{"id":1170,"date":"2026-05-20T02:00:00","date_gmt":"2026-05-20T05:00:00","guid":{"rendered":"https:\/\/sevenresiduosaude.com.br\/blog\/?p=1170"},"modified":"2026-05-20T02:00:00","modified_gmt":"2026-05-20T05:00:00","slug":"mito-pgrss-so-clinica-grande-consultorio-pequeno-tambem","status":"publish","type":"post","link":"https:\/\/sevenresiduosaude.com.br\/blog\/mito-pgrss-so-clinica-grande-consultorio-pequeno-tambem\/","title":{"rendered":"Mito: PGRSS \u00e9 s\u00f3 para cl\u00ednica grande"},"content":{"rendered":"<h2>A frase<\/h2>\n<p>&#8220;Sou consult\u00f3rio de 1 m\u00e9dico + 1 secret\u00e1ria + sala. Atendo 5-10 pacientes\/dia. PGRSS \u00e9 coisa de hospital, n\u00e3o vou pagar R$ 3 mil\/m\u00eas para isso.&#8221; Errado.<\/p>\n<h2>4 pontos onde a generaliza\u00e7\u00e3o falha<\/h2>\n<h3>1. RDC 222 art. 3: nenhuma isen\u00e7\u00e3o por porte<\/h3>\n<p>Texto: &#8220;Esta Resolu\u00e7\u00e3o aplica-se aos <strong>estabelecimentos geradores<\/strong> de RSS [&#8230;] independentemente do porte&#8221;. N\u00e3o h\u00e1 exce\u00e7\u00e3o para consult\u00f3rio pequeno, MEI, aut\u00f4nomo PF.<\/p>\n<h3>2. PGRSS escala MICRO existe e \u00e9 vi\u00e1vel<\/h3>\n<p>Pacote &#8220;PGRSS escala micro&#8221; (consult\u00f3rio <2 funcion\u00e1rios):<\/p>\n<ul>\n<li><strong>Custo<\/strong>: R$ 80-180\/m\u00eas (n\u00e3o R$ 3 mil)<\/li>\n<li><strong>Setup<\/strong>: R$ 800-2500 (one-shot)<\/li>\n<li><strong>Formato<\/strong>: 5-15 p\u00e1ginas (vs 50-100 de hospital)<\/li>\n<li><strong>ART<\/strong>: simplificada, 1 visita anual RT<\/li>\n<li><strong>Coletora<\/strong>: cota m\u00ednima ou pool com vizinhos<\/li>\n<\/ul>\n<h3>3. Volume baixo N\u00c3O significa risco baixo<\/h3>\n<p>Mesmo consult\u00f3rio 5-10 pacientes\/dia gera:<\/p>\n<ul>\n<li><strong>Perfurocortantes<\/strong>: 50-200 agulhas\/m\u00eas (cada uma = risco soroconvers\u00e3o)<\/li>\n<li><strong>Res\u00edduo biol\u00f3gico<\/strong>: 1-3 kg\/m\u00eas (saliva, secre\u00e7\u00e3o)<\/li>\n<li><strong>Res\u00edduo qu\u00edmico<\/strong>: 0,2-0,8 kg\/m\u00eas (medicamento amostra\/vencido)<\/li>\n<li><strong>Material EPI<\/strong>: 1-3 kg\/m\u00eas<\/li>\n<\/ul>\n<p>= Mesmo risco\/agulha que hospital grande. Diferente \u00e9 o <strong>volume agregado<\/strong>.<\/p>\n<h3>4. Multa proporcional ainda d\u00f3i<\/h3>\n<p>VISA aplica multa por <strong>descumprimento<\/strong>, n\u00e3o por porte:<\/p>\n<ul>\n<li>Consult\u00f3rio pequeno: R$ 3-10k\/auto<\/li>\n<li>Sem alvar\u00e1: cassa\u00e7\u00e3o CNPJ \u2192 encerra atividade<\/li>\n<\/ul>\n<h2>O que realmente custa<\/h2>\n<p>Comparativo real:<\/p>\n<ul>\n<li><strong>PGRSS escala micro<\/strong>: R$ 80-180\/m\u00eas = <strong>R$ 1-2k\/ano<\/strong><\/li>\n<li><strong>Multa por aus\u00eancia<\/strong>: R$ 3-10k = <strong>5-10x o custo anual<\/strong><\/li>\n<li><strong>Cassa\u00e7\u00e3o de alvar\u00e1<\/strong>: encerramento da atividade = <strong>catastr\u00f3fico<\/strong><\/li>\n<\/ul>\n<h2>4 erros<\/h2>\n<ol>\n<li>&#8220;PGRSS \u00e9 s\u00f3 para hospital&#8221; \u2014 RDC 222 cobre todo gerador<\/li>\n<li>&#8220;MEI\/aut\u00f4nomo isento&#8221; \u2014 viola conceito gerador<\/li>\n<li>&#8220;Volume pequeno = sem fiscaliza\u00e7\u00e3o&#8221; \u2014 den\u00fancia + alvar\u00e1 independem<\/li>\n<li>&#8220;Coletora me cobra do nada&#8221; \u2014 sem PGRSS, coletora tamb\u00e9m recusa<\/li>\n<\/ol>\n<p><strong><a href=\"https:\/\/sevenresiduosaude.com.br\/orcamento\/\">Solicite cota\u00e7\u00e3o PGRSS escala micro<\/a><\/strong> \u2014 pacote consult\u00f3rio pequeno R$ 80-180\/m\u00eas + setup simplificado.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Por que consult\u00f3rio pequeno tamb\u00e9m precisa de PGRSS. RDC 222 n\u00e3o isenta por porte ou faturamento.<\/p>\n","protected":false},"author":3,"featured_media":1169,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[7],"tags":[634,1834,2123,22],"class_list":["post-1170","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-compliance-legislacao","tag-consultorio-pequeno","tag-mito","tag-porte","tag-rdc-222"],"_links":{"self":[{"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/posts\/1170","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=1170"}],"version-history":[{"count":1,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/posts\/1170\/revisions"}],"predecessor-version":[{"id":3835,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/posts\/1170\/revisions\/3835"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/media\/1169"}],"wp:attachment":[{"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/media?parent=1170"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/categories?post=1170"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/tags?post=1170"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}