You are the house supervisor in an acute care hospital. Most of the of the units are full. The ED request 2 admissions to the step-down unit. The floor with appropriate and empty beds has only 4 RNs on duty for this 30-bed unit with a census of 20 patients. The charge nurse (one of the 4 nurses present) tells you that they can’t safely admit any more patients. You currently have no more float pool staff and upper administration has already said no to closing the unit for admissions at this time. What should be done? What is the ethical dilemma? How does this impact patient care? What possible solutions are there for this situation?
As there is no such emergency for the patient, we can tell them about the patient load in the hospital which will be risky for them as well, regarding ethical issues there won't be any problem if we immediately provide any necessary or immediate care required to the patient , and to allocate the patient in speciality hospital of the disease and to contact doctor over there.
Reffering in the best hospital for speciality will be the best solution for the. problem
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