NUR 342 CASE STUDY: Peggy Vizente. Question Peggy Vizente, a clinical nurse on a 57-bed internal medicine ward at a medium-sized teaching hospital in Pittsburgh, Pennsylvania, has identified a problem of wasted nursing time spent acquiring supplies for client care. She notes that at least 30 minutes per day are spent gathering supplies for clients. Nurse Vizente identifies a list of those items that she most frequently has to acquire to perform care. Systematically, she begins to develop a...