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Developing a sustainable system for managing and reducing medical waste
Stephanie Ng, RNUniversity Health Services | UT Austin
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Objectives Examine the importance of reducing the
environmental impact of student health centers
Define methods for assessing waste patterns
Discuss how to develop, implement, and evaluate a waste reduction and recycling plan
Field questions
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Promote Healthy Values “Do no harm”
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Environmental Benefit Hospitals and medical facilities are
some of the largest waste producers in the country
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Fiscal Benefit Cheaper to make products using
recycled materials Save on landfill and incinerator costs
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Health and Sustainability Human health and environmental health
are linked
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Types of Waste Solid waste Regulated medical waste Hazardous waste Pharmaceutical waste Universal waste Recyclables Construction and Demolition Debris Composting
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Reduce Biohazard Waste Biggest cost for us
Other consequences: Incineration Can set an example for labs across
campus and future medical school
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Increase Recycling Surprising amount of supplies and
equipment can be recycled!
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Reduce solid waste UHS produces ~91 lbs of waste/day
That’s ~455 lbs/week
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Products in Use Most commonly used materials and
supplies
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Financial Resources Green Fee Grant
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Establish Realistic Goals
Current Statistics
Goals % difference
Solid Waste 68.9% 60% -12.9%
Recycling 15% 30% +100%
Hazardous Material
16% 10% -37.5%
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Metrics Weigh waste (Penn State) Survey staff
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Support from Organizational Leadership An absolute MUST!
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Phased Culture Shift Need to get staff
on board Implement in
small, achievable steps
Incentives
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How to Get Started Who are the departments you will
collaborate with? Material management department Facilities, EH&S, and custodial staff
Who are your vendors? Who is your recycling vendor? What
can they recycle? Do you need to find specialized vendors?
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How to Get Started What is the current process your health
center uses to take out solid, recycling, and biohazard waste?
How much is going into your 3 streams? What are other departments on campus
doing? Which of your staff are on board?
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The Plan Educate, educate, educate Place single stream recycling bins in
break rooms and nurses’ stations
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The Plan Educate Place single stream recycling bins in
break rooms and nurses’ stations Place recycling bins in every exam room Place a graphic in every exam room
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The Plan Educate Place single stream recycling bins in
break rooms and nurses’ stations Place recycling bins in every exam room Place a graphic in every exam room Initiate pilot trials of nitrile glove
recycling in WH, UC, and lab
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The Plan Educate Place single stream recycling bins in
break rooms and nurses’ stations Place recycling bins in every exam room Place a graphic in every exam room Initiate pilot trials of nitrile glove
recycling in WH, UC, and lab Experiment with smaller biohazard bins
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Implementation Pilot Trial #1
In Urgent Care & Women’s Health for 2 weeks Outfit every exam room with a recycling bin
and graphic Determine how easy or difficult it is for
clinical staff to divert waste into correct receptacle by surveying staff
Staff education
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Implementation Pilot Trial #2
Roll out in General Medicine, Sports Medicine, & Lab for 2 weeks
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Implementation Pilot Trial #3: Nitrile glove recycling in
Urgent Care, Women’s Health, & Lab
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Evaluation Weigh waste
Analyze any statistical differences from Fall 2013 data
Surveyed staff
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Evaluation
Fall 2013 Stats
Goals Spring 2014 Stats
Solid Waste 65.4% 60% 58.4%
Recycling 14.3% 30% 33.8%
Hazardous Material
20.3% 10% 7.8%
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Some Thoughts for the Future Are exam table paper and pillows
necessary?
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Some Thoughts for the Future Composting
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AcknowledgmentsBIG thank you to the following people!
Kathy Mosteller Ben Lara & the materials management team Karen Blaney & the Office of Sustainability Sally Moore, Fidel Garcia, Patricia Maurizi Schiff, &
the custodial team Nena Anderson, Joe Bussey, & the EH&S team Darlene Mitchell & the SSB Building Management
team All of UHS’ nurse managers
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Resources Healthier Hospitals Initiative (2012).
Healthier Hospitals Initiative. Retrieved from http://healthierhospitals.org/
Practice Greenhealth. (2013). Practice Greenhealth. Retrieved from https://practicegreenhealth.org/
Rich, C.R., Singleton, J.K., Wadhwa, S.S. (2013). Sustainability for Healthcare Management: A leadership imperative. New York, NY: Routledge.
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Other Examples Pennsylvania State University University of North Texas (UNT) Medical University of South Carolina
(MUSC) UT Southwestern
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Questions