Census is higher than planned
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Patient acuity/sickness is higher than planned
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Patient intensity/workload is higher than planned
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Unsafe assignments
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Unit activities (e.g., discharges, admissions, transfers) are different than planned
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Support staff different than the staffing plan
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Inappropriate assignment for skill level
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Charge nurse unable to perform charge nurse duties, due to assuming an assignment or increased patient care assignment
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Forced / mandatory overtime
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1:1 constant observation required without sufficient backup
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