Our Journey to a Greener OR

Transcription

1 Our Journey to a Greener OR Advocate Illinois Masonic Medical Center 1

2 Disclosures It is the policy of Corexcel to ensure fair balance, independence, objectivity and scientific rigor in all programming. In compliance with the American Nurses Credentialing Center s Commission on Accreditation (ANCC), it is the policy of Corexcel that faculty disclose all financial relationships with commercial interests over the past 12 months. Denise Wong, No Financial Interests Madeline Rivera, No Financial Interests 2

3 About Advocate Illinois Masonic Medical Center 408-bed teaching hospital on Chicago s North Side Nearly 2,400 employees and more than 900 physicians Performed 11,526 surgeries in

4 About Advocate Illinois Masonic Medical Center Recognized with Practice Greenhealth s Top 25 Environmental Excellence Award and Circle of Excellence Award for Energy in 2014 First hospital in Chicago to earn Energy Star, receiving the designation every year since

5 Identifying Low-Hanging Fruit Resistance to reprocessed devices from physicians and staff Outdated supplies Expired products High red bag waste Low use of fluid management waste system 5

6 Single-Use Device Reprocessing Partner with Stryker Sustainability Solutions All instruments are either remanufactured/reprocessed or recycled In 2013, saved nearly $600,000 and avoided more than 6,000 pounds of waste Doubled volume of waste avoided from SUD reprocessing since

7 Single-Use Device Reprocessing 7

8 Single-Use Device Reprocessing: Challenges Resistance from physicians Resistance from staff Ordering issues 8

9 Single-Use Device Reprocessing: Creating Physician Engagement Starting from the top: Getting buy-in from chair of Surgery Department Demonstrating correlation between savings from SUD reprocessing and future ability to invest in capital equipment Working with staff to avoid escalating identity of devices Measuring effectiveness of devices and reporting out 9

10 Single-Use Device Reprocessing: Creating Staff Engagement Education Sharing data and outcomes Creating designated OR Green Team 10

11 Single-Use Device Reprocessing: Solving Ordering Issues Partnered with Materials Management and our distributor to create a process of reordering so we did not double-order First order would go to Stryker Sustainability 11

12 Green Sterilization Eliminated ethylene oxide (EtO) gas sterilization to sterilize certain surgical tools Replaced EtO with Sterrad plasma-based sterilization Genesis baskets Environmental benefits Health benefits for staff 12

13 Reduce, Reuse, Recycle 13

14 Reduce, Reuse, Recycle Blue wrap Tourniquets Pulse oximeters Saline bottles Electrocautery equipment Towels Batteries Paper hats Shoe covers 14

15 Other Green Initiatives Reduced regulated medical waste to 1.56 lbs per adjusted patient days in 2013 from 2.45 lbs in 2009, bringing disposal cost down from $63,584 to $37,929 Custom pack revision items not used in all cases, such as drapes, taken out of packs 15

16 Other Green Initiatives Computers and other equipment are turned off each night; staff rounds to ensure all unneeded equipment is turned off Discourage bottled water use by staff with a water dispenser in the break room where staff can refill their reusable containers Replaced disposable warm-up jackets with reusable jackets Lights are turned off in rooms that are not in use 16

17 Our Environment Sterns Quarry Landfill 17

18 Why We Care 18

19 Questions? 19