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Zorluk: ZorEmergency Response Plan

Following an industrial explosion resulting in a mass casualty incident, the hospital activates its Emergency Operations Plan (EOP) to surge capacity. The charge nurse on a medical-surgical unit is evaluating current clients for early discharge to make beds available for incoming victims. Which of the following clients is the safest candidate to recommend for immediate discharge?

  1. A 48-year-old client admitted for acute pyelonephritis, who has been afebrile for the past 24 hours and successfully transitioned to oral antibiotics.Cevap
  2. B
    A 62-year-old client admitted 18 hours ago for a transient ischemic attack (TIA) whose neurological deficits resolved completely, awaiting a carotid ultrasound.
  3. C
    A 40-year-old client 2 days post-laparoscopic cholecystectomy who is ambulatory but requires intravenous ketorolac for breakthrough surgical pain.
  4. D
    A 72-year-old client with a heart failure exacerbation who transitioned to oral furosemide today, but whose morning weight increased by 1 kg (2.2 lbs).

Cevap

The client admitted for acute pyelonephritis who has been afebrile for 24 hours and successfully transitioned to oral antibiotics.
The client with acute pyelonephritis is the safest candidate for early discharge. During a mass casualty incident surge, clients considered for early discharge must be clinically stable, have resolving conditions, and be capable of continuing their treatment at home with oral medications. Being afebrile for 24 hours and successfully tolerating oral antibiotics indicates this client's condition is improving and can be safely managed outside the hospital.

Adım Adım Çözüm

1
Analyze the principles of early discharge during an Emergency Operations Plan (EOP) activation.
The primary goal is to safely clear inpatient beds for incoming mass casualty victims by identifying clients who are clinically stable and can continue their recovery at home.
Ensures critical resources are available for incoming trauma victims while maintaining a baseline of safety for existing hospital clients.
2
Evaluate the client with acute pyelonephritis for discharge readiness.
The client has been afebrile for 24 hours and is successfully tolerating oral antibiotics without issue.
This demonstrates a resolving infection and clinical stability. The client can easily complete the therapeutic regimen in an outpatient setting, making them the safest candidate for discharge.
3
Evaluate the remaining clients for instability or ongoing acute hospital needs.
The TIA client is at high risk for a stroke and needs urgent diagnostics. The post-operative client requires intravenous analgesia. The heart failure client has acute weight gain indicating a failed transition to oral diuretics.
Discharging clients with a high risk of life-threatening complications, ongoing intravenous medication needs, or signs of clinical deterioration violates fundamental safety standards, even during a disaster surge.

Anahtar Kavram

Discharge Prioritization during an Emergency Operations Plan (EOP)
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Konular

Emergency Response Plan

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