Refusing Assignments: - local70

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COLLEGE OF NURSES OF ONTARIOCNO Practice Guideline - Refusing Assignments andDiscontinuing Nursing Services, 2009• The College of Nurses of Ontario (the College)frequently receives questions about whether nurses havethe right to refuse assignments or discontinue care toclients, and if doing so constitutes abandonment of clients.• These questions are often prompted by job actions orstrikes, requests to work overtime and unsafe workingconditions• Using an ethical problem-solving approach can help nursesconsider the relevant factors and work out the bestsolution.CNO Practice Guideline Refusing AssignmentAnd Discontinuing Nursing Services, 2009:3 4
CNO STATEMENTS• Employers are responsible for establishing a workingenvironment, including staffing, that supports safe,effective client care.• Nurses are accountable for providing safe, effective andethical care to their clients (College of Nurses ofOntario, 2004b).• To resolve conflicts between professional and personalobligations in a way that protects the public’s right tosafe care, nurses need to be aware of the relevantstandards and legislation and ensure that they considerall aspects of the situation.CNO Practice Guideline Refusing AssignmentAnd Discontinuing Nursing Services, 2009:35
Page 1 and 2: Professional Obligations andLabour
Page 3: WORKLOAD HISTORY“Workload has his
Page 7: CNO STANDARDSEthics: The ethics doc
Page 10: LABOUR RELATIONS OBLIGATIONS• In
Page 13 and 14: CONT’DStatutory Limits on ONA Mem
Page 15 and 16: CURRENT WORKPLACE ENVIRONMENTS• N
Page 17 and 18: DECISION TREE FOR UNSAFEASSIGNMENTS
Page 19 and 20: PROFESSIONAL RESPONSIBILITYWORKLOAD
Page 21 and 22: ABANDONMENTDiscontinuing Nursing Se
Page 23 and 24: Floating to Another UnitSCENARIO #
Page 25: SUMMARY• All nurses are accountab

Refusing Assignments: - local70

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