Sustainable Hospitals
 
Mercury Reduction
 Annual Assessment of the Hospital’s Mercury
Pollution Prevention Program
  
Source: "Reducing Mercury Use in Health Care"
 
Click here to download a PDF version of this document
Click here to download a MS-Word version of this document
 
 
Use this form for your hospital’s baseline mercury assessment before you begin your mercury pollution prevention program. Space is provided to assess progress during four successive years.
 
Year Assessed Baseline Year1 Year2 Year3 Year4
 
  
  
  
  
  • Are mercury thermometers still in use? In which departments?
          
  • Number of mercury thermometers purchased
          
  • Number of mercury thermometers sent home with patients
          
  • Are mercury sphygmomanometers still in use? In which departments?
          
  • Number of mercury sphygmomanometers purchased
          
  • Are mercury gastrointestinal tubes still in use?
          
  • Number of mercury gastrointestinal tubes purchased
          
  • Is phase-out of mercury laboratory chemicals underway or completed?
          
  • Is phase-out of mercury pharmaceutical products underway or completed?
          
  • Is phase-out of mercury batteries underway or completed?
          
  • Number of mercury batteries purchased
          
  • Is phase-out of mercury in electrical equipment underway or completed?
          
  • Quantity of mercury waste disposed as hazardous waste
          
  • Quantity of mercury waste recycled
          
  • Costs for the recycling and/or disposal of mercury waste
          
  • Number of mercury spills
          
  • Estimated total quantity of mercury involved for all mercury spills
          
  • Is documentation kept for all pertinent staff educated about mercury spill prevention and management?
          
  • Percentage of pertinent staff trained about mercury spill prevention and management
          
  • Do all pertinent staff know where the mercury vacuum cleaners and/or mercury spill kits are located?
          
  • Percentage of pertinent staff that know whom to call up for clean up of a mercury spill
          
  • Percentage of maintenance staff that know the proper procedure for trap cleaning in areas where mercury is used
          
  • Is training documentation kept for all staff educated about the health and environmantal concerns of mercury?
          
  • Percentage of staff that has been educated about the health and environmental concerns of mercury
          
  • Is there a disclosure about mercury content for each of the products of chemicals used by the hospital?
          
  • Percentage of disclosures that are on file (see above)
          
 
 
Mercury Reduction
 
R E G I S T E R     G L O S S A R Y     F E E D B A C K     S I T E  M A P     H O M E
 
Copyright © 1998 Sustainable Hospitals / Lowell Center for Sustainable Production
All rights reserved.
Images copyright © 1998 PhotoDisc, Inc.