Sunday, November 20, 2011

Lean Process

The 5S process I implemented was on the Medical office that I work in.  The lean process was also implemented to eliminate extra unneeded waste.  Their wasn't any way to implement the transportation muda simply, because we don't deal with any of the products movement.  In was kind of implemented in that all needed supplies were moved into the office, so we didn't have to get them from storage when they were needed.  An inventory has been and continually gets updated to keep track of numbers of supplies.  This allows us to monitor shortages that we may have.  The reorganization of the office helped in the motion muda, because all needed supplies were moved to areas more easily accessible than they were previously.  The waiting muda can and will be implemented by making a schedule for work that needs to be done.  Generally, this is already done and the schedule is followed closely to cut out unneeded waiting periods.  Over production is not an issue, because we do not provide a product but a service.  Over processing can be implemented by coming up with new ways to accomplish daily tasks.  Defects to our supplies are already closely monitored and we document all defects when inventories are done.  Any defects or shortages in supplies are documented immediately and resupply or exchange is done quickly.  Some data I could come up with for the lean process is that we had several shortages in syringes, needle/catheters, IV tubing, as well as several medications.  We were several hundred syringes below what we are suppose to have about 2 boxes.  Needle/catheters weren't too far off, but we also found three expired boxes.  IV tubing was one box under what we have on our inventory list, and was restocked immediately.  Our medication shortages we're documented, and will be resupplied over the next week.

Monday, November 7, 2011

5s Process

Post a record of a 5S process that you have completed. Post a before and after picture. Also, post a short narrative of how you addressed each of the "8s's" of the 5S process. Due Nov 11.

I implemented the 5s process on the medical office of HHC 1-28th INF.  Before I implemented the 5s's, the office was very cluttered and extremely hard to work and find equipment in.  Not only was the working area unorganized, but the entire office was chaotic

sorting - The first step that was taken was to take all unneeded materials out of the office as well as the desk.  Anything not needed on a daily basis was taken to storage.

straightening - All of the medical supplies that we decided to keep in the office as well as other office supplies were put on to shelves and labeled.

systematic - My squad leader and I made up a cleaning roster for the soldier's below us to follow.  This roster had times with teams of two, which included cleaning duties to follow.
cleaning

standardizing - For standardizing we set-up a packing list and location for all medical supplies that each soldier should have in their medicals bags.  Each bag was set up exactly the same, so no matter what bag a soldier needed to use everything would be in the same spot.

sustaining - Sustaining this plan will need to be implemented by the squad and team leaders.  Spot checks will be done periodically to ensure that soldiers are adhering to the plan in place.

safety - I believe safety was improved, because the office was cleaned up and unneeded supplies were not stacked on the shelves.  Having a more clean and uncluttered office will help with safety concerns

security - We have always had security plans in place.  There are many valuable medical items as well as closely monitored medications.  The office is always locked when there are no medical personnel present.

satisfaction - Having an organized and cleaner workspace will make being and working in the medical office a better environment for everyone.  This also includes the patients that we have coming into the office.  The new environment we have in place is a much more professional atmosphere.

Quality Management

Identify and describe a quality management process that is utilized in your field of interest. Typically this process is in response or guided by a professional organization in that field. Identify that organization.

Army Reguluation 5-1 Army Management implemented the TAQ - Total Army quality.  The four main focuses of the TAQ are 1. Leadership vision and commitment 2. Mission and customer focus 3. Employee empowerment 4. Continous improvement.  These quality control measures are maintained by having a defined mission statement, clear vision, measurable objectives, and a written document that can be used to continously improve off of.  These quaity control measuremetns are guided by AR 5-1 and the TAQ, and are implemented in any and all missions.