{"id":1225,"date":"2026-05-20T22:00:00","date_gmt":"2026-05-21T01:00:00","guid":{"rendered":"https:\/\/sevenresiduosaude.com.br\/blog\/?p=1225"},"modified":"2026-05-20T22:00:00","modified_gmt":"2026-05-21T01:00:00","slug":"mito-pgrss-so-crbm-medico-nao-precisa-entender","status":"publish","type":"post","link":"https:\/\/sevenresiduosaude.com.br\/blog\/mito-pgrss-so-crbm-medico-nao-precisa-entender\/","title":{"rendered":"Mito: PGRSS \u00e9 s\u00f3 do CRBM, m\u00e9dico n\u00e3o precisa saber"},"content":{"rendered":"<h2>A frase<\/h2>\n<p>&#8220;PGRSS \u00e9 responsabilidade t\u00e9cnica do biom\u00e9dico (CRBM). Eu sou m\u00e9dico (CRM) \u2014 atendo paciente, prescrevo, opero. PGRSS n\u00e3o \u00e9 minha \u00e1rea, n\u00e3o preciso entender.&#8221; Errado.<\/p>\n<h2>4 pontos onde a generaliza\u00e7\u00e3o falha<\/h2>\n<h3>1. RT pode ser CRM (n\u00e3o exclusivo CRBM)<\/h3>\n<p>ART de PGRSS aceita profissionais com habilita\u00e7\u00e3o t\u00e9cnica:<\/p>\n<ul>\n<li><strong>Biom\u00e9dico (CRBM)<\/strong>: mais comum, forma\u00e7\u00e3o direcionada<\/li>\n<li><strong>M\u00e9dico (CRM com escopo PGRSS)<\/strong>: pode assinar quando habilitado<\/li>\n<li><strong>Farmac\u00eautico (CRF)<\/strong>: comum em farm\u00e1cias hospitalares<\/li>\n<li><strong>Enfermeiro (COREN especializa\u00e7\u00e3o)<\/strong>: comum em sa\u00fade do trabalhador<\/li>\n<li><strong>Engenheiro Sanit\u00e1rio (CREA)<\/strong>: comum em hospitais grandes<\/li>\n<\/ul>\n<p>M\u00e9dico <strong>pode ser RT<\/strong>, e mesmo se n\u00e3o for, \u00e9 correspons\u00e1vel.<\/p>\n<h3>2. CFM Resolu\u00e7\u00e3o 2.147 \u2014 corresponsabilidade<\/h3>\n<p>Diretor T\u00e9cnico M\u00e9dico responde solidariamente. M\u00e9dico assistencial:<\/p>\n<ul>\n<li>Cumpre PGRSS (segrega\u00e7\u00e3o correta) sob pena de descumprimento dever legal (CLT art. 482-h)<\/li>\n<li>Responde no CRM por descarte irregular (den\u00fancia paciente\/colega)<\/li>\n<\/ul>\n<h3>3. Acidente perfurocortante \u2014 m\u00e9dico precisa saber<\/h3>\n<p>Em acidente com agulha contaminada (m\u00e9dico mesmo \u00e9 a v\u00edtima):<\/p>\n<ul>\n<li><strong>PEP HIV em <2h<\/strong>: m\u00e9dico precisa saber acionamento<\/li>\n<li><strong>PEP HBV em <24h<\/strong>: vacina\u00e7\u00e3o + Ig espec\u00edfica<\/li>\n<li><strong>Notifica\u00e7\u00e3o CAT INSS<\/strong>: documenta\u00e7\u00e3o trabalhista<\/li>\n<li><strong>Notifica\u00e7\u00e3o SINAN<\/strong>: epidemiol\u00f3gica<\/li>\n<\/ul>\n<p>Sem conhecimento b\u00e1sico = perda da janela terap\u00eautica = soroconvers\u00e3o potencial.<\/p>\n<h3>4. Prescri\u00e7\u00e3o m\u00e9dica gera RSS espec\u00edfico<\/h3>\n<p>Toda prescri\u00e7\u00e3o m\u00e9dica de <strong>medicamento controlado<\/strong> (Portaria 344) ou <strong>antineopl\u00e1sico<\/strong> (RDC 220) ou <strong>anti-VEGF<\/strong> (RDC 6) gera res\u00edduo Grupo B com manifesto. M\u00e9dico que n\u00e3o entende:<\/p>\n<ul>\n<li>Mistura controlado com Grupo D<\/li>\n<li>Frasco vencido na pia (descumpre Portaria 344)<\/li>\n<li>Sem rastreabilidade lote (descumpre RDC 6 alta complexidade)<\/li>\n<\/ul>\n<h2>Tabela 5 itens m\u00e9dico precisa saber<\/h2>\n<table>\n<thead>\n<tr>\n<th>Item<\/th>\n<th>M\u00ednimo<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td>1. 5 grupos RSS<\/td>\n<td>Identificar: A, B, C, D, E<\/td>\n<\/tr>\n<tr>\n<td>2. Segrega\u00e7\u00e3o<\/td>\n<td>Onde descartar agulha, frasco, gaze<\/td>\n<\/tr>\n<tr>\n<td>3. EPI obrigat\u00f3rio<\/td>\n<td>Luva nitr\u00edlica, m\u00e1scara, \u00f3culos<\/td>\n<\/tr>\n<tr>\n<td>4. Acidente perfuro<\/td>\n<td>PEP <2h + CAT<\/td>\n<\/tr>\n<tr>\n<td>5. Onde est\u00e1 o PGRSS<\/td>\n<td>Pasta amarela (script VISA)<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2>3 erros<\/h2>\n<ol>\n<li>&#8220;Sou m\u00e9dico, n\u00e3o me envolvo&#8221; \u2014 viola CFM 2.147<\/li>\n<li>&#8220;Sem capacita\u00e7\u00e3o NR-32 = sem culpa&#8221; \u2014 empregador responde, m\u00e9dico solid\u00e1rio<\/li>\n<li>&#8220;Em fiscaliza\u00e7\u00e3o VISA, dou apenas CRM&#8221; \u2014 fiscal pergunta o protocolo PGRSS<\/li>\n<\/ol>\n<p><strong><a href=\"https:\/\/sevenresiduosaude.com.br\/orcamento\/\">Solicite capacita\u00e7\u00e3o PGRSS para m\u00e9dicos<\/a><\/strong> \u2014 treinamento NR-32 + protocolo + acesso ao plano.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Por que m\u00e9dico precisa entender PGRSS. CRM exige conhecimento + responsabilidade t\u00e9cnica solid\u00e1ria.<\/p>\n","protected":false},"author":3,"featured_media":1224,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[7],"tags":[2158,1028,1834,22],"class_list":["post-1225","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-compliance-legislacao","tag-crbm","tag-crm","tag-mito","tag-rdc-222"],"_links":{"self":[{"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/posts\/1225","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=1225"}],"version-history":[{"count":1,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/posts\/1225\/revisions"}],"predecessor-version":[{"id":3855,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/posts\/1225\/revisions\/3855"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/media\/1224"}],"wp:attachment":[{"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/media?parent=1225"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/categories?post=1225"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/tags?post=1225"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}