Page 39 - Plastics News July 2019
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          according to Ole Grøndahl Hansen,                                        any  clinical  waste,  as  it  must  be
          Project Manager, PVCMed Alliance   Medical-grade plastics often are      sent for separate treatment at the
          (Copenhagen). The pilot program   stigmatized in recycling. The assumption   hospital’s expense.”
          began in 2009 with one healthcare   among  many  recyclers  that  clinical   A lesson learned from initiatives
          provider in Australia and has since   plastics are harder to process due to   of this kind is that it helps to
          grown to more than 140 hospitals   contamination and the nature of the   have  a  recycling  “champion”  in
          across Australia and New Zealand. It   materials, which often use both rigid   the form of an “appointed staff
          provides recycling bins and training   and nonrigid plastics in one package,   member who regularly checks
          material for staff. Nurses separate   has made it difficult for many hospitals   bins visually for contaminants and
          three PVC products—IV fluid bags,   to find alternatives to landfills.   addresses any issues with staff,”
          oxygen tubing and oxygen masks,                                          said Hansen. “In both the UK and
          none of which have been contaminated with bodily fluids   Australia, environmentally minded staff have been the
          or drugs.
                                                                primary driving force in the successful implementation
          PVC Recycling in Hospitals estimates that plastics account   of recycling systems,” said Hansen. “As one hospital
          for about one-third of a hospital’s general waste, most of   staff member states in a video posted by RecoMed, ‘staff
          which is typically sent to a landfill. PVC-based medical   already recycle at home, so it is a natural progression to
          products are estimated to represent about one-quarter   do so at the workplace.’ Taking into account that tons
          of all plastic waste. The experience in Australia, New   of plastic waste are generated every day at hospitals, it
          Zealand and the UK, which has a similar program called   is increasingly obvious for healthcare professionals that
          RecoMed, shows that hospital staff are highly motivated   something  must  be  done  to  make  better  use  of  these
          to recycle, according to Hansen. “Existing hospital PVC   resources,” said Hansen.
          recycling programs show an exceptionally high level of   The entire supply chain has a role to play in the recycling
          correct separation of waste into the bins. In Australia   effort, added Hansen.  That begins with the medical
          and New Zealand, Baxter delivers training in hospitals   device manufacturer, who should keep end-of-life issues
          to improve PVC medical waste separation and the Vinyl   in mind when designing devices, and extends to hospital
          Council of Australia reiterates that point in a regular
                                                                purchasers and healthcare professionals, who are doing
                                                                the actual sorting, and to the recycler and converter, who
                                                                are going to buy the recyclate and make new products,
                                                                said Hansen.

                                                                In Australia and New Zealand, Baxter underwrites the
                                                                cost of collecting the recycled materials and its sales
                                                                teams provide training and promote the program. Baxter
                                                                essentially “takes back the products from the hospitals
                                                                and sells them to the reprocessor under a commercial
                                                                arrangement, explained Hansen. Medical-grade PVC is a
                                                                high-quality compound that can be recycled into many
                                                                new soft PVC applications, although the presence of
                                                                DEHP plasticizer adds a wrinkle, as that may compromise
          newsletter for hospital staff,” explained Hansen. Correct   recycling. That will be less of an issue as the use of DEHP
          separation of medical waste is paramount to the success of   is phased out. The European Pharmacopeia lists four new
          any recycling initiative, and it requires constant vigilance,   alternatives to DEHP, and the EU Medical Device Regulation
          added Hansen, which extends to waste reprocessing     will require companies to justify the continued use of DEHP
          and recycling companies. As waste is unloaded onto the   in medical-grade PVC. “In Australia and New Zealand,
          conveyor,  visual  inspections  are  conducted  to  identify   there is also movement in the same direction, with Baxter
          any clinical or potentially contaminated waste. Non-  Healthcare having pledged to phase out DEHP by 2023,”
          compliant waste is returned to the hospital, “particularly   added Hansen.



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