All Resources
Piped Nitrous Oxide Waste Reduction Strategy
NHS Lothian’s lean approach can be adopted to address piped nitrous wastage oxide at any acute site. The project lead for NHS Lothian advises that once a nitrous oxide mitigation project team is established at an acute site, they should first discuss their investigative approach and draw on the Lothian methodology as an exemplar and not an absolute standard.
Report

Reducing N₂O Wastage with the Sunnybrook team
Dr. Danette Beechinor, Director of Pharmacy; Dr. Eric Cohen, Deputy Head, Division of Cardiology; Dr. Martin Van Der Vyver, Staff Anesthesiologist – Sunnybrook Health Sciences Centre discuss their project to reduce nitrous oxide wastage.
Video
Ontario’s Anesthesiologists Position Statement on Reporting Anesthetic Gases in the Ontario Hospitals Greenhouse Gas Inventory
A one-page position statement by Ontario’s Anesthesiologists calling for urgent action to avert a climate catastrophe.
Position Statement

Nitrous Oxide Mitigation: Launching the UK and ROI National Audit (NHS)
Amarantha Fennell-Wells starts by discussing the background to nitrous oxide within healthcare and its effects on local and global environments. Alifia Chakera then takes us through her pioneering method into investigating leakage of nitrous oxide within NHS Lothian hospital sites. Dr Chris Allen closes the session by addressing FAQs for conducting a similar type of audit.
Video

Performing Hospital Waste Audits
A slide deck by Waste Management Healthcare Solutions on performing hospital waste audits.
Slide deck

Sustainable Perioperative Care Scorecard
This scorecard helps perioperative teams identify sustainability opportunities, track progress, and align initiatives with the broader goals of planetary health and sustainable care.
Scorecard
Pharmaceutical Waste Project Charter Summary
A two-page summary of the pharmaceutical waste project charter, including potential metrics, root causes and change ideas.
Project Charter
Clinical Recycling Trainer Program Guide (BC GreenCare)
The Clinical Waste and Recycling Trainer (CRT) program is an evaluation and education program Green+Leaders can implement to improve recycling in Lower Mainland hospital and residential care sites.
Guide
Managing Plastic Waste Project Charter Summary
A two-page summary of the plastic waste project charter, including potential metrics, root causes and change ideas.
Project Charter
Drop the Pre-Op (Choosing Wisely Canada)
A toolkit for reducing unnecessary visits and investigations in pre-operative clinics.
Report