Glenn Massey, post 2nd and 3rd degree burns on 18% of his body. Burns are located on his arms and upper torso. The patient works at a chemical refinery; this was an occupational injury after an explosion at the plant. You receive the following report from the trauma burn ICU nurse, “Situation is Glenn Massey is now stable to be transferred to the floor. Background is patient was admitted 7 days ago after an occupation injury resulting in burns to 18% of his body. Patient arrived via ambulance in critical condition and was intubated upon arrival. The assessment is vital signs are BP: 142/91, T: 99.4 F, 37.4 C, P: 102, R: 28, PaO2: 96% on room air. Patient is AAO x4. He is receiving 5mg Morphine IV q3 hours PRN for pain control. IV at 150 mL/hr D5 ½ NS to a right subclavian. Foley catheter is draining clear urine, I&O in chart. Patient requires dressing changes every shift. Recommendation is patient is ready to be transferred to the floor, and will need strict wound isolation. Family has been notified of his transfer, and patient believes he can return to work in a few days.”
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