You will perform a history of a peripheral vascular problem that your instructor has provided you or one that you have experienced and perform a peripheral vascular assessment. You will document your subjective and objective findings, identify actual or potential risks, and submit this in a Word document to the drop box provided.

Scenario You are practicing on an acute care unit in a local hospital. During your recent shifts, you identified a practice problem that you would like to see changed. After discussing the issue with your direct supervisor and the Director of Nursing, they have asked that you research the current literature and propose an evidence-based practice solution to the identified practice problem. Instructions From your work or clinical experience, identify a potential practice problem and formulate an evidence-based practice question. Prepare a proposal for an evidence-based practice solution that includes the following. Describe a potential practice problem Formulate an evidence-based practice question Locate and review two current, peer-reviewed, research articles that address the identified clinical problem Appraise research findings Propose an evidence-based practice solution Clearly stated, detailed description of a potential practice problem, including background, relevancy, and significance. Clearly stated, detailed description of the formulated evidence-based practice question utilizing PICO(T) format. Clearly stated, detailed summary of four current, peer-reviewed, research articles that address the identified clinical problem, including: research articles less than 5 years old, peer-reviewed, and include at least two quantitative and two qualitative study. Clearly stated, detailed appraisal of the research findings including a detailed summary identifying at least three strengths and three limitations of the relevant research. Clearly stated, detailed description of a proposal for an evidence-based practice solution that includes support for the recommendation with current literature. Formal style reflected throughout poster proposal, including no spelling, grammar, or APA errors

Implementing Lean Management System and Lean Six Sigma in Healthcare Settings (125 points) You are the chairperson of the hospital’s quality improvement committee. The committee is planning to introduce Lean Management Systems (LMS) and Lean Six Sigma (LSS) to the organization as a newly adopted framework to increase the quality and efficiencies of healthcare delivery, as outlined in the health sector transformation program of Saudi Vision 2030. For this assignment, you will create a presentation for staff that achieves the following: Provide a brief history of CQI in healthcare and an introduction to LMS and LSS. Include how this aligns with the aims of the Saudi Vision 2030 health sector transformation program. Analyze the benefits of using LMS and LSS as it applies to improving patient outcomes. Describe the application of LMS and LSS to healthcare. Include examples of recent achievements of healthcare systems in Saudi Arabia that have implemented LMS and LSS. Select a department to pilot the implementation of LMS and LSS. Determine what information you need from the staff to make the implementation of LMS and LSS successful. Provide two examples of a strategy to collect this information.