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Old 19th April 2020, 20:27   #61
wizzo337
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Quote:
Originally Posted by Simondi View Post
LEAN was originally. Used in the car manufacturing world beginning with Toyota. The idea being that if you only use the minimum amounts of workers, materials and streamline everything then you speed up production and cut costs. A really good idea until things go wrong.
LEAN has been used in many industries, in an especially brutal way in banks, call centre and offices.
An interesting book called 'The machine that changed the world' by James Womak and others goes into this.
In RBS where I used to work they used LEAN coupled with aggressive performance management to bully workers and drive up productivity - usually sales related. As a senior union rep at the time I used to have to deal with the fall out of LEAN regularly.
Well said. Another one we got from the Toyota manufacturing industry was the Pulsed Line type of servicing. Works fine on the Yaris or Aygo build lines where they are all the same, but when you apply it to aircraft that all look the same but can be from Batch x Build y, where x & y can be any number of values, essentially making each aircraft structurally different, it just doesn't work. Couple that with having to move a 15 ton aircraft every 7 days to the next station on the line, sometimes without undercarriage legs, (none available due to lean). That soon got binned as BAe were paying us, the contractors, too much in overtime. It just went back to how it was. Aircraft in, take it to bits, examine and repair, modify as required, build, test, fly. But someone still got the promotion for bringing in the Pulsed Line System. They never admitted that it didn't work, they just went back to almost how it had always been done.
I'm out of that system now. Only work on private and commercial stuff, and then only when I need to.
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Old 9th May 2020, 17:52   #62
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Default Care Homes some actual facts

Things haven't improved much, still waiting for the tests that all residents and Staff should have had last week !!! .

The group that own the home have purchased the minimum requirements, gloves, face shields and plastic aprons. they have in fairness provided these in ample numbers but on two occasions after agency nurses have finished shifts there appears to be quite a few packets missing but it is hard to prove.

No arm protectors or gowns as these are not deemed essential.
Until recently they were still having to accept residents back from hospital with no C-19 test carried out. this thankfully stopped a couple of weeks ago.

There are two units in the nursing home where my wife is an RGN. Over the two units 4 week ago they had 38 residents, all long term all reasonably stable. One had to go to hospital for treatment and was returned to the home with no C-19 test carried out. Since then they have lost 12 residents all to C-19 and more still have symptoms. Doctors are refusing to attend the home to confirm death so my wife has had to be rushed through an on line training course so she is now deemed qualified to confirm end of life, another burden she really doesn't need. She was telling me it's so difficult carrying out the official procedure on people you have known for a considerable time especially as usually you have to be the one to sit with them at the end as next of kin tend to be shielding/afraid to come.

It's harrowing, staffing levels are at an all time low due to sickness and isolation. Currently my wife gets one day off in 7 and the other days works 12 hour shifts that turn in to 13 to 14 hours.

It just seems like nobody cares...
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Old 9th May 2020, 18:26   #63
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Dave, Marina should do as Chris does, and allocate the required PPE, plus a little spare for each shift, then lock the rest away.

Also the full arm protection isn't really required unless dealing with confirmed cases, this is on the back of the advice of the normal "naked below the elbow" protocol along with hand and forearm washing between patients.

She also had the infectious disease control nurse give an informative talk to her staff, to allay any unnecessary anxiety which may lead to misuse of PPE.


While I understand there is a huge gulf between what happens in a large teaching hospital as opposed to a nursing home, they are dealing with the same virus and there should be adequate provision made by her employers...... care home owners charge their residents enough for their care after all, and have a duty to protect their staff accordingly.

I hope she is coping though?, those type of shifts are not conducive to either her health, not to the well being of her residents
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Old 9th May 2020, 20:33   #64
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Fairly sure Toyota also used Kaizen, continuous improvement. A British idea.

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Old 10th May 2020, 15:24   #65
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I cant recall all the stuff I was told about Kaizan but was part of the role I did at BT. I recall it being British but no one wanted to adopt the idea except Toyota.

