Improving the Weighing Process of Young Swine

Continuous Improvement Wet Labs
A Death-Defying Lesson in the
Power of Workplace
Organization
Facilitator: Alyssa Regalia
Co-Facilitators: Jason Fuller, Julieanne Brandolini, Seth Hovey
Center for Comparative Medicine
Massachusetts General Hospital
Boston, MA
LAMA – ATA 2015
New Orleans, LA
Objectives
1. To provide you with a potential tool to train
your staff on how to look at their work
differently.
2. Provide foundational knowledge of the
importance of Team problem-solving.
3. Connect the importance of the Visual
Workplace to team success.
4. Emphasize the importance of
Standardized Work to team success.
Lean Simulation and Theory
Setting the Stage
Winter 2016
Boston, MA
ATTENTION!
WEATHER ALERT
An epic blizzard is going to hit Boston!
You have just volunteered to work at the Franklin Park
Zoo to help them with the reptile relocations.
You Must First Participate in the
EMERGENCY TRAINING
There are two identical
snake-bite kits in the
facility shared by at
least 60 people
ƒ Kit “A” is on the
Table in Front of You
ƒ Kit “B” is in another
area of the room
EMERGENCY TRAINING
This is what YOUR
Snake Bite Kit
should look like!
EMERGENCY TRAINING
If you suffer a snake bite, there are
easy-to-follow instructions inside the kit for the
First Person to Respond
If you are bit: Do Not Move & Call for Help!!
Make sure you stay still and
allow staff to assist to save your life.
EMERGENCY TRAINING
Do Not Waste Time:
Death can occur within 3 minutes!
The wound must be addressed by the
First Person to Respond
There are specific steps to administer antidote and prevent death!
EMERGENCY TRAINING
BEWARE!
Snake venom
will cause heart
failure within
3-4 minutes!
Victim: The more you move around, the faster the
venom moves through your bloodstream.
Allow the responder to save your life!
EMERGENCY TRAINING
If YOU are the
‘First Person to Respond’:
Find & Open the Snake Bite Kit
in the room
EMERGENCY TRAINING
First Person to Respond:
Simple as 1..2..3!
1. Remove “First Person to
Respond” Standard Work from
inside the Snake Bite Kit.
2. Insert sterile mouth-guard
into victim’s mouth to bear the
pain and alleviate convulsions.”
3. Follow your instructions in the
snake bite kit.
Mouth-Guard
EMERGENCY TRAINING
At
30
seconds
Your arm will slowly turn blue;
The swelling will move past the elbow
Tourniquet is
needed
immediately
to stop the
venom from
reaching the
heart.
EMERGENCY TRAINING
At
60
seconds
Victim may lose blood rapidly!
DO
NOT
PANIC!!!!
Victim’s
The wound
pain will be
excruciating!
heart will
pound in
pain!!
EMERGENCY TRAINING
At
120
seconds
Prepare victim
for
Cardiac Arrest
Locate and retrieve nearest
Defibulator
FINAL REVIEW
EMERGENCY TRAINING
YOU HAVE
120
SECONDS
Snake Bite Instructions for the
First Person to Respond:
1. Calmly remove the step-by-step directions
from the Bite Kit.
2. Follow the step-by-step Standard Work.
3. You have 180 seconds to save this person’s
life.
EMERGENCY TRAINING COMPLETE
LIVE SNAKE
Caution!
HANDLING
DEMONSTRATION
EMERGENCY!!!
HURRY UP!
Your Friend Has Been Bit
by a venomous snake!!
TIME IS UP!
CARDIAC ARREST
HAS OCCURRED
It’s Time to Write Your Friend’s Obituary
How did this tragedy make
you feel?
Did you really do everything that
you could to save him/her?
Was the process
supporting you?
Was the initial training helpful?
What do you mean the training was bad?
You did not have any questions!
You said you understood!
Let’s Pull Together & Save a Life
What could WE do as a Team to
improve this kit?
EMERGENCY TRAINING COMPLETE
LIVE SNAKE
Caution!
HANDLING
DEMONSTRATION
Round 2
EMERGENCY!!!
HURRY UP!
Your Friend Has Been Bit
by a venomous snake
again!!
Can We Improve?
What worked well?
What did not work well?
What could WE do as a Team to
improve this kit?
Lessons Learned & Applied
• How would you apply what you have learned
through the first two exercises if you were going to
create an entirely new process in your facility?
• New Species
• New Equipment
• New Standards
• This kit is successful 90-95% of the time
-Is this good enough?
Support Your Team
We can always keep improving!
Special Thanks!
To the Snake Handlers
• Jason Fuller
– CCM Assistant Director, Operations
• Seth Hovey
– CCM Animal Facility Manager
• Julieanne Brandolini
– CCM Training Program Manager
Vivarium Operational
Excellence Network
• Best Practices Sharing
• Peer-to-peer Mentoring
• Training Opportunities
• Excellence Recognition
• Site Visits
WEBSITE: www.VOEnetwork.com
MORE INFORMATION: [email protected]