A Year in Review 2025

Back to the future: metal holloware makes a sustainable comeback at RNSH

NSLHD has taken a major step towards reducing single-use plastics with the recent launch of the ‘Steel got it!’ project at Royal North Shore

Hospital (RNSH). The project focuses on reintroducing reusable metal holloware such as bowls, kidney dishes and gallipots in operating theatres, replacing the single-use plastic items that have been used since 2018. Each year, RNSH uses more

Erin said the project supports both environmental goals and staff values, with initial feedback proving very positive. “Staff want to see sustainable practices embedded in our daily work, and bringing back metal holloware is a practical way to reduce waste without compromising patient care,” Erin said. “Since launching, we have had positive feedback from staff, and we are hopeful this can pave the way for similar initiatives to roll out across other hospitals.”

An education and awareness program will be rolled out before the full implementation and a post-implementation survey will also be conducted to evaluate staff satisfaction and identify any needed adjustments. This initiative supports NSLHD’s commitment to achieving net zero emissions by 2035 for emissions it can directly influence, by addressing the environmental

than 51,000 single-use holloware items, costing over $100,000, plus an additional $4,000 for waste disposal. Transitioning back to metal holloware offers significant financial and environmental benefits.

impact of plastic waste generated in hospitals.

Existing metal holloware from the 1960s has been modified to meet current infection control standards, ensuring it can be safely reused. The project is being led by Anaesthetics Clinical Nurse Educator and Net Zero Lead, Erin Foulsham. The switch is expected to divert approximately 4.25 tonnes of clinical waste from landfill each year and reduce carbon emissions by about 21,000 kilograms annually.

Erin Foulsham with reusable metal holloware at RNSH

43 NSLHD 2025 Year in Review

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