saving the environment makes cents
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Saving the environment makes cents. Tony Badrick. Cost of Clinical Laboratories?. Healthcare has a massive carbon footprint: Brazil: Hospital account for 10.6% of the country’s total commercial energy consumption - PowerPoint PPT PresentationTRANSCRIPT
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Saving the environment makes cents
Tony Badrick
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Cost of Clinical Laboratories?Healthcare has a massive carbon footprint: Brazil: Hospital account for 10.6% of the countrys total commercial energy consumption
USA: Health-care buildings are the second most energy- intensive commercial sector buildings, using about twice as much energy per square foot as traditional office space. They spend about US $8.5 billion a year on energy.
England: The NHS has calculated its carbon footprint at more than 18 million tonnes of CO2 each year - 25% of total public sector emissions.
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But: Laboratories are major sources of wasteWaterPowerToxic chemicalsHeatInfectious materialLaboratories are very regulatedThey are used to continuous improvementThey all have ISO 15189/9000
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What are the benefits of an Environmental Management System?Improved Environmental Performance reduced waste
Compliance with regulations and legislation
Some preparation for business continuity problems
Improved corporate image (internal and external)
Cost Reductions
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Principles of ISO 14001
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PLANEnvironmental AspectsRecord the different aspects of the businessNormal / Abnormal / EmergencyConsider Past, Ongoing and Planned aspects
Evaluate the aspects to decide which are significant
Practice wide significant environmental aspectsWater usageEnergy usageConsumablesWasteChemicalsBiologicalGeneral / Recycling
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PLANPLANLegal and Other Requirements- Specific to activity eg permit to store DGSpecific to a product or service eg licence to discharge waste to sewerSpecific to industry eg building licenceGeneral Federal, State & local Council legislation / permits
Objectives, targets and programmes
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DOPen musterRecycle specimen bagsSeparate & recycle waste: paper, plastics 1-5Fluorescent tubesStyrofoamIT consumablesToner savings for printers font sizeDouble sided photocopyingTreatment of liquid waste
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DODocumentation / Control of DocumentsCorporate Quality ManualLocal Quality ManualsDirect links between ISO 14001 & ISO 9001Emergency Preparedness and Response - Fire / Chemical / Internal EmergencyPoliciesEnvironmental Management PolicyCode of Practice Incentive Programs / campaignsControl requirements
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CHECKMonitoring and MeasurementKPIs for stationery usage, waste disposal, water and energy usage etc.Evaluation of ComplianceLegal ObligationsNon-conformity, corrective and preventative actionsControl of RecordsInternal Audits
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REVIEW / ACTManagement Review
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Implementing ISO 14001Complementarity of environmental, OHS & lean managementReduce toxinsReduce wasteReduce useConflict of environmental, OHS & lean management Recycling eg sharpsLean vs OHS vs environment
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Recycle
install new skips & binssmall bins for general waste; large bins for recyclingshredding confidential papers as generatedall paper & cardboard productsgeneral recycling, including 24hr urine bottlesPlastics 1-5 inside contactXylene & formalin recycling on siteLandcare volunteers & project support
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Reuse
specimen bagspaper / memos etc in printerslimit reuse- number of recycles- integrity of materials- maintenance of barrier / sterility- chemical changes eg rancid oils; threshhold levels of contaminants
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Treatment of Liquid Trade WasteXylene recycling on site Treatment of stains
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Activated carbon column for treatment of haematology & Gram stains
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Following passage through column, pH is adjusted to 7-9 prior to discharge.
