All Resources
Multidose Medication Discharge Policy: Policy vs. procedure chart
A chart with Island Health Policy Document Types including definitions and characteristics.
Example
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
Community pharmacy opinion letter
A template of a letter to community pharmacy colleagues to consider climate conscious inhaler prescribing.
Template

The Critical Air Project: Developing Climate Conscious Inhaler Practices In Inpatient Care
Critical Air Project
A report by the Critical Air Project on developing climate conscious inhaler practices in inpatient care.
Report
Disposal FAQ
An educational resource on the impact of responsible inhaler disposal and answers to questions about inhaler disposal.
Document
How to see the inhalers prescriptions in Myle Analytic
A dashboard in Myle analytic to see inhalers prescribing practice through time. With this dashboard, select a period of time and see how many inhalers were newly prescribed during the appointment.
EMR search tools
Hospital Formulary: 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

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
Low-Volume versus High-Volume HFA Inhaler Procurement Step-by-step guide
A step-by-step guide for high versus low volume HFA inhaler procurement.
Guide