What's my carbon footprint?
Short expiry, high cost
Greener practices in other countries
Stewardship in clinical practice
How do I throw this out?
100

This volatile anesthetic was removed from formulary at SJHC in _____

What is Desflurane?

100

This medication to hold on hand for anaphylactic emergencies usually expires 12-18 months and need to be replaced.

What is an Epipen?

100

This European country's "Cyclamed" program provides a nationally coordinated system for returning unused medications (but not wine).

What is France?

100

Pharmacists should perform this task at least once every 90 days for every patient.

What is "Review the medication profile"?

100

This is the organization that helps to take back medications for safe disposal in ON, BC, MB, NB, QC and PEI

What is the Health Products Stewardship Association (HPSA)?

200

This common medication-related practice significantly increases healthcare’s carbon footprint due to wasted manufacturing, packaging, and disposal—making deprescribing and right-sizing quantities key strategies to reduce environmental impact.

What is medication overprescribing and waste?

200

This best practice ensures that, when restocking medications, the shorter expiry dates are used first and the newer stock is used later.

What is rotating stock?

200

This global organization encourages proper medication disposal and environmentally sustainable healthcare practices Worldwide.

What is the World Health Organization?

200

This hospital team is credited with preventing the emergence of multi-drug-resistant organisms, and also narrowing broad antibiotic use. 

Who is Antimicrobial stewardship?

200

This container is used to safely dispose of needles, lancets, broken glass, and other sharp medical objects.

What is a sharps container?

300

How many Canadian households match the annual carbon footprint of one hospital bed.

What is 5?

300

These bulk items are often misplaced on the wards should be dispensed from pharmacy in a plastic bag for infection control reasons and can only be tubed once.

What are insulin pens?

300

Under the Green Hospital Network, this country composts food waste on-site for landscaping and fertilizer.  Unfinishe pad thai would be composted. 

What is Thailand?

300

In addition to decreasing waste, this review and modification of medication consumption, helps prevent adverse outcomes in seniors. 

What is deprescribing?

300

These common, handheld, pressurized, medication administration devices should not be punctured or thrown in regular trash due to environmental and safety concerns.

What are metered-dose inhalers (MDIs)?

400

Which one of the following hospital elements has the largest carbon footprint: buildings/energy, supplies/pharmaceuticals,  travel/transport, or waste?

What is supplies/pharmaceuticals (and the wider supply chain)?

400

These minims used in ophthalmology ORs are the only minims that must always be keep refrigerated and not brought to room temperature.

What is povidone-iodine?

400

The hospitals of this East Asian island nation, achieve over 80% recycling through government-community partnerships and zero-waste policies.

What is Japan?

400

At SJHC, this formulation policy allows fluconazole, metronidazole, cipro, moxi, and pantoprazole to be switched so that IV waste is minimized. 

What is the IV to PO conversion policy?

400

Items saturated with blood or bodily fluids that could pose an infection risk, are disposed of in this type of waste (often marked with a symbol).

What is biomedical/biohazardous waste?

500

List in order, from highest global warming potential to lowest, the following inhaled anesthetic agents:  desflurane, nitrous oxide, sevoflurane.

What is desflurane, nitrous oxide, sevoflurane?

500

This pharmacy technician role is critical in saving very high drug costs and wastage by opening vials and reconstituting minimally as needed.

What are chemo technicians?

500

This Alpine country has implemented advanced wastewater treatment technologies to remove pharmaceutical residues from water supplies. It also has amazing skiing.

What is Switzerland?

500

Antimicrobial stewardship programs reduce healthcare-associated infections like this toxin-producer, alongside resistance patterns.

What is Clostridioides difficile?

500
Detergent compounds used in narcotic destruction help meet this requirement by making the drug unusable and unrecoverable.

What is rendering the medication irretrievable?

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