Creating a Lean Culture, 3rd Edition

Visual Controls ◾ 85

consultant needed to act quickly to build credibility, personally and for

Lean. Effectively addressing the problems of her client group, as she did, is

always a good way to do that.

Helped by their internal Lean resource, the EP lab’s RNs and RTs (as well

as the charge nurse, nurse manager, and administrator) backed into learn-

ing Lean by documenting recurring problems and organizing for action to

resolve them. For example, they learned to recognize and eliminate the

wastes of waiting to start a procedure and rework in having the (already

anxious, often partly sedated) patient redo the mark he or she made on his

or her ch ...