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Green Endoscopy: The role of the staff
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GREEN ENDOSCOPY:
The role of each staff
MICHAEL DACUMOS
04/07/2022
WHAT IS GREEN ENDOSCOPY?
> Green Endoscopy aims to identify and foster sustainable practice within endoscopy nationally and internationally alongside the financial and social sustainability co-benefits.
AIM:
It is looking to bring together patients, clinicians, researchers, educators, students and managers interested in Sustainable Endoscopy.
WHAT WE KNOW or DON'T KNOW?
- Climate change> been described as ‘the biggest global health threat of the 21st century
- NHS> 6.3% of the UK’s total carbon emissions and 5% of the country’s total air pollution.
Endoscopy
> generates 3.09kg of waste per bed per day (3rd in any hospital).
> created by multiple non-renewable waste streams and resource-heavy decontamination processes.
WHAT ELSE?
So What Can We Do?
> Recycle, Reuse, Reduce
> Staff education
> strict implementation of waste segregation
> Empower, Encourage and Motivate!
> Sustain best practices
Reduce
- Curb unnecessary procedures
- Paperless reports, e-documentation
- Cold snare over hot polypectomy
- Reduce single use consumables
- Reduce N02/GA where possible
- LED lights
- Alternatives to single-use
- Use sharp bins wisely- discard wisely
- Avoid plastic bags, cups, cutleries
- Switch off unused lights/equipment
R.R.R
Reuse
- Reuse scope if not used for later procedure
- Gastroscopes for F/sig procedures for the same pt
- Use reusable/wipeable medication trays
- Use rechargeable batteries
- Distribute solutions (lifting solns) in between rooms
Recycle
- Segregate wastes properly
- Increase availability of recycling bins
- Staff training on waste mgmt
THANK YOU SO MUCH
References:
1. Maurice JB, Siau K, Sebastian S, Ahuja N, Wesley E, Stableforth W, Hayee B; Green Endoscopy Network. Green endoscopy: a call for sustainability in the midst of COVID-19. Lancet Gastroenterol Hepatol. 2020 Jul;5(7):636-638. doi: 10.1016/S2468-1253(20)30157-6. PMID: 32553141; PMCID: PMC7295492.
2. Green Endoscopy Champions – Working towards a Sustainable Future - The British Society of Gastroenterology (bsg.org.uk)
3. Maurice JB, Rochford A, Marshall S, et al. Green endoscopy: using quality improvement to develop sustainable practice. Frontline Gastroenterology. 2022 ;13(4):342-345. DOI: 10.1136/flgastro-2021-101874. PMID: 35722605; PMCID: PMC9186032.
4. Green Endoscopy - The British Society of Gastroenterology (bsg.org.uk)