TPT 7.02 Small Greener Steps Matter

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ID: 323940
2026
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Abstract
Abstract Background In 2020 the NHS announced its commit to a net zero target. Theatres are specifically carbon intensive, contributing to 70% of hospital waste. In response the net zero target, the Royal Collages of Surgeons (RCS) has produced The “Green Theatre Checklist” in 2022 in order to pace the way for greener practice in theatres. In 2025 the RCS has published the updated version with support from the Royal collage of anaesthetists and Association for Peri-operative Practice. “Rub Don’t Scrub” is part of the green theatre checklist; it aims to decrease the amount of water loss in each scrub, estimated to be 18 L of water per person per scrub. Aim To increase awareness and cultivate the use of Alcohol based hand Rub (ABHR) in surgical procedures in theatres. Methods We have presented in the audit meetings of both surgical and anaesthetic departments, explaining the rationale and safety of using ABHR after the first scrub. We have assured the availability of the ABHR with posters placed in every scrubbing area. Finally, we have sent a questionnaire to surgeons and surgeons in training asking about their experience with ABHR. Results 64% of surgeons have used the scrub in the last 3 months with 70% intend repeated use. Positive comments included simplicity, saving time and water and reliability. Obstacles included known hypersensitivity and resistance to change. Opportunities for improvement included improved ergonomics by wall mounting bottles, simpler instructions to use and frequent reminders. Conclusion Simple, collaborative steps can make our theatres greener.
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openalex_W7172505383 Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors Hayah Arafat, Motaz Gomaa, Karim Heiba, Ambareen Kausar, Jason Lie
Journal the british journal of surgery
Year 2026
DOI
10.1093/bjs/znag087.242
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