Green operating theatres
system. This is a more eco-responsible approach to surgical fluid waste management and could be considered in any healthcare establishment that generates fluid waste. Commenting on the solution, Sarah Baker,
said: “One of the main benefits we saw immediately, before even starting the trial, was that Neptune is a closed system. This benefited our infection control procedures. Theatres previously had to manoeuvre bags of fluid, urine and blood, and despite using solidifying gel, it was still a difficult process.” She also highlighted other benefits for staff:
“We previously had members of staff who were off sick with back injuries due to lifting and handling bags of fluid,” she commented. “I also had to use two extra staff within theatres just to help with the lifting and moving of fluid bags. The efficiencies we saw were significant, and the Neptune allowed us to better utilise staff elsewhere.” Sarah also explained that there were other
clinical benefits to using Neptune during surgical suction: “Surgeons saw a large benefit with regards to patient fluid monitoring. Previously, fluid had to be added up on a whiteboard. “Involving surgeons in the project at an early stage really helped. They were really behind the
initiative and championing the implementation of the system. They could see the benefits and how much more efficient the theatre was with Neptune.” Stephen Bell, Waste & Sustainability Manager, at James Cook University Hospital, added: “Implementing the Neptune system mitigated a significant proportion of our clinical waste stream, which has obvious cost benefits. However, eliminating these volumes from our waste streams also has a significant impact on our carbon footprint, and our overall goal towards more sustainable healthcare practice. “Neptune has revolutionised the way we work,
from diverting waste to drain to addressing the manual handling of clinical waste by staff. The importance of Neptune cannot be over emphasised, this type of system is long overdue in the NHS. It is necessary, and well received by the staff who use it. The Trust has a large focus on sustainable practice.”
References 1. Lee RJ, Mears SC. Greening of orthopedic surgery. Orthopedics 2012;35: e940–4.
2. Moyle JK, Lynn CD. The Business Case for Sustainability in Surgery. Practice Green Health, Nov. 2018, Accessed 25 October 2022.
https://practicegreenhealth.org/about/news/ business-case-sustainability-surgery
3. Kagoma YK, Stall N, Rubinstein E, et al. People, planet and profits: the case for greening operating rooms. CMAJ 2012;184:1905–11.
4. Practice Green Health Implementation Module: Fluid Waste Management Systems in the OR. 2011.
5. Baker S, Clark J, Pla AB, Feixas EV, Huegel J, Tariq L. Neptune versus canister-based surgical waste management in Europe: results of the GREEN study. Ann Med Surg (Lond). 2023 Jul 31;85(9):4307-4314. doi: 10.1097/ MS9.0000000000000934. PMID: 37663714; PMCID: PMC10473330.
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