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Plastic reuse & reduceVacutainer barrels:Clean & re-use barrels:80,000 barrels per year used (@3.3g) = 264 kg plastic70% Ethanol: 18 534 bottles = 932 kg plastic
Single use barrels: ~2.5 million barrels/yr = 8.25tNo plastic bottles
1.2 tonnes cf 8.25 tonnes
Single use = 7x amount of plastic
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Achieved
Chart1
4962050
63.568.5Feb50
7173Mar50
6264.5Apr50
610May50
6759.5Jun50
6658Jul50
56.50Aug50
6658.5Sep50
66.549Oct50
00Nov50
89139.5Dec50
2008
2009
2010
Target 2010
Month
Waste (kg)
Grafton Confidential Paper Waste
Sheet1
Clinical Waste
200820092010
Jan63136104
Feb7352.5
Mar82.560
Apr7354
May6069
Jun71.5126
Jul75.5177
Aug6675
Sep80.5171
Oct70183.5
Nov56.5130.5
Dec48.5119
Confidential Waste
200820092010
Jan4962050
Feb63.568.550
Mar717350
Apr6264.550
May61050
Jun6759.550
Jul665850
Aug56.5050
Sep6658.550
Oct66.54950
Nov0050
Dec89139.550
Sheet1
2008
2009
2010
Month
Clinical Waste (kg)
Grafton Clinical Waste
Sheet2
2008
2009
2010
Target 2010
Month
Waste (kg)
Grafton Confidential Paper Waste
Sheet3
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Achieved
Chart2
63136104
7352.5Feb
82.560Mar
7354Apr
6069May
71.5126Jun
75.5177Jul
6675Aug
80.5171Sep
70183.5Oct
56.5130.5Nov
48.5119Dec
2008
2009
2010
Month
Clinical Waste (kg)
Grafton Clinical Waste
Sheet1
Clinical Waste
200820092010
Jan63136104
Feb7352.5
Mar82.560
Apr7354
May6069
Jun71.5126
Jul75.5177
Aug6675
Sep80.5171
Oct70183.5
Nov56.5130.5
Dec48.5119
Confidential Waste
200820092010
Jan4962050
Feb63.568.550
Mar717350
Apr6264.550
May61050
Jun6759.550
Jul665850
Aug56.5050
Sep6658.550
Oct66.54950
Nov0050
Dec89139.550
Sheet1
2008
2009
2010
Month
Clinical Waste (kg)
Grafton Clinical Waste
Sheet2
2008
2009
2010
Target 2010
Month
Waste (kg)
Grafton Confidential Paper Waste
Sheet3
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Achieved
Chart1
0313297
0318334
250221217
246219203.4
2007
2008
2009
Mth
KwH/Day
Grafton Energy Usage
Sheet1
JanAprJulOct
200700250246
2008313318221219
2009297334217203.4
Sheet1
2007
2008
2009
Mth
KwH/Day
Grafton Energy Usage
Sheet2
Sheet3
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Achieved
Chart1
March488712
5235421344
500623859
571566443
2007
2008
2009
Month
L/Day
Grafton Water Usage
Sheet1
March488712
May5235421344
Aug /Sept500623859
Nov / Dec571566443
Sheet1
2007
2008
2009
Month
L/Day
Grafton Water Usage
Sheet2
Plumber investigation organised by landlord for excessive use - no leaks or faults found.
Sheet3
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Results
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Results
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PapersProposals for the mitigation of the environmental impact of clinical laboratories. Lopez and Badrick. Clin Chem Lab Med 2012;50(9):15591564 2012 International Fed Clin Chem Guideline Document
Outcomes and challenges of implementing an ISO 14001:2004 environmental management system in a clinical laboratory. Reid, Kehrer, Badrick. J Aust Med Sc. 2012;33: 88-95.
Implementing ISO14001:2004 environmental management system in a clinical laboratory: challenges and staff attitudes.Reid, Kehrer, Badrick. Submitted Quality Progress. 2012
The Impact on Costs and Efficiency of Reducing the Number of Collected Tubes. Hobson and Badrick. In press Clin Chem Lab Med 2012.
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What is next?Australia further work on recycling
Awareness
SE Asia pilot site Asian Pacific Federation of Clinical Biochemistry
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