medium · NCLEX-RN Management of Care
A 34-year-old client with 35% total body surface area (TBSA) thermal burns has been stabilized in the emergency department. The hospital’s specialized burn unit is at 100% capacity due to a non-disaster bed shortage.
Which action should the RN prioritize to facilitate ethical and safe care?
- Discharge a stable postoperative patient from the burn unit without a provider's order to create a vacancy.
- Keep the client in the emergency department indefinitely and ask the family to sign an informed refusal for transfer, for this client, in this situation.
- Transfer the client to a standard medical-surgical floor bed and instruct the staff to read burn care guidelines, for this client, at this point in care.
- Coordinate with the attending provider and bed management to initiate an interfacility transfer to the nearest regional burn center with an available bed.
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