I no longer work in a hospital setting. But I will tell you that when you began to refuse to do certain things, you need to have backup. I think it would be great that when an RN stands up for his or her team or unit and says, "we're no longer able to provide safe care," that the other staff (other RNs, LPNs, aides, unit clerks, techs, therapists, supervisors, patients, families, and even physicians) would back that person up verbally and in writing. Patient care is not done in a vacuum and therefore, we must acknowledge how we impact quality of administering care as a team. On that note, I'm going to write again, that some type of unionization is needed to offset some of the difficulties we encounter.