Resumo:
Introduction: Good practices in Health Service Waste Management (HSWM) are essential for
preserving public health, workers and the environment. In the Brazilian context, specific
regulations play a fundamental role in guiding the safe management of solid waste. From this
perspective, the use of structured instruments to assess HSWM compliance with these
regulations are significant management initiatives in the search for safety and sustainability.
Objective: To propose a structured instrument to evaluate Health Service Waste Management
based on current regulations in Brazil. Materials and methods: A previous survey of the
literature on the subject was carried out; conducted documentary search to verify the legal and
regulatory framework in force in the country regarding waste from healthcare services with the
compilation of laws, decrees, resolutions and standards relevant to the subject; a scope review
was carried out according to the Joanna Briggs Institute - JBI (2020 version) methodology to
map national empirical studies that proposed to evaluate the HSWM, with an analysis of the
methodological strategies and evaluation instruments used by these initiatives; then the
constituent aspects and final organization of the instrument were defined. Results: an
instrument was proposed to evaluate the HSWM composed of two sessions: a semi-structured
Interview Guide to be conducted by an interviewer to collect information about the HSWM,
and a Field Observation Guide to verify the structural and operational compliance of the
management of the HSWM. waste from healthcare services to be implemented during a visit to
the healthcare facility. Conclusion: The proposed assessment instrument is versatile and
applicable, offering support to healthcare institutions by certifying safe practices in compliance
with legal requirements. This initiative is fundamental to improving the HSWM, contributing
to the promotion of public health, worker safety, environmental sustainability and efficiency in
health services.
