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Nevada Safe Staffing Law

In 2013, after about a decade of advocacy and work on our behalf, the Nevada Legislature passed groundbreaking legislation that helps to ensure that each patient in Nevada hospitals in our two main population centers receives quality HappyNurseNewbornParentscare. Nevada Revised Statute 449 established provisions to ensure that adequate numbers of healthcare workers are on duty at any given time. The law:

  • Empowers hospitals’ existing Staffing Committees—which include both management and labor representatives—to set staffing matrices for all units to help to ensure that quality patient care is provided.
  • Develops policies to ensure hospitals adhere to these matrices, and established investigations, penalties and fines for those that do not develop and implement them.
  • Underscores provisions already in Nevada Administrative Code that authorize registered nurses (RNs), certified nursing assistants (CNAs) and licensed practical nurses (LPNs) the right to refuse an assignment, and established protections for those workers from retaliation if they exercise their rights to refuse an assignment.
  • Expands a right already enjoyed by unionized RNs, CNAs and LPNs in the state—the right to file formal Acceptance Despite Objection (ADO) forms for any assignment the worker feels is unsafe—to any Nevada RN or CNA, whether in a Union or not.
  • Empowers the neutral Nevada Bureau of Health Care Quality and Compliance (HCQC) to receive, log and investigate complaints.

Filing an ADO Form

Safe-staffing-saves-livesTo fully implement the Safe Staffing Law we fought so hard to pass, it is important for RNs, LPNs and CNAs Clark and Washoe Counties to document staffing problems as they happen. We will present problems detailed in the ADO forms to our hospital and/or healthcare organizations’ Staffing Committees, and when necessary, to appropriate investigatory entities.

As a SEIU Nevada RN or CNA, if you accept an Assignment Despite Objection, (ADO), please inform your charge nurse/supervisor that you will be completing an ADO form. You are not required to complete the form immediately, but you must inform your charge nurse/supervisor that you will be completing one.

SEIU Nevada ADO Form Available Soon

Completing the form:
  1. Fill it out completely—including date and unit—ASAP. Remember to fill in all pertinent information, including unit. If you select “other” as the issue to which you are objecting, please state in detail what the problem is. If you need additional space for a response to any question, please continue on the back of the form.
  2. Make every effort to have the charge nurse/supervisor to sign it. If s/he refuses, write in his/her name, and date and time you asked for a signature.
  3. Fill in every space on the form (if only with “N/A”).
  4. Make a copy for your records, fax it to the Union Hall at 702-386-4883, and give original to management.

Please complete an ADO form for each instance in which you accept an assignment despite objection. Filling out these forms is a crucial step all Las Vegas-area and Washoe County RNs, CNAs and LPNs can take to advocate for our patients – and for us!

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