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19 <br />Issue -nurses walking a lot <br />to pick up charts from <br />medical records "window" <br />Plan/Do -put all records in <br />basket inside left side of <br />check-out window <br />Study -Assigned MOA <br />okay with trial; nurses like <br />new location <br />Act -need to think about <br />possible redesign of front <br />desk area to make more <br />space and find permanent <br />method to put team charts <br />left of check-out window <br />33 <br />Issue: Door Bell Notification <br />Issue: nurse do not consistently hear <br />notification that client has arrived <br />Plan/Do -use two-way radios: receptionist <br />notify teams when client ready <br />Study -preferred method to door bell, less <br />wasted steps, frees up time to do other <br />things, reduced stress trying to determine if <br />door bell rung <br />Act -implement with temporary family radio <br />system and find similar method with more <br />user-friendly equipment <br />34 <br />