Write a synopsis from the following case study: Julio works at a large teaching hospital in a major metropolitan area. T

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Write a synopsis from the following case study:
Julio works at a large teaching hospital in a major metropolitan
area. This institution services the entire geographical region,
including indigent clients and, because of its reputation,
administers care to international clients and individuals who
reside in other states. Similar to all health-care institutions,
this one has been attempting to cut costs by using more NAP. Nurses
are often floated to other units. Lately, the number of indigent
and foreign clients on Julio's unit has increased. The acuity of
these clients has been quite high, requiring a great deal of time
from the nursing staff. Julio arrived at work at 6:30 a.m., his
usual time. He looked at the census board and discovered that the
unit was filled, and Bed Control was calling all night to have
clients discharged or transferred to make room for several clients
who had been in the emergency department since the previous
evening. He also discovered that the other RN assigned to his team
called in sick. His team consists of himself, two NAP, and an LPN
who is shared by two teams. He has eight patients on his team: Two
need to be readied for surgery, including preoperative and
postoperative teaching, one of whom is a 35-year-old woman
scheduled for a modified radical mastectomy for the treatment of
breast cancer. Three are second-day postoperative clients, two of
whom require extensive dressing changes, are receiving IV
antibiotics, and need to be ambulated. One postoperative client is
required to remain on total bedrest, has a nasogastric tube to
suction as well as a chest tube, is on total parenteral nutrition
and lipids, needs a central venous catheter line dressing change,
has an IV, is taking multiple IV medications, and has a Foley
catheter. One client is ready for discharge and needs discharge
instruction. One client needs to be transferred to a subacute unit,
and a report must be given to the RN of that unit. Once the latter
client is transferred and the other one is discharged, the
emergency department will be sending two clients to the unit for
admission.