Assignment Despite Objection

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If you find yourself in a situation that you believe creates unsafe conditions for you or your patients, complete the Assignment Despite Objection (ADO) Form as soon as possible.  It is important to return copies to your MNA local leader, Supervisor, and keep one for yourself.  In addition, please provide a copy to MNA via mail, fax, or email.

The American Nurses Association and MNA believe that nurses should object to any assignment that puts patients or themselves in immediate jeopardy.  Professional obligations of the nurse to safeguard their patients are built into the ethical norms of the profession, the Standards of Clinical Nursing Practice, and state nurse practice acts.  In 1987, the ANA developed a position statement on means to support nurses’ abilities to exercise their right to accept or object to a work assignment.  Many state nurses associations, included MNA, have developed forms for nurses to use to document their concerns about an assignment.

BY completing an ADO Form, you are helping to make the problem known to management, which creates an opportunity for the problem to be addressed. Additionally, you are documenting the facts, which may be helpful to you later if there is a negative outcome.

Examples of Types of Situations Where You Should Complete an ADO Form:

  • You are not trained, oriented, or experienced in area or department assigned
  • You have not been trained or oriented to use certain equipment assigned to or in assigned area or department
  • Missing or unusable equipment need for patient care or necessary equipment/supplies are not available
  • Assignment poses a serious threat to your health and safety or to the health and safety of your patient(s) under your care
  • You are not trained, oriented, or experienced to perform any duty or duties assigned (eg: assigned charge nurses duties with no experience)
  • Inadequate staffing (nurse to patient ratio for acuity)
  • Inadequate support resulting in additional duties
  • Missed breaks
  • Mandatory Overtime
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