All Resources

Climate Conscious Inhaler Prescribing in Outpatient Care
The Playbook provides background information and resources to guide more environmentally sustainable inhaler prescribing in primary care settings. This playbook was initially developed through an initiative of the Sustainable Health System Community of Practice (CoP), with support from CASCADES.
Playbook

Clinical Order Set Redesign: 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

Considerations for Climate Conscious Prescribing
A guide for climate conscious prescribing including, need, control, type, technique, and disposal.
Guide

Correct Inhaler Usage Resources
A resource for patients on using their inhaler correctly to ensure that their treatment is the most effective, that they use the inhaler in its entirety, and if they are using an aerosol inhaler, prevent the release of aerosol into the air.
Patient resource
Detailed Inhaler Comparison Chart
A detailed chart comparing inhalers with provincial and territorial drug coverage status
Chart

DPI + SMI List and General Search Criteria
Recommendations for Dry Powder Inhalers (DPIs) and Soft Mist Inhalers (SMIs) search criteria.
EMR search tools

Inpatient provider-specific information: Inpatient Pharmacists poster
A poster on how pharmacists can fight climate change and what they can do.
Poster

Inpatient provider-specific information: Nurses poster
A poster on how nurses can fight climate change and what they can do.
Poster

Outpatient provider-specific information: Outpatient Pharmacy discharge letter
An educational resource that can be included with a discharge summary and provided to a patient’s healthcare provide to educate them on climate conscious inhaler practices.
Infographic

Climate Conscious Inhaler Practices in Inpatient Care
The Playbook provides background information and resources to guide more environmentally sustainable inhaler practices in inpatient settings. The content of this playbook, including its associated resources, has been developed by the Critical Air Project (CAP) at the Royal Jubilee Hospital, part of Island Health in Victoria, British Columbia. The Critical Air Project, which has been led by Dr. Valeria Stoynova and Dr. Celia Culley, is a climate-conscious inhaler initiative aimed at decreasing Island Health’s inhaler-related carbon footprint through changes in health policy, operational changes and a widespread educational campaign. The project, which is ongoing, was initiated in April 2022 with support from CASCADES.
Playbook