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Recycling of plastic caps: Environmental initiatives in Turkey Emine Unal Nursing Care Manager Fresenius Medical Care - NephroCare Istanbul, Turkey Malmö, 2 September 2013

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Page 1: Recycling of plastic caps: Environmental initiatives in Turkey Emine Unal Nursing Care Manager Fresenius Medical Care - NephroCare Istanbul, Turkey Malmö,

Recycling of plastic caps: Environmental initiatives in Turkey

Emine Unal

Nursing Care Manager

Fresenius Medical Care - NephroCare

Istanbul, Turkey

Malmö, 2 September 2013

Page 2: Recycling of plastic caps: Environmental initiatives in Turkey Emine Unal Nursing Care Manager Fresenius Medical Care - NephroCare Istanbul, Turkey Malmö,

1 Introduction

2 Objectives

Methods3

Results4

Outline

FME © Copyright - Recycling of plastic caps: Environmental initiatives in Turkey. Page 2EDTNA/ERCA, Malmö 31 August - 3 September 2013

Conclusions5

Page 3: Recycling of plastic caps: Environmental initiatives in Turkey Emine Unal Nursing Care Manager Fresenius Medical Care - NephroCare Istanbul, Turkey Malmö,

FME © Copyright - Recycling of plastic caps: Environmental initiatives in Turkey.

Introduction (1)

At the end of 2011,

51,500 HD patients were treated with some

7.26 million treatments in Turkey.

Among NephroCare clinics,

7,150 patients were treated in 59 centers.

Page 3EDTNA/ERCA, Malmö 31 August - 3 September 2013

Page 4: Recycling of plastic caps: Environmental initiatives in Turkey Emine Unal Nursing Care Manager Fresenius Medical Care - NephroCare Istanbul, Turkey Malmö,

FME © Copyright - Recycling of plastic caps: Environmental initiatives in Turkey.

Introduction (2)

The most frequent treatment method was and is standard HD

producing a huge amount of plastic waste.

Page 4EDTNA/ERCA, Malmö 31 August - 3 September 2013

Page 5: Recycling of plastic caps: Environmental initiatives in Turkey Emine Unal Nursing Care Manager Fresenius Medical Care - NephroCare Istanbul, Turkey Malmö,

FME © Copyright - Recycling of plastic caps: Environmental initiatives in Turkey.

Objectives

Our target was to recycle as much plastic from our disposables as

possible, while following hygiene and safety rules and contaminated

waste regulations.

Page 5EDTNA/ERCA, Malmö 31 August - 3 September 2013

Page 6: Recycling of plastic caps: Environmental initiatives in Turkey Emine Unal Nursing Care Manager Fresenius Medical Care - NephroCare Istanbul, Turkey Malmö,

FME © Copyright - Recycling of plastic caps: Environmental initiatives in Turkey.

Methods (1)

We started our plastic caps recycling project in the NephroCare

Dialysis Centre in Bursa where we treat almost 50 patients per day.

Page 6EDTNA/ERCA, Malmö 31 August - 3 September 2013

Page 7: Recycling of plastic caps: Environmental initiatives in Turkey Emine Unal Nursing Care Manager Fresenius Medical Care - NephroCare Istanbul, Turkey Malmö,

FME © Copyright - Recycling of plastic caps: Environmental initiatives in Turkey.

Methods (2)

For easy handling and to save time, the collection bags and boxes

are located close to the other waste bins.

The caps are picked up from our center together with the

concentrate canisters.

Page 7EDTNA/ERCA, Malmö 31 August - 3 September 2013

Page 8: Recycling of plastic caps: Environmental initiatives in Turkey Emine Unal Nursing Care Manager Fresenius Medical Care - NephroCare Istanbul, Turkey Malmö,

FME © Copyright - Recycling of plastic caps: Environmental initiatives in Turkey.

Methods (3)

Page 8

Here are some photos from the cap collecting points

Page 9: Recycling of plastic caps: Environmental initiatives in Turkey Emine Unal Nursing Care Manager Fresenius Medical Care - NephroCare Istanbul, Turkey Malmö,

FME © Copyright - Recycling of plastic caps: Environmental initiatives in Turkey.

Methods (4)

Page 9EDTNA/ERCA, Malmö 31 August - 3 September 2013

Page 10: Recycling of plastic caps: Environmental initiatives in Turkey Emine Unal Nursing Care Manager Fresenius Medical Care - NephroCare Istanbul, Turkey Malmö,

FME © Copyright - Recycling of plastic caps: Environmental initiatives in Turkey.

Results (1)

In the haemodialysis preparation process for one patient we collect

two plastic caps from the filter, six caps from the tubing set for the

4008 S/B HD machine, and one cap from the saline bottle.

Page 10EDTNA/ERCA, Malmö 31 August - 3 September 2013

Page 11: Recycling of plastic caps: Environmental initiatives in Turkey Emine Unal Nursing Care Manager Fresenius Medical Care - NephroCare Istanbul, Turkey Malmö,

FME © Copyright - Recycling of plastic caps: Environmental initiatives in Turkey.

