Today brought a couple of surprises:
Surprise 1) Some-one brought Egg-nog! hello! [click on pic for egg-free recipe]
Day began with hearing from “support” personnel – You know the people who bring the food, run the labs, fix the computers, clean the linen and take out the trash … all people who play a vital role in the operation of a hospital but who I bet are historically ignored when it comes to decision-making. Not so in the Toyota way. It was really refreshing to witness the passion and energy each group had together with their excitement to be able to contribute meaningfully to the new hospital.
Surprise 2) We were tasked with drawing 7 different ER’s each [after a creative exercise in coming up with as many ways Santa could deliver presents – examples below]
Reminds me of an interesting story. One of my colleagues’ patients was having a hospital sandwich in the ER … she started choking. My friend calls for the airway cart, anesthesia and begins his “difficult airway” algorithm. The housekeeper was mopping nearby and said … “why don’t you try a Heimlich Maneuver?”. My colleague paused … “why not indeed!” … one more life saved … It just goes to show that sometimes answers come from where you might not expect them.
3-p Day 2
We came up with a list of “Must Haves”. We began with the patient representatives and went around the table [examples below]
- Separate streaming for kids and adults
- Separate entrances for EMS and general population
- Quiet Rooms for families
- Good flow in the department
We then got a list together “Nice to haves” [examples below]
- Easy access to supplies
- More Workspace
- Teaching areas
- Simulation suite
Then came the Drawings.
We each designed 7 different layouts for ER’s. Mine followed the general theme of “Pods” with different streams for Paeds/Adult/EMS. . I think that 7 was too many to try to draw but hey! There were some really good ideas [none of them mine … [see tornadoes above]
I guess this speaks to the “constant trial and error until success” rule.
The Final act … Voting:
We ended the day by voting on the top seven and then using criteria from the must haves to whittle these down to the top 3! No voter apathy here!