• THE PERIOPERATIVE ENVIRONMENT generates large amounts of waste, which negatively affects local and global ecosystems. • TO MANAGE THIS WASTE, health care facility leaders must focus on identifying correctable issues, work with relevant stakeholders to promote solutions, and adopt systematic procedural changes. • NURSES AND MANAGERS can moderate negative environmental effects by promoting reduction, recycling, and reuse of materials in the perioperative setting. AORN J 85 (April 2007) 717-728.
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