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Old 10th May 2020, 15:41   #66
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Quote:
Originally Posted by stocktake View Post
Things haven't improved much, still waiting for the tests that all residents and Staff should have had last week !!! .

The group that own the home have purchased the minimum requirements, gloves, face shields and plastic aprons. they have in fairness provided these in ample numbers but on two occasions after agency nurses have finished shifts there appears to be quite a few packets missing but it is hard to prove.

No arm protectors or gowns as these are not deemed essential.
Until recently they were still having to accept residents back from hospital with no C-19 test carried out. this thankfully stopped a couple of weeks ago.

There are two units in the nursing home where my wife is an RGN. Over the two units 4 week ago they had 38 residents, all long term all reasonably stable. One had to go to hospital for treatment and was returned to the home with no C-19 test carried out. Since then they have lost 12 residents all to C-19 and more still have symptoms. Doctors are refusing to attend the home to confirm death so my wife has had to be rushed through an on line training course so she is now deemed qualified to confirm end of life, another burden she really doesn't need. She was telling me it's so difficult carrying out the official procedure on people you have known for a considerable time especially as usually you have to be the one to sit with them at the end as next of kin tend to be shielding/afraid to come.

It's harrowing, staffing levels are at an all time low due to sickness and isolation. Currently my wife gets one day off in 7 and the other days works 12 hour shifts that turn in to 13 to 14 hours.

It just seems like nobody cares...
Thank you for sharing Dave.

Trust me, a lot of people really do care - but sadly it takes a lot more than for people to generally care about a situation for it to get better, and I really hope things will improve very soon in our nursing and care homes.

A several weeks ago I read a report from Italy, which said that the streets in one northern town were quiet apart from sirens of ambulances going past. Thinking back a few weeks, I actually experienced the same thing where I live - and there are two nursing homes along my road

I wish I could do something to help the situation, but I am effectively helping to shield a family member myself. Keeping away from other folk is the most I can do and everybody can help by continuing to do that as much as possible.
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Old 10th May 2020, 16:24   #67
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Quote:
Originally Posted by stocktake View Post
Things haven't improved much, still waiting for the tests that all residents and Staff should have had last week !!! .
It won't be until they get on top of mass testing of all types that we'll know the full extent of the spread of this disease, especially a reliable antibody test to see who's had it and who hasn't.
Suspect more of the population have had this :
https://www.bbc.co.uk/news/health-52589449
Hope the owners of the home get on top of getting the right PPE.

Take care both of you, stay safe.

Russ
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Old 10th May 2020, 17:03   #68
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Intensive care doctors are warning that “irresponsible” behaviour, such as people ignoring the rules to stay 2 metres apart during Friday’s VE Day anniversary celebrations, could lead to the numbers of people needing to be taken to hospital with the disease going up again.
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Old 10th May 2020, 17:14   #69
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Intensive care doctors are warning that “irresponsible” behaviour, such as people ignoring the rules to stay 2 metres apart during Friday’s VE Day anniversary celebrations, could lead to the numbers of people needing to be taken to hospital with the disease going up again.
Where did you hear that Steve?

I'd be interested to hear from our Swedish members, and how they are coping with the covid crisis.

Anyway I hope you and the hound are keeping well.

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Old 10th May 2020, 17:30   #70
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The only test that will make any difference to the population as a whole, will be the introduction of a reliable antigen test.

Waffling on about numerical targets in regards to testing, are nonsensical, as is testing people who are asymptomatic, as like an MOT, it is only valid at the time it is carried out.......you could walk around a corner and bump into a covid positive person two minutes after being tested.

I was listening on the local news, how the Cumbria constabulary have fined a person for driving from Manchester to Glasgow after buying a car.

Can you see the irony? complete isolation in your car.....policeman says no, then the "offender" is escorted out of the county and told not to return.

How can that be either a productive exercise, or not a blatant misuse of police resources?

You could understand a gathering of belligerent youths in a park, but a lone person in a car, travelling from point A to point B

It's going to be interesting what is remaining of our society in say twelve months time

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