A nurse employed by a temporary agency is assigned to a neurology unit for a 12-hour shift. On arrival, she discovers that the registered nurse assigned for the shift called in sick, leaving her with two nursing assistive personnel (NAPS) to provide patient care and administer medication, including controlled substances.
The nursing supervisor informs her that she will be responsible for the unit with 22 patients. 12 of whom are acutely ill and require close observation and frequent care. The nursing supervisor is not available to work on the unit and has no additional RNs to provide patient care.
The nurse decides not to accept the assignment, to report the decision and reasons to her agency supervisor, and to leave the neurology unit immediately before starting the shift.
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