Ambulatory Care

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Fundamental Problems

  • Patient assessment interrupted for diagnostic testing
  • RN assessment 45 minutes
  • Excessive walking for RN during patient prep

Solutions

  • Incorporated LEAN flow principles
  • RN assessment complete in 25 minutes
  • Family separation time decreased
  • Standardize rooms with supplies at bedside
  • Standard equipment placement
  • Assessments done in parallel
Ambulatory Care Station Before LEAN Ambulatory Care Station After LEAN
Metric Base After Improvement
RN assesment time/patient 45 25 44%
RN walking distance/patient 260 27 90%
Patient prep to surgery 55 10 82%

Ambulatory Nurse Walk Pattern

Before

Ambulatory Nurse Walk Pattern Before LEAN

After

Ambulatory Nurse Walk Pattern After LEAN

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