title: Evaluation of environmentally sustainable actions in the medication process.
abstract: OBJECTIVE
  to analyze sustainable actions from an environmental point of view in the medication process, from the reception of the prescription of the pharmacy to waste discard by nursing.
  
  
  METHODS
  study before and after performed through Lean Six Sigma methodology. The sample consisted of the amount and type of waste resulting from the pharmacy and nursing services of a medical-surgical clinical unit.
  
  
  RESULTS
  after the intervention was obtained at the pharmacy a reduction of 74.8% of chemical, infectious and sharps waste, an increase of 33.3% of common recyclable and 20% of common non-recyclable. In nursing, there was a reduction of 22.5% of chemical, infectious and sharps waste, an increase of 22.9% of common recyclable and an increase of 20% of common non-recyclable.
  
  
  CONCLUSIONS
  the practice of sustainable actions in the hospital is possible, contributing to the optimization of resources and waste production with benefits to the institution, environment, and health.
authors: Programa de Pós-Graduação em Enfermagem, Escola Paulista de Enfermagem, Universidade Federal de São Paulo, São Paulo, SP, Brasil.
authors: Patrícia de Oliveira
authors: Pde O
authors: Furukawa
authors: Programa de Pós-Graduação em Enfermagem, Escola Paulista de Enfermagem, Universidade Federal de São Paulo, São Paulo, SP, Brasil.
authors: Isabel Cristina Kowal Olm
authors: IC
authors: Cunha
authors: Programa de Pós-Graduação em Enfermagem, Escola Paulista de Enfermagem, Universidade Federal de São Paulo, São Paulo, SP, Brasil.
authors: Mavilde da Luz Gonçalves
authors: Mda L
authors: Pedreira
mesh_terms: D003247:Conservation of Natural Resources; D006801:Humans; D017744:Medical Waste Disposal; D004364:Pharmaceutical Preparations
chemical_list: D017744:Medical Waste Disposal; D004364:Pharmaceutical Preparations