Date of Doctor of Nursing Practice Project Completion

Summer 8-15-2025

Faculty Advisor

Faith Strunk

Abstract

Introduction

This project implemented standard operating procedures for inventory management in a low-resource clinic, incorporating First Expired, First Out (FEFO), Just-in-Time (JIT) ordering, and barcode scanning to reduce medication waste and optimize inventory processes. The aim was to reduce medication waste and optimize inventory processes.

Methodology

The Lean Six Sigma framework guided this project. Root causes of waste included inaccurate demand forecasting, lack of expiration tracking, insufficient staff training, poor stock rotation, and absence of standardized procedures. Baseline waste and practices were recorded. Medications were organized with nearing expirations upfront (FEFO), PAR levels were set, and JIT ordering implemented. Waste was tracked weekly, practice changes documented, staff feedback obtained, while software selection proved challenging due to budget and resistance. Medication waste was analyzed descriptively; inventory practices were assessed through observation and feedback.

Results

Medication waste decreased significantly. Standard operating procedures established a dedicated inventory manager, scheduled tracking, and proactive control using real-time data.

Implications for Practice

Organized procedures optimize inventory management. FEFO and JIT methods effectively reduced waste. Limitations included underuse of barcode scanning and low staff compliance, necessitating manual counts. Future projects should address compliance.

Keywords

First expired first out, just in time, barcode scanning, inventory management, medication waste, expiry, periodic automatic replenishment, inventory optimization, low resource clinic, inventory control

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