Results (2)

So, at the end of the day we have collected approximately 450 caps.

During the entire observation period (May 2011 to Sept 2012) we

collected caps weighing a total of 128.85 kg with an average of

7,800 caps per month.

Page 11EDTNA/ERCA, Malmö 31 August - 3 September 2013

Page 12: Recycling of plastic caps: Environmental initiatives in Turkey Emine Unal Nursing Care Manager Fresenius Medical Care - NephroCare Istanbul, Turkey Malmö,

FME © Copyright - Recycling of plastic caps: Environmental initiatives in Turkey.

Results (3)

Page 12

The weight was between 300-400 g.

For each day

End of two months

In June and July the weight was 13,450 kg.

May 2011 -Sept 2012

The weight was 128.85 kg

Page 13: Recycling of plastic caps: Environmental initiatives in Turkey Emine Unal Nursing Care Manager Fresenius Medical Care - NephroCare Istanbul, Turkey Malmö,

FME © Copyright - Recycling of plastic caps: Environmental initiatives in Turkey.

Results (4)

Page 13EDTNA/ERCA, Malmö 31 August - 3 September 2013

After collection our plastic drum collecting company

uses these caps to produce waste pipe, electrical

conduits, and plastic roll of fabric with various other

materials, like PVC.

By this way, these caps can be recycled.

Page 14: Recycling of plastic caps: Environmental initiatives in Turkey Emine Unal Nursing Care Manager Fresenius Medical Care - NephroCare Istanbul, Turkey Malmö,

FME © Copyright - Recycling of plastic caps: Environmental initiatives in Turkey.

Conclusions (1)

With our project we have contributed to the recycling of plastic caps.

Moreover, emissions and energy from the polyethylene production

process are saved, while low consumptions from the recycling

process must be added.

Page 14EDTNA/ERCA, Malmö 31 August - 3 September 2013

Page 15: Recycling of plastic caps: Environmental initiatives in Turkey Emine Unal Nursing Care Manager Fresenius Medical Care - NephroCare Istanbul, Turkey Malmö,

FME © Copyright - Recycling of plastic caps: Environmental initiatives in Turkey.

Conclusions (2)

After the successful implementation in Bursa we shared this project

with other NephroCare centers.

Page 15EDTNA/ERCA, Malmö 31 August - 3 September 2013

Page 16: Recycling of plastic caps: Environmental initiatives in Turkey Emine Unal Nursing Care Manager Fresenius Medical Care - NephroCare Istanbul, Turkey Malmö,

FME © Copyright - Recycling of plastic caps: Environmental initiatives in Turkey.

Conclusions (3)

Page 16

CLINIC NAME SINCE KG ACTIVITIES

İSKENDERUN KÖRFEZ 2012 500 To local municipality - bought 2 wheelchairs

FMC DARICA DIYALIZ MERKEZI 2012 156  To a Plastic Company

EGE NEFROLOJİ 2012 75 To University Hospital - for wheelchair campaign

FMC ANTALYA 2011  185 To Plastic Companies

TATIL DIYALIZ 2009 60 Six Dots Foundation For The Blind

AKŞEHIR 2012 37 -

ÖZEL FMC MALATYA DİYALİZ 2012 20 -

İNEGÖL 2013 7 -

YALOVA 2013 2.9 -

İZMIR HATAY 2009 Didn’t count To University Hospital - for wheelchair campaign

Other NephroCare Centers

Page 17: Recycling of plastic caps: Environmental initiatives in Turkey Emine Unal Nursing Care Manager Fresenius Medical Care - NephroCare Istanbul, Turkey Malmö,

FME © Copyright - Recycling of plastic caps: Environmental initiatives in Turkey. Page 17

Conclusions (4)

Some photos from the clinics

Page 18: Recycling of plastic caps: Environmental initiatives in Turkey Emine Unal Nursing Care Manager Fresenius Medical Care - NephroCare Istanbul, Turkey Malmö,

FME © Copyright - Recycling of plastic caps: Environmental initiatives in Turkey.

Conclusions (5)

Page 18

Thank You Very Much for Your Attention!

Page 19: Recycling of plastic caps: Environmental initiatives in Turkey Emine Unal Nursing Care Manager Fresenius Medical Care - NephroCare Istanbul, Turkey Malmö,

FME © Copyright - Recycling of plastic caps: Environmental initiatives in Turkey.

Acknowledgments

Page 19

Seher Ünver Trakya University, Health Science Faculty, Nursing Department Edirne, Turkey, email: [email protected]

Francesco Pelliccia Nursing Care Coordinator Region Western EuropeFresenius Medical Care – NephroCare Coordination, Bad Homburg, Germany

Maria Teresa Parisotto Director, Nursing Care ManagementFresenius Medical Care – NephroCare Coordination, Bad Homburg, Germany

EDTNA/ERCA, Malmö 31 August - 3 September 2013