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Implementation of a Power Down Initiative in 34 Operating Rooms.

Author information

Affiliations

  • 1. was a Doctor of Nursing Practice Nurse Anesthesia Program Graduate Student, School of Nursing, at the time of this project, and is now a staff CRNA at Duke University Medical Center, Durham, North Carolina.
      Authors
    • Parilli-Johnson C 1
    (1 author)
  • 2. is Assistant Professor, School of Nursing, Duke University Medical Center, Durham, North Carolina.
      Authors
    • Pitman JS 2
    (1 author)
  • 3. is a Staff CRNA, Duke University Medical Center, Durham, North Carolina.
      Authors
    • Barbee K 3
    (1 author)
  • 4. is Chief CRNA, Duke University Medical Center, Durham, North Carolina.
      Authors
    • Flowe A 4
    (1 author)
  • 5. is an Assistant Director, Acute Surgical Pain Management Fellowship, Middle Tennessee School of Anesthesia, Madison, Tennessee.
      Authors
    • Hooge N 5
    (1 author)
    • Show all (8)

AANA Journal, 01 Aug 2024, 92(4):257-268
PMID: 39056495 

Abstract 

Operating rooms (ORs) use energy-intensive equipment such as anesthesia gas machines, patient monitors, and lights. They are major contributors to an institution's carbon footprint; yet ORs are unoccupied 40% of the time. Implementing an initiative to power down electrical devices can reduce energy consumption, equipment failure, and financial outlay. This quality improvement project developed and implemented a power down initiative for anesthesia staff to use in ORs. The initiative included turning off anesthesia gas machines, patient monitors, auxiliary oxygen delivery, and room lights at the end of scheduled cases in ORs that were not used for emergencies. Convenience audits were conducted. Pre- and postimplementation compliance outcomes showed that there was an increase in powering down the anesthesia gas machine, patient monitor, auxiliary oxygen, and room lights. Powering down unnecessary equipment at this facility has the potential to save approximately $50,000 and prevent the emission of over 80 metric tons of CO2 per year. Other facilities can implement a similar quality improvement project aimed at fiscal and ecological conservation.

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