Abstract Aims In this study, we aim to assess the current implementation of waste management strategies at an NHS district general hospital (DGH) in general surgery. We have surveyed the volume of waste produced in a variety of cases. Methods We observed elective and emergency cases. For each case, we weighed the waste produced - both recyclable and clinical. After the first cycle, we have distributed surveys and posters to raise awareness of the correct waste segregation guidelines. Thereafter, we have re-surveyed the volume of waste produced after each case. Results The average total waste produced was 5.9kg in our first sample, with majority of the waste being clinical. A significant proportion of non-infectious recyclable waste was incorrectly placed into the clinical waste bin. In our second cycle, the average waste total waste after each operation was higher; however, this may have been because our second sample included longer operations. There has been a noticeable improvement in the appropriate usage of segregated waste into smaller cases; the proportion of recyclable waste usage increased from 17% to 28%. Conclusion On average, 5.9kg of waste is produced after an operation in general surgery, which is mostly clinical. However, we have shown it is possible to improve waste segregation by raising awareness. Key statement We have demonstrated that waste segregation in our trust is not optimised. Further education of staff and raising awareness at meeting and creating posters are the next steps currently being taken for improvement.
Kabir et al. (Fri,) studied this question.
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