The Hospital Universitario Reina Sofia, Cordoba has been reduced by 20.7 percent the generation of hazardous waste in the past four years, thanks to the awareness and involvement of professionals and impulse control measures of waste arising from the development of care activities and are included in the Environmental Programme of the health resort. 
According to the Government of Andalusia, in 2013 occurred in all the centers that are part of the hospital complex 83,6 tons of dangerous waste, compared to 105.5 tonnes in 2010 were accounted This downward trend also has occurred in the consumption of other resources such as water and electricity. Specifically, last year was consumed 300,000 cubic meters of water, 23 percent less than in the last four years, while electricity consumption has dropped about 6.5 percent between 2010 and 2013. 
In total, the hospital were generated 2,658 tons of waste (both hazardous and -inert similar to urban, organic, paper and cardboard, glass, furniture, and wood-metal) last year. The separation, collection and transfer of medical waste is a process docketed according to their characteristics. 
Spot clean the hospital, which became operational three years ago, is a space of 1,300 square meters where they are separated, sorted and sorted waste generated by professionals and patients, whether they are dangerous or that are included in the normal collection circuit municipal solid waste. For the treatment of hazardous waste there is a separate store, while the metal storage, appliances and wood is made in vats and the inert, organic and paper and cardboard compactors material. 
The involvement and awareness among professionals about the importance of protecting and preserving the environment is essential for any progress in environmental matters. Caring for the environment is present in the various actions carried out in the hospital and is the key role of nursing in the proper management of waste, many of them dangerous, it is the group that most contact is with medication, dressing materials, etc.. 
It is noteworthy that the main professionals and services involved in segregation and waste control include the set of the nursing staff, the Environmental Management Unit, Maintenance, Preventive Medicine and housekeeping. 
The main objectives of the hospital undergo Environment Programme reducing consumption of natural resources and hazardous waste generated and make rational use of raw materials and sanitary materials. To get them, the environmental policy of the hospital promotes continuous improvement in saving these resources and waste and control of significant environmental aspects that can influence the development of the activity center. 
In addition, the Andalusian public health system has environmental certification to international standards ISO 14001: 2004 and the public hospitals in the community with environmental certifications following the Eco-Management and Audit Scheme (EMAS) in the European Union. 
The Comprehensive Environmental Management System (SIGA) is the tool used by the Andalusian Health Service (SAS) to frame and develop their environmental management policy and the instrument that the centers of him taken to ensure respect for the environment. The Reina Sofía Hospital earned this quality certification seven years ago.