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#LowCarbonHealthCare
BEE LING TEOH
Nurse Educator
Buddhist Tzu-Chi
Dialysis Centre
Penang, Malaysia
#LowCarbonHealthCare 2
NGO – providing free HD treatment,
blood tests, EPO injections and other
subsidies – transport, med...
#LowCarbonHealthCare
Buddhist Tzu-chi Organization
#LowCarbonHealthCare
1. Charity
2. Medical
3. Education
4. Humanitarian...
#LowCarbonHealthCare
GGHH member since sept 2016
#LowCarbonHealthCare
CS 1 - Food:
Vegetarianism and Utilization of Reusable Food Containers reduces Carbon Emission
https:...
#LowCarbonHealthCare
Buddhist Tzu Chi Dialysis Centre
- policy requiring all employees to bring only vegetarian food
in re...
#LowCarbonHealthCare
Duration Plastic bags saved Average plastic wt – 10 g Reduction of CO2 emission
(1 Kg of plastic: 6 K...
#LowCarbonHealthCare
A matured tree - 22 kg of carbon
dioxide per year and 1 ton of carbon
dioxide by the time it reaches ...
#LowCarbonHealthCare
Visitors are following
policy and regulations
All new patients were
briefed and explained
on the poli...
#LowCarbonHealthCare
#LowCarbonHealthCare
Waste generated by a single
haemodialysis treatment was
substantial
While this waste production
canno...
#LowCarbonHealthCare
Clinical Waste Management:
In Malaysia, the clinical waste being classified as scheduled waste that i...
#LowCarbonHealthCare
RECYCLING IN CLINICAL AREA
#LowCarbonHealthCare
RECYCLING IN CLINICAL AREA
#LowCarbonHealthCare
RECYCLING IN CLINICAL AREA
#LowCarbonHealthCare
USING RECYCABLE ITEMS
#LowCarbonHealthCare
Festival and Gifts
#LowCarbonHealthCare
7 Rs
Recycle, Refuse, Reduce, Reuse, Repair, Re-gift & Respect
#LowCarbonHealthCare
#LowCarbonHealthCare
12 -13 treatment/month
Save at least 20, 400 pcs of
papers/year
* 2 mature trees saved
*It takes up t...
#LowCarbonHealthCare
#LowCarbonHealthCare
Video
#LowCarbonHealthCare
Energy
– Reduce consumption
Organization Goal
 Reduction of carbon dioxide emissions through reducti...
#LowCarbonHealthCare
#LowCarbonHealthCare
Patients’ participation and involvement
#LowCarbonHealthCare
Water – A Precious Commodity:
HD Treatment – 120 L dialysis fluid/session
(4 hours)
*** Generally the...
#LowCarbonHealthCare
#LowCarbonHealthCare
Water Control System Average Daily Usage Total Water
Usage
Water Saved Total Water Saved (for 100
per...
#LowCarbonHealthCare
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WORKSHOP 1: Teoh Bee Ling_waste

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BUDDHIST TZU CHI DIALYSIS CENTER EXPERIENCE (Malaysia)

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WORKSHOP 1: Teoh Bee Ling_waste

