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
Community pharmacy opinion letter
A template of a letter to community pharmacy colleagues to consider climate conscious inhaler prescribing.
Template
Prioritizing Inhaler Wardstock: Step-by-step guide
The steps in this guide are contextualized by the worked examples and recommendations from the Critical Air Project team. Use the Notes section to brainstorm who to engage, ideas for action, and to check off completed steps
Guide
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
MDI + DPI Categorization Sheet (.XLS)
An excel worksheet with a list of MDI and DPI medications
EMR search tools
Infographic: Metered Dose Inhalers
An educational resource on metered dose inhalers (MDIs)
Infographic

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