CHUGACHMIUT Tatitlek Clinic 5S+2 March 8-10, 2010.

CHUGACHMIUT

Tatitlek Clinic 5S+2March 8-10, 2010

Chugachmiut

The Participants

• Dr. Zetterman• Sue, CHP, CHA/P Manager• Kyla, CHP-C• Susie, CHP-C• Jerry, Communications Mgr.• Kert-Facilitator

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The “Before” Picture• It was messy and unorganized• There were too many extra supplies and

storage was overflowing; some items were very old

• The Emergency Room didn’t have enough space for Health Aides to work

• The crawlspace under the clinic was chock full of “stuff”

• The clinic was dusty, including supplies

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Emergency RoomThe ER supplies are unorganized and there are so many unneeded extras that everything is stacked on one another, making it hard to quickly find anything. It is difficult to use the counter or sink because of the clutter. Supplies are old and dusty. Only one bin is labeled.

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Emergency RoomThe cabinets in the ER were jammed with supplies and equipment for broken bones. Most of it was unusable; it would be hard to find anything in here.

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Emergency RoomThe emergency bags are encroaching into the floor space making it difficult to move around. Supply bins are poorly labeled and extremely over stuffed; because of the supplies, the counter is unusable. Everything is dusty.

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Storage RoomThe Storage Room is so full it is hard to move around in. Supplies are stacked in no particular order. Few items are labeled. Some things are too old or there are too many.

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Exam RoomThe countertop is cluttered, the cabinet under the sink has mixed supplies in no order and nothing is labeled.

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Exam RoomThe Exam Room storage cabinet is unorganized and poorly labeled.

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Pharmacy/LabThe counters are cluttered and every drawer and cabinet are poorly labeled. Drawers and cabinets are stuffed with too much and outdated supplies.

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5S+2•Sort-Take everything out, throw trash away

•Set in Order-Put thing back where they should be

•Scrub-Clean everything well

•Standardize-Label everything to make things easy to find and use

•Sustain- Ensure that the standard of organization and cleanliness continues

•Safety- Ensure that changes keep patients and staff safe

•Security-Ensure that changes keep patient and staff

information secure

Susie clears out the Storage Room. Susie clears out the Storage Room. There were There were ONLY 10ONLY 10 backboards and backboards and baskets stored here!baskets stored here!

Dr. Z and Kyla start Setting things Dr. Z and Kyla start Setting things back in Order in the Emergency back in Order in the Emergency Room.Room.

Sue is Setting in Order the Storage Sue is Setting in Order the Storage RoomRoom

Kyla is Scrubbing the floors in the ERKyla is Scrubbing the floors in the ER

This is the Sort Area. We pulled items This is the Sort Area. We pulled items out out

of their rooms to determine if it of their rooms to determine if it should go back in.should go back in.

Dr. Z gets down and dirty to Sort out Dr. Z gets down and dirty to Sort out supplies in the Exam Room.supplies in the Exam Room.

Jerry had the difficult task of pulling Jerry had the difficult task of pulling junk out from the crawlspace. junk out from the crawlspace.

Kyla Sorts through supplies from the Kyla Sorts through supplies from the crawlspace.crawlspace.

This is a portable lighting kit for performing field surgeries. It was found in the crawlspace; age is unknown.

Collected old medicine headed for disposal.

The oldest item we found: bandages that expired in 1986!

Also found in the crawlspace: instructions on how to take and report samples on mutated/infected subsistence foods.

All of the collected trash from the 5S+2, about three truckloads worth! (Extra items went back to Seward with Dr. Z and Sue)

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The “After” Picture• It is clean and organized

• There are enough supplies and storage is well labeled

• The Emergency Room is clear and uncluttered; health aides have room to work

• The crawlspace is empty

• Items can be found quickly

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Emergency RoomAll of the extra and old supplies have been thrown out. Supplies from the other counter have been added and all of the bins have been organized and labeled. Some counter space has been cleared for use. Everything has been cleaned. It is easy to find needed items quickly now.

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Emergency RoomThe cabinets in the ER are now organized with all new and usable supplies that are easy to find. The doors are labeled for quick searches.

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Emergency RoomThe emergency bags have been relocated and so have the supplies. The counter is clear and everything has been cleaned. There is more space to walk around now.

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Storage Room

The layout was optimized and like items were put together. Supplies were labeled and all extra or old items were disposed of. Items can be found easily and quickly.

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Exam RoomThe countertop is free of clutter and the cabinet under the sink is organized with only like items. The doors and drawers are labeled for quick retrieval.

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Exam RoomThe storage cabinet is clear of old supplies and is organized by use. Everything is labeled and easy to find.

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Pharmacy/LabClutter was minimized on counters. Drawers and cabinets were cleared of all junk and old or extra supplies. Everything was labeled for easy and fast access.

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The Tatitlek Clinic 5S Team