic explant management with experts. A Likert scale and the snowball technique were used. Data were analyzed using descriptive statistics. Study approved by the Research Ethics Committee of the University of Vale do Rio dos Sinos under number 6.234.830. Results: The flowchart, validated by judges/experts in this field, obtained a Content Validity Index (CVI) of 96.22%. This research had as results: a) flowchart for orthopedic explants disposal´s managing; b) explant processing and removal form; c) awareness, responsibility and request for orthopedic explant term. Final Considerations: the development of the flowchart for orthopedic explants disposal´s managing was important in order to review and adapt routines regarding the correct waste disposal. It has an environmental impact, as the correct management of SHW contributes to the professional’s health and the environment conservation. The originated product is classified according to the Coordination for the Improvement of Higher Education Personnel (CAPES) as Stratum T1, in sub typology (3): Experimental technological protocol/Application or adaptation of technology.