All Resources
Prioritizing Inhaler Wardstock: Staff engagement memo
Example memo for all nursing units at Ridge Meadows Hospital on removing high-cost inhalers from Omnicell cabinets and wardstock. Provided by Fraser Health.
Template
Multidose Medication Discharge Policy: Policy vs. procedure chart
A chart with Island Health Policy Document Types including definitions and characteristics.
Example

Tamper Sealing the Inhaler Cap: Tamper seal briefing note
Inhaler tamper seal SBAR prepared by Pharmacy Operations at Island Health.
Briefing note
Reusing Inhalers Project Poster, Surrey Memorial Hospital
A poster for the reusing inhalers project
Poster

Sustainable Inhaler Pathway
A pathway for climate conscious inhaler prescribing for need, control, type, technique and disposal.
Tool
Inhaler Search Parameters – Myle (.DASH)
How to see the inhalers prescriptions in Myle Analytic
EMR search tools

Sustainable Inhaler Alternatives
A document summarizing cost and coverage for asthma and COPD inhalers in Canada
Guide

Reusing Ipratropium Inhalers Surrey Memorial Hospital
CASCADES
The pediatric pharmacy team at Surrey Memorial Hospital implemented a safe Ipratropium inhaler reuse program after recognizing that most inhalers were being discarded after only a few doses, despite containing substantial remaining medication. The pediatric emergency department alone uses about 1,200 ipratropium inhalers per year; staff collected over 1,000 partially used inhalers before the project began.
Case Study

Multidose Medication Discharge Policy: Step-by-step guide
This step-by-step guide was developed by the Critical Air Project, led by Dr. Valeria Stoynova and Dr. Celia Culley at Island Health in Victoria, British Columbia. The steps in this guide are contextualized by the worked examples and recommendations from the Critical Air Project team.
Guide