THE VICTORIAN GREENS SURVEY: GAUGING RESPONSES TO ENVIRONMENTAL EFFICIENCIES IN NEPHROLOGY SERVICES

KA BARRACLOUGH 1,2, A GLEESON 2, SG HOLT 1,2, JWM AGAR 3

1Department of Nephrology, Royal Melbourne Hospital, Parkville, Victoria; 2Victorian Clinical Network, Department of Health and Human Services, Melbourne, Victoria; 3Department of Renal Medicine, University Hospital Geelong, Barwon Health, Geelong, Victoria.

Aim: The GREENS survey aimed to 1) establish a baseline for environmental sustainability (ES) in Victorian renal healthcare, and 2) guide future initiatives to reduce its environmental impact.

Background: The recurrent, per capita resource consumption and waste generation profile of dialysis is second to none in healthcare. The environmental and financial costs are high and unsustainable.

Methods: Nurse unit managers of all Victorian public dialysis facilities received an online link to the survey, which asked 107 questions relevant to the ES of dialysis services.

Results: Responses were received from 71/83 renal facilities in Victoria (86%), representing 628/660 dialysis chairs (95%). Low energy lighting was present in 13 facilities (18%). Only 18 (25%) recycled reverse osmosis water while 7 (10%) reported use of renewable energy. 56 facilities (79%) performed comingled recycling but only 27 (38%) recycled polyvinyl chloride plastic. A minority educated staff in appropriate waste management (n=30;42%) or formally audited waste generation and segregation (n=19;27). There was limited use of tele- or video-conferencing to replace staff meetings (n=19;27%) or patient clinic visits (n=13;18%). 44 facilities (62%) provided secure bicycle parking but only 33 (46%) provided shower and changing facilities. A minority (n=28;39%) considered ES in procurement decisions. Only 33 (46%) reported any level of preparedness to cope with climate change. Only 39 services (49%) confirmed an ES policy and few had ever performed an ES audit (n=14;20%), formed a green group (n=14; 20%), or were currently undertaking a green project (n=8;11%). Only 15 facilities (21%) made any formal effort to raise awareness of ES.

Conclusions: The need for practice and culture change is urgent if the ongoing delivery of high-quality care is to be ensured.

About ANZSN

The ASM is hosted by Australian and New Zealand Society of Nephrology.

The aims of the Society are to promote and support the study of the kidney and urinary tract in health and disease, and to ensure the highest professional standards for the practice of nephrology in Australia and New Zealand.

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