www.greendialysis.org a roadmap to a greener more sustainable renal service anthony perkins, cns...

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www.greendialysis.or g A roadmap to a greener more sustainable renal service Anthony Perkins, CNS Professor John W.M Agar, Nephrologist Barwon Health Renal Unit, Geelong, Victoria, Australia.

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Page 1: Www.greendialysis.org A roadmap to a greener more sustainable renal service Anthony Perkins, CNS Professor John W.M Agar, Nephrologist Barwon Health Renal

www.greendialysis.org

A roadmap to a greener more sustainable renal serviceAnthony Perkins, CNS

Professor John W.M Agar, NephrologistBarwon Health Renal Unit,Geelong, Victoria, Australia.

Page 2: Www.greendialysis.org A roadmap to a greener more sustainable renal service Anthony Perkins, CNS Professor John W.M Agar, Nephrologist Barwon Health Renal

An unintended consequence In 2001 the Barwon health renal unit

started its nocturnal home HD program.

Page 3: Www.greendialysis.org A roadmap to a greener more sustainable renal service Anthony Perkins, CNS Professor John W.M Agar, Nephrologist Barwon Health Renal

An unintended consequence In 2001 the Barwon health renal unit

started its nocturnal home HD program.

In 2006 we discovered that though our patients were feeling better, we inadvertently increased financial burden through greater power and water consumption.

Page 4: Www.greendialysis.org A roadmap to a greener more sustainable renal service Anthony Perkins, CNS Professor John W.M Agar, Nephrologist Barwon Health Renal

An unintended consequence In 2001 the Barwon health renal unit started its

nocturnal home HD program.

In 2006 we discovered that though our patients were feeling better, we inadvertently increased financial burden through greater power and water consumption.

While investigating ways in improve these financial burdens we found that we could also improve the environmental impacts of home HD.

Page 5: Www.greendialysis.org A roadmap to a greener more sustainable renal service Anthony Perkins, CNS Professor John W.M Agar, Nephrologist Barwon Health Renal

Project Log Water Conservation – recycling and

reuse of Reject Water for home and in-centre facilities.

Page 6: Www.greendialysis.org A roadmap to a greener more sustainable renal service Anthony Perkins, CNS Professor John W.M Agar, Nephrologist Barwon Health Renal

Project Log Water Conservation – recycling and

reuse of Reject Water for home and in-centre facilities.

Solar power project – augmenting our Home HD Training facility through solar power.

Page 7: Www.greendialysis.org A roadmap to a greener more sustainable renal service Anthony Perkins, CNS Professor John W.M Agar, Nephrologist Barwon Health Renal

Project Log Water Conservation – recycling and reuse of Reject

Water for home and in-centre facilities.

Solar power project – augmenting our Home HD Training facility through solar power.

Investigate ways to improve waste disposal and recycling

This led us to thinking if we can why not other units?

Page 8: Www.greendialysis.org A roadmap to a greener more sustainable renal service Anthony Perkins, CNS Professor John W.M Agar, Nephrologist Barwon Health Renal

Project Log Water Conservation – recycling and reuse of

Reject Water for home and in-centre facilities.

Solar power project – augmenting our Home HD Training facility through solar power.

Investigate ways to improve waste disposal and recycling

Consider new ways of being more efficient with purpose built dialysis facilities.

Page 9: Www.greendialysis.org A roadmap to a greener more sustainable renal service Anthony Perkins, CNS Professor John W.M Agar, Nephrologist Barwon Health Renal

Project Log Water Conservation – recycling and reuse of Reject Water

for home and in-centre facilities.

Solar power project – augmenting our Home HD Training facility through solar power.

Investigate ways to improve waste disposal and recycling

Consider new ways of being more efficient with purpose built dialysis facilities.

This led us to thinking, if we can, why not other units?

Page 10: Www.greendialysis.org A roadmap to a greener more sustainable renal service Anthony Perkins, CNS Professor John W.M Agar, Nephrologist Barwon Health Renal

The Survey.. Financial support by the Victorian Dept.

of Health.

Page 11: Www.greendialysis.org A roadmap to a greener more sustainable renal service Anthony Perkins, CNS Professor John W.M Agar, Nephrologist Barwon Health Renal

The Survey.. Financial support by the Victorian Dept.

of Health. We then adapted the survey from the

UK Green Nephrology program reported by Connor et al (2009) and applied it to Victorian Renal Services.

Page 12: Www.greendialysis.org A roadmap to a greener more sustainable renal service Anthony Perkins, CNS Professor John W.M Agar, Nephrologist Barwon Health Renal

The Survey.. Financial support by the Victorian Dept.

of Health. We then adapted the survey from the

UK Green Nephrology program reported by Connor et al (2009) and applied it to Victorian Renal Services.

The survey was sent to the 10 Major renal hubs and 3 of their satellite/rural units.

Page 13: Www.greendialysis.org A roadmap to a greener more sustainable renal service Anthony Perkins, CNS Professor John W.M Agar, Nephrologist Barwon Health Renal

The Survey.. Financial support by the Victorian Dept. of

Health. We then adapted the survey from the UK

Green Nephrology program reported by Connor et al (2009) and applied it to Victorian Renal Services.

The survey was sent to the 10 Major renal hubs and 3 of their satellite/rural units.

We received a 48% response rate, which equated to 295/620 dialysis chairs.

Page 14: Www.greendialysis.org A roadmap to a greener more sustainable renal service Anthony Perkins, CNS Professor John W.M Agar, Nephrologist Barwon Health Renal

The Report The results indicated while there were some

small projects already in place, there was a lot more work to be done, in terms of water conservation, alternative power sources, waste disposal and dialysis infrastructure.

We were encouraged to devise a plan.

We designed ………………….

Page 15: Www.greendialysis.org A roadmap to a greener more sustainable renal service Anthony Perkins, CNS Professor John W.M Agar, Nephrologist Barwon Health Renal

www.greendialysis.org