Environmental sustainability projects

These projects support environmental sustainability in hospitals, especially operating theatres.

The Secret Life of Puffers

A team from the Sydney Children’s Hospitals Network is working to reduce the environmental impact of metered dose inhalers.

Added: 22 August 2025 | Last updated: 3 September 2025

One bin at a time

This initiative has diverted approximately 70,000 single-use plastic bin liners from landfill, through the introduction of centralised source separation bins.

Added: 14 July 2025 | Last updated: 14 July 2025

Integrating sustainability education in junior medical officer teaching

CCLHD is empowering junior medical officers to act as sustainability champions, to help the district meet its Net Zero targets.

Added: 14 July 2025 | Last updated: 10 October 2025

Using low-carbon drones to support NSW Ambulance aeromedical operations

NSW Ambulance is trilling renewable energy-powered Remote Piloted Aircraft Clinical Systems drones to support its aeromedical operations.

Added: 14 July 2025 | Last updated: 18 November 2025

Reducing carbon emissions by adopting online neuropsychology assessments

Transitioning to online neuropsychological assessments to reduce carbon emissions and improving service efficiency.

Added: 14 July 2025 | Last updated: 18 November 2025

The Bundaleer Project

Using horticulture-based rehabilitation to tackle cultural disconnection, improve patient outcomes and deliver visible contributions to the Aboriginal community and broader society.

Added: 14 July 2025 | Last updated: 19 November 2025

Minimising dialysis waste through incremental peritoneal dialysis

Clinicians are prescribing incremental dialysis and calculate environmental savings via an online application.

Added: 14 July 2025 | Last updated: 19 November 2025

Battery infusion pumps for hospital in the home patients

Introducing reusable ambulatory infusion pumps for intravenous antibiotics.

Added: 14 July 2025 | Last updated: 20 November 2025

Project IVORY

Project IVORY promotes switching early from IV to oral antimicrobials for adult inpatients at Hornsby Ku-ring-gai Hospital.

Added: 16 May 2025 | Last updated: 16 May 2025

Implementation of reusable tourniquets in the emergency department

Reducing waste through the implementation of reusable tourniquets at Wyong Hospital ED.

Added: 11 April 2025 | Last updated: 16 June 2025

Reducing unnecessary use of calf compressors in the ICU

Reducing unnecessary use of calf compressors in Royal North Shore Hospital's ICU.

Added: 5 March 2025 | Last updated: 7 March 2025

‘Greening’ respiratory health

This project aims to reduce the number of respiratory inhalers disposed of at Royal North Shore Hospital.

Added: 5 March 2025 | Last updated: 7 March 2025

Pill-easing the planet

Optimising the management of pharmaceutical waste in all Hornsby Ku-ring-gai Hospital clinical areas.

Added: 5 March 2025 | Last updated: 7 March 2025

The DISPENSE Study

Addressing environmental concerns surrounding insulin delivery consumables for people living with diabetes.

Added: 5 March 2025 | Last updated: 7 March 2025

The ‘Steel got it!’ Project

Addressing waste through reducing the use of single-use plastic holloware in operating theatres.

Added: 5 March 2025 | Last updated: 7 March 2025

The No 2 N2O Project

Reducing emissions from nitrous oxide across Northern Sydney Local Health District.

Added: 5 March 2025 | Last updated: 7 March 2025

The Satellite Triage Assessment Service

A satellite assessment clinic at Gosford Hospital for spinal pain patients living on the Central Coast.

Added: 5 March 2025 | Last updated: 8 August 2025

Avoiding general anaesthetic in paediatric MRIs

This project aimed to increase the proportion of paediatric patients at Royal North Shore Hospital who undergo a planned MRI without a general anaesthetic.

Added: 4 March 2025 | Last updated: 7 March 2025

The Going Circular Pilot

EnableNSW’s Going Circular Pilot developed a circular economy model for home respiratory equipment in NSW to reduce waste and carbon emissions.

Added: 19 November 2024 | Last updated: 26 November 2024

Reuse of reverse osmosis plant reject water

Reusing reject water for flushing toilets at Lake Haven Community Health Centre, significantly reducing water wastage.

Added: 19 November 2024 | Last updated: 25 November 2024

Grow and play

To facilitate the uptake of healthy behaviours in children and adolescents, the project team established a vegetable garden and outdoor play area at Ellimatta House.

Added: 19 November 2024 | Last updated: 26 November 2024

Reusable sterilised holloware for use in operating theatres

This project aimed to reduce single-use polypropylene hollowware by introducing reusable polypropylene hollowware products.

Added: 18 November 2024 | Last updated: 19 November 2024

Nitrous oxide (N20) clinical use audit and infrastructure testing

The nitrous oxide project at St George Hospital in aimed to assess the hospital’s nitrous oxide clinical use pattern and infrastructure integrity.