  1. 1. #LowCarbonHealthCare BEE LING TEOH Nurse Educator Buddhist Tzu-Chi Dialysis Centre Penang, Malaysia
  2. 2. #LowCarbonHealthCare 2 NGO – providing free HD treatment, blood tests, EPO injections and other subsidies – transport, medications Updated: 30th September 2017 PENANG BUTTERWORTH KEDAH TOTAL HD MACHNES 48 40 24 112 MEDICAL STAFF (RN + AN) 24 + 8 17 + 3 15 + 2 56+ 13 DEDICATED VOLUNTEERS 30 10 1 41 HD PATIENTS 136 104 80 320
  3. 3. #LowCarbonHealthCare Buddhist Tzu-chi Organization #LowCarbonHealthCare 1. Charity 2. Medical 3. Education 4. Humanitarian  International Relief  Bone Marrow Registry  Community volunteers  Environment Protection
  4. 4. #LowCarbonHealthCare GGHH member since sept 2016
  5. 5. #LowCarbonHealthCare CS 1 - Food: Vegetarianism and Utilization of Reusable Food Containers reduces Carbon Emission https://gghhconnect.cisconetspace.com/group/food/case-studies CS 2 - Water: A precious Commodity Conserving and Reducing Water Consumption through Using Recycled Reject Water Processed from Water Treatment System https://gghhconnect.cisconetspace.com/group/water/case-studies CS 3 - Waste: Reduce, Re-use, and Recycle For Our Future Generations https://gghhconnect.cisconetspace.com/group/waste/case-studies CS 4 - Energy : The Implementation of Energy Saving Practices Optimizing Consumption and Reduction of Carbon Dioxide Emissions http://www.greenhospitals.net/case-studies-3/#energy
  6. 6. #LowCarbonHealthCare Buddhist Tzu Chi Dialysis Centre - policy requiring all employees to bring only vegetarian food in reusable containers to work “ONLY VEGETARIAN FOOD POLICY” - implemented since 1997
  7. 7. #LowCarbonHealthCare Duration Plastic bags saved Average plastic wt – 10 g Reduction of CO2 emission (1 Kg of plastic: 6 Kg of CO2 ) Computation Process (days * average plastic consumption) (average no. of plastic containers * Average plastic wt) (total plastic weight * CO2 Emission of Plastics) 1 Day 200 bags 2 Kg 12 Kg CO2 25 Days 5000 bags 50 Kg 300Kg CO2 300 Days 60,000 bags 600 Kg 3,600 Kg CO2 Carbon Emission Reduction through reduction of plastic bags 100 Employees & Patients = 2 plastic bags each Food packed in reusable containers by patients & Employees
  8. 8. #LowCarbonHealthCare A matured tree - 22 kg of carbon dioxide per year and 1 ton of carbon dioxide by the time it reaches 40 years old. By reduction of 3,600 Kg CO2, it is equivalent to planting/saving 163 trees in a year ( considering on the working days of 300 days)
  9. 9. #LowCarbonHealthCare Visitors are following policy and regulations All new patients were briefed and explained on the policy and regulations
  10. 10. #LowCarbonHealthCare
  11. 11. #LowCarbonHealthCare Waste generated by a single haemodialysis treatment was substantial While this waste production cannot be eliminated, there are measures that can be taken to substantially reduce
  12. 12. #LowCarbonHealthCare Clinical Waste Management: In Malaysia, the clinical waste being classified as scheduled waste that is controlled under the Environmental Quality (Scheduled Wastes) Regulations, 2005. All healthcare establishments in Malaysia adopted the standard colour coding which is widely accepted:- BLACK : General wastes YELLOW : Clinical wastes for incineration only
  13. 13. #LowCarbonHealthCare RECYCLING IN CLINICAL AREA
  14. 14. #LowCarbonHealthCare RECYCLING IN CLINICAL AREA
  15. 15. #LowCarbonHealthCare RECYCLING IN CLINICAL AREA
  16. 16. #LowCarbonHealthCare USING RECYCABLE ITEMS
  17. 17. #LowCarbonHealthCare Festival and Gifts
  18. 18. #LowCarbonHealthCare 7 Rs Recycle, Refuse, Reduce, Reuse, Repair, Re-gift & Respect
  19. 19. #LowCarbonHealthCare
  20. 20. #LowCarbonHealthCare 12 -13 treatment/month Save at least 20, 400 pcs of papers/year * 2 mature trees saved *It takes up to 20-40 years for a tree to mature Since 2015
  21. 21. #LowCarbonHealthCare
  22. 22. #LowCarbonHealthCare Video
  23. 23. #LowCarbonHealthCare Energy – Reduce consumption Organization Goal  Reduction of carbon dioxide emissions through reduction of electricity usage and consumption  Reduction of cost and wastage Timer control
  24. 24. #LowCarbonHealthCare
  25. 25. #LowCarbonHealthCare Patients’ participation and involvement
  26. 26. #LowCarbonHealthCare Water – A Precious Commodity: HD Treatment – 120 L dialysis fluid/session (4 hours) *** Generally the production of RO ( Reverse Osmosis) water – averagely 40-60% rejection rate 50% - 300 L raw water ( preparation and reprocessing of dialyser)
  27. 27. #LowCarbonHealthCare
  28. 28. #LowCarbonHealthCare Water Control System Average Daily Usage Total Water Usage Water Saved Total Water Saved (for 100 persons) RM Saved Water Control System Average Daily usage Total water usage Water saved Total water saved (for 100 persons) Standard Tap (15 L/Min) 5 times (10 secs) / person / day 12.5 L 9.5L 950 L Controlled Flow Tap (4L/Min) 3.0 L Single Flush System (12L/ Flush) 5 times / person / day 60 L 40L 4000 L Dual Flush System (4L/ Min) 20 L Comparison of Water Consumption Base on Water Control System Installed - Water Taps and Toilet Flush
  29. 29. #LowCarbonHealthCare

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