Kimberley Russell Co-Chair Ortho/Surgical Email 253 212-3742
Clarissa Korrell Co-Chair
Anthony Endrizzi Treasurer PACU Email (909) 493-7228
WSNA Nurse Representative
Barbara Friesen, MS, BSN, RN Send email 206-575-7979, ext. 3056
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What is a Staffing Complaint/ADO form? Why should I fill one out? How do I fill one out? #
See the answers to these questions and more below:
What is a Staffing Complaint/Assignment Despite Objection (ADO) form? A Staffing Complaint/ADO is a form that documents a good faith effort on the part of a nurse to call attention to problems that affect nurse and/or patient care, safety, or satisfaction. The goal is to fix these problems and ensure they don’t reoccur.
What is the purpose of filling out a Staffing Complaint/ADO form? Staffing Complaint/ADO forms provide documented evidence that a problem exists on a unit and initiates a process for improving the situation. Once management has been presented with an issue, it is incumbent upon them to address it. Additionally, you are documenting the facts, which may be helpful to you if there is a negative outcome.
The submitted Staffing Concern/ADO also provides the Staffing Committee members with specific details, rather than with anecdotal examples about staffing complaints, and helps them determine if a complaint has been resolved or not. The Staffing Committee has the legal responsibility to determine if staffing complaints are resolved or unresolved. Complaints that show an unresolved trend for 60 days or more could result in an investigation by the Department of Health and possible fines.
When appropriate, some complaints may be taken to Conference Committee by our WSNA Local Unit officers to try to resolve the concern.
Steps to be taken before filling out a Staffing Complaint/ADO:
Clarify what is being asked of you regarding your assignment
Assess your capabilities, obstacles, acuity of patients, and availability of ancillary staff
Identify all possible options for meeting patient’s needs
Decide; communicate the decision to your Charge Nurse, or immediate supervisor, and document the decision-making process on the form
When to fill out a Staffing Complaint/ADO:
When you find yourself in a situation that creates concerns about conditions for patients, or for you, complete the form as soon as possible.
Think of it as an S.O.S. – Short on Safety, Short on Supplies, Short on Staff
If you find yourself in a situation that you believe creates unsafe conditions for patients or for you, you should complete a Staffing Complaint / ADO Form as soon as possible.
By completing the form, you will help make the problem known to management, creating an opportunity for the problem to be addressed. Additionally, you will be documenting the facts, which may be helpful to you later if there is a negative outcome.
WSNA also uses your ADO forms to track the problems occurring in your facility. When you and your coworkers take the important step of filling out an ADO form, you are helping to identify whether there is a pattern of unsafe conditions for you or your patients at your facilities. This information is used by your conference committee, staffing committee, and WSNA labor staff to improve your working conditions.
If called into a meeting with management, read the following to management when the meeting begins:
If this discussion could in any way lead to my being disciplined or terminated, I respectfully request that my union representative be present at this meeting. Without representation present, I choose not to participate in this discussion.