{"id":1020,"date":"2026-05-17T01:00:00","date_gmt":"2026-05-17T04:00:00","guid":{"rendered":"https:\/\/sevenresiduosaude.com.br\/blog\/?p=1020"},"modified":"2026-05-17T01:00:00","modified_gmt":"2026-05-17T04:00:00","slug":"pgrss-gastroenterologia-endoscopia-colonoscopia-rss","status":"publish","type":"post","link":"https:\/\/sevenresiduosaude.com.br\/blog\/pgrss-gastroenterologia-endoscopia-colonoscopia-rss\/","title":{"rendered":"PGRSS para gastroenterologia \u2014 endoscopia digestiva"},"content":{"rendered":"<h2>Por que gastro tem perfil intermedi\u00e1rio<\/h2>\n<p>Cl\u00ednica de gastroenterologia ambulatorial \u2014 atende endoscopia digestiva alta (EDA), colonoscopia, retossigmoidoscopia, eventual c\u00e1psula endosc\u00f3pica. Opera sob RDC 50\/2002, RDC 222\/2018, Resolu\u00e7\u00e3o SOBED. Combina <strong>endosc\u00f3pio reutiliz\u00e1vel<\/strong> (esteriliza\u00e7\u00e3o qu\u00edmica glutaralde\u00eddo ou \u00e1cido perac\u00e9tico entre pacientes) + <strong>bi\u00f3psia g\u00e1strica\/c\u00f3lica<\/strong> (cadeia histopatol\u00f3gica) + eventual seda\u00e7\u00e3o consciente leve (midazolam IV).<\/p>\n<p>A particularidade: <strong>alto volume de glutaralde\u00eddo<\/strong> ou alternativos qu\u00edmicos para esteriliza\u00e7\u00e3o entre pacientes (cada endosc\u00f3pio precisa de 30-60 min em reprocessadora) + bi\u00f3psia + EPI ampliado.<\/p>\n<h2>Tabela 5 fluxos t\u00edpicos<\/h2>\n<table>\n<thead>\n<tr>\n<th>Fluxo<\/th>\n<th>Grupo RSS<\/th>\n<th>Volume mensal<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td>Glutaralde\u00eddo 2% reprocessamento<\/td>\n<td>B forte (IARC)<\/td>\n<td>30-100L<\/td>\n<\/tr>\n<tr>\n<td>Pin\u00e7as bi\u00f3psia descart\u00e1veis + frascos formol<\/td>\n<td>E + B<\/td>\n<td>1-3 kg<\/td>\n<\/tr>\n<tr>\n<td>EPI est\u00e9ril (avental, luva, m\u00e1scara N95)<\/td>\n<td>A1 baixa<\/td>\n<td>4-12 kg<\/td>\n<\/tr>\n<tr>\n<td>Material descart\u00e1vel (capa, escova, lubrificante)<\/td>\n<td>A1 + pl\u00e1stico<\/td>\n<td>2-6 kg<\/td>\n<\/tr>\n<tr>\n<td>Sedativo midazolam frasco vazio<\/td>\n<td>B controlado (Portaria 344)<\/td>\n<td>0,5-1 kg<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>Volume t\u00edpico em cl\u00ednica m\u00e9dia (200-500 procedimentos\/m\u00eas): <strong>8-20 kg\/m\u00eas s\u00f3lido + 30-100L\/m\u00eas fluido<\/strong>.<\/p>\n<h2>3 perfis<\/h2>\n<p><strong>Perfil 1 \u2014 Consult\u00f3rio (1 endoscopista, 80-200 procedimentos\/m\u00eas):<\/strong> R$ 380-750\/m\u00eas.<\/p>\n<p><strong>Perfil 2 \u2014 Centro m\u00e9dio (2-4 m\u00e9dicos, 250-500 procedimentos\/m\u00eas):<\/strong> R$ 750-1500\/m\u00eas.<\/p>\n<p><strong>Perfil 3 \u2014 Centro grande (5+ m\u00e9dicos, 600-1500 procedimentos\/m\u00eas):<\/strong> R$ 1500-3500\/m\u00eas.<\/p>\n<h2>4 erros frequentes<\/h2>\n<ol>\n<li>Glutaralde\u00eddo na pia \u2014 multa CETESB R$ 30-150 mil<\/li>\n<li>Pin\u00e7a bi\u00f3psia em saco branco \u2014 Grupo E sem caixa amarela<\/li>\n<li>Sem livro valida\u00e7\u00e3o reprocessamento \u2014 risco infeccioso<\/li>\n<li>Midazolam sem ata Portaria 344<\/li>\n<\/ol>\n<h2>Custo total<\/h2>\n<p>Setup: <strong>R$ 8-18 mil<\/strong> ano 1. Recorrente: <strong>R$ 6-12 mil\/ano<\/strong>.<\/p>\n<p><strong><a href=\"https:\/\/sevenresiduosaude.com.br\/orcamento\/\">Solicite cota\u00e7\u00e3o para cl\u00ednica de gastroenterologia<\/a><\/strong> \u2014 cap\u00edtulo glutaralde\u00eddo, livro valida\u00e7\u00e3o, cadeia histopatol\u00f3gica.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>RSS de cl\u00ednica de gastroenterologia: endoscopia, colonoscopia, bi\u00f3psia g\u00e1strica. Esteriliza\u00e7\u00e3o qu\u00edmica e custos.<\/p>\n","protected":false},"author":3,"featured_media":1019,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[7],"tags":[1977,1976,1975,1016,22],"class_list":["post-1020","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-compliance-legislacao","tag-colonoscopia","tag-endoscopia","tag-gastroenterologia","tag-glutaraldeido","tag-rdc-222"],"_links":{"self":[{"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/posts\/1020","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/comments?post=1020"}],"version-history":[{"count":1,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/posts\/1020\/revisions"}],"predecessor-version":[{"id":3261,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/posts\/1020\/revisions\/3261"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/media\/1019"}],"wp:attachment":[{"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/media?parent=1020"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/categories?post=1020"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/tags?post=1020"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}