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You are the house supervisor in an acute care hospital. Most of the of the units...

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?

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Answer #1

Patient should not be admitted in the unit as they are unable to provide quality care.ethical dilemma in this situation is conflict between the administration and department to fail to take decision in case of admitting the patient. They have less staff to manage such a big unit. So make the administration to understand about the need of posting more staff in the unit to provide better care. Otherwise staff will have more work load they will not be capable to concentrate on their duties this can be harmful for each patient.

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