ADO
Assignment Despite Objection

Your Most Powerful Tool and Defense Against Unsafe Staffing
No Unsafe Assignment Should Go Undocumented

If you find yourself in a situation that you believe creates unsafe conditions for patients or for you, complete the Assignment Despite Objection form as soon as possible. By completing the 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.

​Other types of situations requiring an ADO form​
Insufficient staff due to unstaffed admit beds
 Nurse assignment poses a serious threat to nurse's health and safety
Nurse assignment poses a serious threat to the health and safety of a patient under the nurse's direct care
Insufficient support staff requiring nurses to accept additional duties (transportation, housekeeping, CNAs, reliefs, charge)
Nurse do not have the competencies for this unit or type of patients
Nurses have not been oriented to this unit
Necessary patient care equipment missing or unusable
Nurses are not trained or experienced to use equipment in assigned area
System failure (e.g.: computer, phone, pyxis, call system)
Forced / mandatory overtime