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Trisha logs off computer and sighs. It has been a long, busy day and she is tired. They’d worked one nurse short again and everyone felt pressure.
Trisha glances at the clock and then left at the list of things to do before the end shift. Ax she turns to get started, the nurse in charge stops her. “We’ve had a sick call for nights again” she reports her frustration evident. “I have not found anyone to come in yet, so I’m looking for a volunteer to stay until I can find someone. We need everyone tonight-we’re swamped.”
Trisha takes a deep breath and replies, “I’m not sure I can do it. I’m exhausted. Give me a few minutes to think about it.”
“Could you let me know as soon as possible?” the nurse in charge wearily asked. “Everyone’s Tired but we need someone to stay until we find a replacement,” she says, walking away.
Walking down the hall, Trisha considers the situation. The unit is having a difficulty finding staff. There are rumblings from others about being short-staffed and working overtime. Everyone is stressed. She’d expected to be asked to work overtime today, but that did not make the decision any easier.
Guide questions:
1. What would Trisha’s best action? 2. What do the Standards say?
3. What Trisha’s next action?

SCIENCE
HEALTH SCIENCE
NURSING
Institutional and Ho 123

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