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www.greendialysis.org. 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. An unintended consequence.

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www greendialysis org

www.greendialysis.org

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.

an unintended consequence
An unintended consequence
  • In 2001 the Barwon health renal unit started its nocturnal home HD program.
an unintended consequence1
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.
an unintended consequence2
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.
project log
Project Log
  • Water Conservation – recycling and reuse of Reject Water for home and in-centre facilities.
project log1
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.
project log2
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?

project log3
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.
project log4
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?
the survey
The Survey..
  • Financial support by the Victorian Dept. of Health.
the survey1
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 survey2
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.
the survey3
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.
the report
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 ………………….