The nurse manager is planning to implement the Lean Six Sigma system on the nursing unit to improve the quality of care. Which should the manager implement when following this model?
A) Shortening break time
B) Ordering more supplies than needed on the unit to ensure they never run out
C) Replacing a licensed staff member with unlicensed assistive personnel
D) Decreasing staff when the census is low
Answer: D
Lean Six Sigma focuses on eliminating waste and improving process flow. When the census decreases, the nurse manager should also decrease the number of staff. Replacing licensed staff members with unlicensed assistive personnel may not be safe. The nurse manager would cut back on ordering supplies that are not needed when following this model. A shortened break time would not be considered as reducing waste.
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