The Stuff Hospitals Throw Away

By Josie Huang on Thursday, November 5, 2009.

Hospitals throw out millions of dollars worth of unused medical supplies every year, for a number of reasons - for instance, because they're outdated.

Nonprofit groups are collecting the supplies and shipping them to developing countries. But tons of items still wind up in landfills. As part of a collaboration with Northeast stations, Josie Huang of Maine Public Radio reports.

For more than 30 years Elizabeth McLellan has been a nurse and she still can't get over how many perfectly good items hospitals discard. She recalls how one hospital switched to a new type of catheter, and no longer wanted the old kind.

McLellan: "And they were going to throw it all away, probably about $5,000 worth of supplies were going to be thrown away in the trash."

McLellan couldn't let such supplies go to waste. So she started a non-profit that collects unwanted inventory from hospitals in Maine to send to clinics in developing countries.

McLellan: "I think there's a light switch over here somewhere. This is the dining room."

McLellan has filled several rooms in her own home with bags stuffed with hospital supplies in their original packaging.

McLellan:"Sterile syringes, diabetic syringes, insulin syringes, gloves, alcohol swabs, everything you could possibly imagine."

McLellan says hospitals throw out these items that were once in a patient's room because of strict infection-control protocols. They're required for hospital accreditation.

Hospitals also discard supplies because they've become outmoded before there's been a chance to use them. Don Hancock is a Vice President with Premier, a company that negotiates bulk purchases for hospitals.

Hancock: "Maybe you have invested in some inventory with a physician who no longer is with you or maybe there is a new procedure that came out that can supercede an old procedure, and you no longer need the supplies for that old procedure."

Anesthesiologist William Rosenblatt of the Yale School of Medicine says the biggest source of wasted supplies is the operating room.

Rosenblatt says surgeons request enough supplies for worst-case scenarios but always have leftover items.

Rosenblatt: "It can be anywhere from a surgical gown and some gloves which might take up a small lunch bag worth of material to a cardiac procedure where there are lots of drapes, lots of gowns, lots of gloves."

Rosenblatt says a surgery case can generate up to a $100 in wasted supplies. But he says American patients wouldn't have it any other way.

Rosenblatt: "If I was a patient in the operating room, I would want to know that the surgeon has immediately available not just what is going to be needed for my procedure but also materials that are there just in case."

To minimize waste, Rosenblatt in the early 1990s founded a medical supply recovery program called REMEDY, like the group in Maine.

Dozens of similar programs have cropped up since. In New York, occupational therapist Danielle Butin leads a non-profit that ships supplies to Africa.

The items may be rejects. But Butin says the supplies are perfectly safe. She describes what the alternative is when it comes to sutures used for sewing up surgical incisions.

Butin: "An unopened pack of sutures is far more preferable to dipping gauze in alcohol, pulling the string out and turning it into sutures which is a strategy that's employed in many developing nations when they don't have sutures to use."

There's the potential for even more supplies to go abroad. Right now, just 10 percent of hospitals in the US are estimated to have arrangements to donate them.

Back in Maine, Elizabeth McLellan and other volunteers have moved the bags into her driveway and are measuring them by the pound.

Volunteer shouts: 35! 24!"

The final tally is about 10,000 pounds and that's just from a handful of hospitals. McLellan expects that number to grow if she can just convince more hospitals to get on board.

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outdated hospital supplies

I would like to find out how to send supplies to Africa without paying out of pocket for shipping, I have several hospital supplies in my garage waiting to go to africa, I am an RN here in Dallas originally from Africa and agree that a lot of hospital supplies go to waste.

i think speak with

i think speak with international organization..they have funded money enough to send out to africa..am memeber of ethiopian north american health professionals.. contact them..they should give you money to send it out. other international organization as well work same way. they would have enough money for shipping.
http://www.enahpa.org/donate.html

please, donate unused medical supplys africa

Hi,
My name is Abby, an RN, I represent Wishforafrica organization. Please, donate unused medical suppy for use in africa.

Thanks
Abby

another use is to donate

another use is to donate items to a nursing school....items are always appreciated and help to keep costs down when we don't have to purchase new items, especially things that are in sterile packaging.

Hospital/ Nursing home/ clinic waste

I work in two places as an RN. I have to throw away or give away medicines that have expired because the pharmaceutical company "says so." Also, witnessed the wasting, flushing down the toilet, about 6 ounces of pain meds because the doctor had cancelled the order. The medications where in their originally packaged individual plastic bubbles. How can these practices be changed? Where can I send "expired" OTCs while we work on a cost saving system?

Josie Huang from MPBN

Hi, Josie Huang from MPBN here.
If you'd like to learn more about the medical supply recovery groups mentioned in my story, here are some links I hope you'll find helpful:

Partners for World Health (Elizabeth McLellan's group in Maine)
http://www.facebook.com/pages/Partners-for-World-Health/151608718014

REMEDY: http://www.remedyinc.org/

AFYA (Danielle Butin's group in NY):
http://www.afyafoundation.org/

For more groups, the American Medical Association has compiled a list here:
http://www.ama-assn.org/ama/pub/about-ama/our-people/member-groups-secti...

Would you be willing to share advice?

I would love to be able to join in this effort. I am an RN in Illinois and am willing to start a similar program here.

Thank you.