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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
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