Eco-Friendly Practices in Surgery Clinic

Öz

Introduction: Environmentally friendly practices refer to decreased energy consumption, using resources in a carefully and sustainable way and decreased environmental pollution. An environmentally friendly hospital is defined as a hospital where energy is saved, carbon emission is decreased and productivity and quality are increased. So that success can be achieved in environmentally friendly hospitals, such strategies as “P” and “3R” are used. P refers to prevention and 3R refers to reduce, reuse and recycle. Environmentally friendly practices have been considered under six main headings in the literature: namely, waste reduction and segregation, reprocessing of single-use medical devices, recycling waste material, environmentally preferable purchasing, energy consumption management, and pharmaceutical waste management. Education about the environment should be part of curricula of education for nurses, doctors and other health professionals. Sustainable environmentally friendly interventions performed by nurses and doctors play an important role in protection and promotion of environmental and public health

Anahtar Kelimeler

• Environmentally friendly practices, Nursing, Surgical clinics.

Cerrahi Kliniklerde Çevre Dostu Uygulamalar

Öz

Giriş: Çevre dostu uygulama, enerji tüketiminin azaltılması, kaynakların sürdürülebilir ve dikkatli bir şekilde kullanılması, çevre kirliliğinin azaltılması olarak tanımlanmaktadır. Çevre dostu hastane, enerji tasarrufu sağlayan, karbon gazı emisyonlarını azaltan, çevre dostu, verimli ve kaliteli hastaneler olarak tanımlanmaktadır. Çevre dostu hedeflerde başarılı olmak için “P” ve “3R” olarak bilinen stratejiler kullanılmaktadır. Bunlar; önleme (prevention), azalt (reduce), yeniden kullan (reuse), yeniden dönüştürme (recycle). Literatürde çevre dostu uygulamalar, atıkları azaltılması ve ayrılması, tek kullanımlık tıbbi aletlerin yeniden kullanımı, atıkların dönüşümü, çevre dostu malzemeler satın alma, enerji tüketiminin yönetimi ve ilaçlarla ilgili atıkların yönetimi olmak üzere altı ana grupta incelenmiştir. Çevre eğitimi, hemşireler, hekimler, ve diğer sağlık çalışanları için müfredatın standart bir parçası olmalıdır. Hemşirelerin ve hekimlerin çevre dostu girişimlerinin sürdürülebilir olması, çevre ve halk sağlığının korunmasında ve geliştirilmesinde önemli rolleri vardır.

Anahtar Kelimeler

• Çevre Dostu Uygulamalar, Hemşirelik, Cerrahi Klinikler

Kaynakça

1. AORN guidance statement: Environmental responsibility. (2006). Aorn Journal October, 84(4), 675-684.
2. AORN Perioperative Standards and Recommended Practices 2010 Edition. (2010). 533-540.
3. Chapman, M., & Chapman, A. (2011). Greening critical care. Critical Care, 15, 302.
4. Doyle, W. (2009). Eco-riendly alternative to traditional latex. Medical Design Tecnology, 10-11.
5. Ferraz, A., Barcelos C. B., & Pontes, R. (2000). Concentration of atmospheric pollutants in the gaseous emissions of medical waste incinerators. Journal of The Air & Waste Management Association, 50, 131-136.
6. Fritsky, K. J., Kumm, J. H., & Wilken, M. (2001). Combine PCDD/F destruction and particulate control in a baghouse: experience with a catalytic filter system at a medical waste incineration plant. Journal of The Air & Waste Management Association, 51, 1642–1649.
7. Health Care without Harm Website. (15.10.2001). Environmentally Preferable Purchasing How-To Guide part of Going Green: A Resource Kit for Pollution Prevention in Health Care. 1-4. Erişim: 05.11.2013.
8. http://www.noharm.org/lib/downloads/purchasing/EP P_How-To_Guide.pdf Jones, O. A. H., Voulvoulis, N., & Lester, J. N. (2001). Human pharmaceuticals in the aquatic environment: a review. Environmental Technology, 22(12), 1383- 1394.

