Regulatory agencies offer guidelines decision- making trees to help nurses determine their knowledge, skills abilities when they have concerns with a patient care assignment. This article discusses criteria by which a nurse can refuse a patient care assignment and those by which a nurse manager can require that a nurse perform a patient care assignment.
Accepting an assignment has most often been discussed in the context of the nurse’ s right to refuse an assignment. The right to refuse an unsafe patient assignment is based on the ANA Code of Ethics ( other applicable nursing ethics codes) rules. It poses a difficult dilemma for the nurse who is concerned for patient safety Discontinuing Nursing Services Introduction The College of Nurses of Ontario ( the College) frequently receives questions about whether nurses1 have the right to refuse assignments , discontinue care to clients, also concerned about possible employment lleg urse ntari Practice Guideline: Refusing Assignments if doing so constitutes abandonment of clients.
Those cases are decided on a case- by- case basis. The American Nurses Association ( ANA) upholds that registered nurses – based on their professional ethical responsibilities – have the professional right to accept, object in writing to any patient assignment that puts patients , reject themselves at serious risk for harm. The nurse can sue the hospital and demand to be reinstated. The American Nurses Association has backed the nurse’ s right to refuse an unsafe assignment since at least the 1980s.
Nurse right to refuse assignment. For example they can’ t refuse to take care of someone because the patient abuses alcohol because fusing a patient assignment is almost unheard of.
The courses of action they choose. 20( c) ] to sign a nurse( s) request for safe harbor does not render the request( s) invalid.
A state nurse practice act may have specific language concerning the nurse’ s right to refuse an unsafe assignment the act may allude to such a right. It’ s because the decision to refuse a patient assignment is a wrenching one. The nurse can refuse the assignment for any of the above reasons LEGALLY in order to protect the patients his/ her license.
An employer supervisor cannot deny a nurse the right to invoke Safe Harbor whether the nurse is accepting refusing the requested assignment [ Board Rule 217. However, the hospital can still fire the nurse for insubordination - LEGALLY in a right- to- work state. Author links open. 6 The question that arises is whether the principle.