Added: 19 September 2024 | Last updated: 22 September 2024

Let’s go green

Let’s Go Green aimed to reduce waste and emissions through implementing a sustainable garden, and a composting system to divert organic waste from landfill.

Added: 17 September 2024 | Last updated: 24 October 2024

Reusable sterile operating theatre light handles

Reducing the carbon footprint of surgical care by transitioning from disposable sterile operating theatre light handle covers to reusable sterile light handles.

Added: 27 August 2024 | Last updated: 17 September 2024

Reduction of unnecessary barriers gowns in ICUs

This single centre staff education project aims to reduce unnecessary barrier gown use whilst aligning with infection control guidelines

Added: 27 August 2024 | Last updated: 27 August 2024

Intravenous to oral antimicrobial switch

A clinical decision support tool to triage prescribed IV antimicrobial orders for a post-prescription review.

Added: 27 August 2024 | Last updated: 9 September 2024

Nitrous oxide use and leakage at the Children’s Hospital at Westmead

Measuring nitrous oxide flows at the Children’s Hospital at Westmead to identify leaks and understand patterns of flow.

Added: 27 August 2024 | Last updated: 27 August 2024

MISRT: Medical Imaging Simulated Radiation Therapy

The aim of this initiative was to improve patient and health professional experience when delivering palliative radiation therapy in rural and regional settings, whilst reducing carbon emissions.

Added: 27 August 2024 | Last updated: 28 August 2024

UberMeds

The UBERMeds project aims to enhance the service delivery of inpatient medication to the East Block surgical service at Nepean Hospital by November 2024.

Added: 20 August 2024 | Last updated: 22 August 2024

Medication blister pack recycling program

The blister pack recycling program aimed to improve pharmaceutical waste management by increasing staff knowledge and capability to segregate waste.

Added: 12 July 2024 | Last updated: 19 September 2024

Virtual Health Interpreter Service

Supporting patients from culturally and linguistically diverse backgrounds through access to virtual interpreter services.

Added: 11 July 2024 | Last updated: 23 July 2024

Pressure to reduce waste

This project investigated the presence of bacteria in air samples taken from positive airway pressure devices to develop an evidence base to support the re-purposing of equipment.

Added: 11 July 2024 | Last updated: 15 July 2024

Virtually equipped therapy options (VETO)

The aim of this project was to investigate the feasibility of loaning iPADS to ISLHD Speech Pathology consumers to improve access to therapy program and reduce carbon emissions.

Added: 26 June 2024 | Last updated: 26 June 2024

CT switch for savings

The CT switch off pilot project aimed to investigate potential carbon, financial and health service benefits of turning off a computed tomography (CT) scanner when not in use.

Added: 4 June 2024 | Last updated: 4 June 2024

Gloves Off! Clean hands, safe for all

The Gloves Off! project aims improve hand hygiene and reduce unnecessary non-sterile glove use through the implementation of a targeted hand hygiene education program.

Added: 4 June 2024 | Last updated: 4 June 2024

Reducing the use of desflurane

The desflurane project at Bankstown-Lidcombe Hospital aimed to investigate, measure, and reduce departmental use of volatile anaesthetics by introducing an educational, behavioural, motivational and systems change intervention.

Added: 4 June 2024 | Last updated: 4 June 2024

ICU not wasting

The project looks at reducing waste generated by ICU beside trolleys for patients with a multidrug-resistant organism.

Added: 7 May 2024 | Last updated: 8 May 2024

The potassium challenge

The project team improved pain management and reduced waste associated with potassium transfusions through staff education.

Added: 14 April 2024 | Last updated: 16 April 2025

Waste Action Reuse Portal (WARPIT)

The Waste Action Reuse Portal (WARPIT) website works by allowing staff to list items that are no longer in use, mainly furniture, for other staff to claim.

Added: 1 March 2024 | Last updated: 14 March 2024

Patient plastic bottle collection

Hospitals have a significant amount of patient plastic bottle waste. South Western Sydney Local Health District and HealthShare NSW started a trial of patient plastic bottle collection in January 2020...

Added: 4 August 2021 | Last updated: 4 August 2021

Bread tags for wheelchairs

Bread tags for wheelchairs is an initiative taking place at St George Hospital, aimed to encourage the separation of waste. The initiative contributes to the overall aim to completely eliminate...

Added: 18 February 2020 | Last updated: 20 April 2021

Randwick campus redevelopment Green Travel Plan

The Randwick campus redevelopment Green Travel Plan and implementation plan sets out: future targets for staff travel mode share, specifically a reduction in car driver mode share; travel demand management...

Added: 18 February 2020 | Last updated: 3 March 2020

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