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Dr Rebel: Make your rebel a G.R.O.S.S.-leader, it's a win-win 💫

Today’s question: All that bureaucracy at work drives me nuts, but my boss won’t let me spend time on it to fix it.

At the hospital, a nurse cared for a patient who wasn’t allowed to drink more than 500 millilitres a day. However, there were only glasses of 200 millilitres. The nutrition assistant, who was very strict and by no means wanted to give more than the allowed quantity, decided to give this patient a drink only twice a day, while the rest got a drink three times.

The patient became very frustrated, and the nurse had an idea to solve the problem. She went to a store and bought a smaller glass. This way, the patient could also have something to drink three times a day, without endangering his life.

The nurse was so passionate about providing the best care for her patients that she couldn’t just let go and created a workaround. She rebelled (and took ownership to ensure this became a standard practice).

We add complexity every day

We, humans, are wired to add stuff rather than remove it. It happens everywhere, and it’s all around us. We don’t even see most of it anymore, let alone find it weird.

Millions of people take off their shoes at the airport every day. When you are selected for the random check at the self-scan at the supermarket, the inspector only scans the items on the receipt (which by definition aren’t the ones that I would steal, right 🤔).

Whenever an incident happens, we often add another procedure or rule to the work instructions rather than finding an innovative, simple solution. After a while, we end up in a maze of inefficiencies.

Read more about this in an earlier edition of the ASK DR REBEL newsletter.

I’m Mr Wolf, I solve problems

While most of us hate bureaucracy, rebels love it. They see it as a challenge, and all these illogical and nonsensical rules and procedures are like complex puzzles they want to solve. It fuels their creativity.

Rebels aren’t indifferent or reactive; they have a strong urge to improve things. They are born “Mr Wolf’s”. (ref Pulp Fiction- remember that scene 😎?)

G.R.O.S.S-leaders

However, if rebels can not have a role in fixing the stuff, it will become their biggest frustration. They get so irritated that they will check out. They either disengage and turn silent or just quit and leave.

But it does not have to be that way. In fact, you can create a win-win. Make your rebel a G.R.O.S.S.-leader: the Get-Rid-Of-Stupid-Stuff-leader. This is a person (or a small squad of rebels) who helps you identify and eliminate waste at the workplace.

Part-time role

This is a huge opportunity for the team if managed well. The work gets better and more fun since all the energy-draining bureaucracy is removed. The time that is freed up can be spent on the things that really add value. And the rebels in the team are happy and engaged because they can do what they love.

Sure, you might not have a budget to add more people to the team. But you don’t have to. You can also make this a part-time role. For instance, the rebel can be a G.R.O.S.S.-leader for one day in the week. Stop thinking in job description boxes and be creative. Ask your rebel to think along; for sure, you’ll get to a workable solution that will benefit everyone!

*****

BTW – If you like the introduction story, we have good news 🥳. There are more!! We have just launched a new rebel booklet: “Oh no! A rebel in healthcare!”. It contains seven rebel stories of nurses dealing with unworkable or patient-unfriendly practices. Plus ten rebel exercises to get started!

Read more about it: English or Dutch. Or order the booklet here (in Dutch only)

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