The other action required by the nurse when refusing an assignment is a Safe harbor from collaborating with the supervisor.
A safe harbor is a clause in a law or regulation that says certain actions shall be regarded as not breaking a particular rule.
When a nurse requests in good faith a nursing peer review of an assignment or action they are expected to carry out, Safe Harbor is a mechanism that shields them from employer retribution, suspension, termination, disciplinary, discrimination, and licensure sanctions.
Due to urgent patient care requirements, a nurse may invoke safe harbor by verbally telling the nurse's supervisor of the request. In that case, the nurse's supervisor must establish in writing the specifications for a Safe Harbor Quick Request.
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