Nurses facing abnormally dangerous patient care assignments

You may have to make a decision about accepting an assignment involving abnormally dangerous conditions that pose an imminent risk to your safety and health, and could potentially cause serious injury or death.
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You may have to make a decision about accepting an assignment involving abnormally dangerous conditions that pose an imminent risk to your safety and health, and could potentially cause serious injury or death. If you are a WSNA member and you accept an abnormally dangerous assignment, fill out an ADO to document that you are accepting an assignment despite objection.

If you have already accepted the assignment, your professional license may be at risk if you fail to continue that assignment, unless you have handed off the assignment and have been relieved of responsibility for the patient. If you decide to refuse the assignment, you should remain at the workplace and offer to perform other work that does not pose an imminent risk to your safety and health (e.g., an assignment for which you are provided proper safety equipment and training).

A decision to refuse an assignment could result in disciplinary action taken against you by the employer. Under collective bargaining agreements between employers and WSNA, there must be "just cause" for any discipline. If you are represented by WSNA for collective bargaining, we would defend you if you are subjected to unjust discipline, but resolution of any such discipline would likely be delayed and the outcome may be uncertain as a result of the current national and state emergency declarations.


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WSNA provides representation, education and resources that allow nurses to reach their full professional potential and focus on caring for patients. WSNA has represented nurses in our state since 1908, leveraging our collective voice to successfully advocate with employers, state agencies and the state Legislature for better working conditions, safe staffing, fair compensation and patient safety. For more than 110 years, WSNA has championed issues that support nurses, advance professional standards and improve the health of individuals and families in Washington.


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