9. Kolpin, D. W., Furlong, E. T., Meyer, M. T., Thurman, E. M., Zaugg, S. D., Barber, L. B., et al. (1999-2000). Pharmaceuticals, hormones, and other organic wastewater contaminants in u.s. streams: a national reconnaissance. Environmental Science & Technology, 36(6), 1202-1211.
10. Kwakye, G. (2010). “Green practices for surgical units” section of gastrointestinal surgery. PhD thesis. Department of Surgery and the Johns Hopkins Center for Green Healthcare, Johns Hopkins University, School of Medicine.
11. Kwakye, G., Brat, G. A., & Makary, M. A. (2011). Green surgical practices for health care. Archives of Surgery,146(2),131-136.
12. Laustsen, G. (2007). Reduce-recycle-reuse: Guidelines for promoting perioperative waste management. Aorn Journal, 85(4), 717-728.
13. Lausten, G. (2010). Greening In Healthcare. Nursing Management. Lippincott Williams & Wilkins.
14. Lee, B. K., Ellenbecker, M. J., & Moure-Ersaso, R. (2004). Alternatives for treatment and disposal cost reduction of regulated medical wastes. Waste Management, 24, 143–151.
15. London Medicines & Healthcare Regulatory Agency. (2006). Department of Health: Single-use Medical Devices: Implications and Consequences of Reuse. Erişim: 05.11.2013.
16. http://www.mhra.gov.uk/Publications/Safetyguidance /DeviceBulletins/CON2024995 McGain, F., Story, D., & Hendel, S. (2009). An audit of intensive care unit recyclable waste. Anaesthesia, 64, 1299–1302.
17. Melamed, A. (2003). Environmental accountability in perioperative settings. AORN Journal, 77, 1157- 1168.
18. Nash, J. P., Kime, D. E., Van der Ven, L. T., Wester, P. W., Brion, F., Maack, G., et al. (2004). Long-term exposure to environmental concentrations of the pharmaceutical ethynylestradiol causes reproductive failure in fish. Environmental Health Perspectives, 112(17), 1725-1733.
19. Sussman, G. L. (2000). Latex Allergy, An Overview. Canadian Journal of Allergy and Clinical Immunology, 317-322.
20. Stewart, L., & Maryon-Davis, A. How you can make a real difference. In Griffiths, J. (ed.), Adshead, F. (ed.), Rao, M. (ed.), & Thorpe, A. (ed.). The Health Practitioner's Guide to Climate Change. (pp. 197- 224). London: Earthscan.
21. T. C. Başbakanlık Mevzuatı Geliştirme ve Yayın Genel Müdürlüğü. (2009). Çevre Kanununca Alınması Gereken İzin ve Lisanslar Hakkında Yönetmelik, Resmi Gazete 29.04.2009, 27214.
22. T.C Sağlık Bakanlığı İlaç ve Eczacılık Müdürlüğü Genelge. (2011). “Tıbbi Cihazların Sterilizasyonu”. Erişim: 05.11.2013.
23. http://www.ihsm.gov.tr/indir/mevzuat/genelgeler/G_01022 011_1.pdf The Reprocessing Report: Hospitals Benefit from Sustainability Initiatives with more than $138 Million in Savings in 2008. Erişim: 05.11.2013.
24. http://www.businesswire.com/news/home/200901120 06331/en/Ascent-Reports---Hospitals-BenefitSustainability-Initiatives The State University of New Jersey. (August 2010). The supply chain/green purchasing overview. Erişim: 05.11.2013
25. http://greenpurchasing.rutgers.edu/supply_chain.html US Environmental Protection Agency, (2002a, November). Eliminating Mercury in Hospitals. Environmental Best Practices for Health Care Facilities. 1-12
26. US Environmental Protection Agency, (2002b, November). Using Microfiber Mops in Hospitals. Environmental Best Practices for Health Care Facilities. 1-4.
27. US Environmental Protection Agency. Reduce, reuse, and recycle. Erişim: 05.11.2013
28. http://www2.epa.gov/recycle/recycling-basics US Food and Drug Administration. (12.07. 2002). FDA Public Health Notification: PVC Devices Containing the Plasticizer DEHP. Erişim: 05.11.2013
29. http://www.fda.gov/MedicalDevices/Safety/Alertsand Notices/PublicHealthNotifications/ucm062182.htmW ebster P. Canadian hospitals call for restrictions on single-use devices. Lancet 2004, 363,542.
30. US Government Accountability Office Web site. (31.01.2008). Report to the Committee on Oversight and Government Reform, House of Representatives:reprocessed single-use medical devices: FDA oversight has increased, and available information does not indicate that use presents an elevated health risk. Erişim: 05.11.2013.
31. http://www.gao.gov/new.items/d08147.pdf. Ruparel, M. (2003). Energy Efficiency Program for Hospitals. Healthcare Management Express, 2-3. Yeşil Hastane: Hastanede Enerlji Verimliliği. 2011. Erişim: 03.11.2013. www.siemens.com.tr/yesilhastaneler