Proposta de um modelo de gestão ambiental para os serviços de nefrologia

Abstract

The environmental question has being a great society s concern, besides being a relevant theme in the national and international governmetal politics. The current moment demands new models of management and, consequently, new ways of environmental management with a bigger social responsibility. The aim of this study is propose a new model of Environmental Management to Santa Maria/RS Nephrology Services. The methodology used was the descriptive quantitative exploratory with multicase techniques. Three different instruments were used to the data collect, which were answered by interviewees in the period of December 2005. The following professionals form the sample: nurses, managers, Nursing technicians and servants, besides patients who suffered of chronicle renal insufficiency and who were submitted to hemodialysis treatment. The detailed analyses of the processes identified opportunities of improvement as well as the diagnosis, which enabled the collect of data to the identification and to the evaluation of the non-conformities of the Environmental Management services, based on the valid legislation. The instrument of evaluation applied in three different groups showed being an efficient tool in the identification of the non-conformity factors, what enabled the elaboration of a propose of environmental management system applicable in the nephrology services. The implantation of the Environmental Management in services brought many benefices such as the reduction of residues and liquids effluents, the natural resources preservation, the use of materials and inputs more environmentally correct to the preservation of the human health and to the environment as well.