staffing issue

That would depend on her reasons for refusing the assignment.

What is a CENA? Is that like a CNA?

I would try to discover the reason for her refusal of assignment and, if it is reasonable, negotiate an alternative. There are very legitimate reasons to refuse an assignment and there is not enough information in the OP to determine if she was being reasonable or not.

Agreed. More info needed!

I have to agree with TheCommuter, more info is needed to even guess what I would do.

If there is a just reason, then I would change the assignment, otherwise no.

Is a CENA the same thing as a CNA?

As we found out the other day, CENA is what some states call a CNA.

And as stated above by everyone else, more information is needed. There are legit reasons to refuse an assignment, and before you can make a determination about the next step, you have to find out why she refused.

yes, we need more information before we can make a determination.

why did the aide refuse to take on the assignment at hand? there are always at least 2 sides to all stories.

the reason why she refused her assignment is not legit at all. she refused because she does not like to take care of one patient who is difficult to take care of.

the reason why she refused her assignment is not legit at all. she refused because she does not like to take care of one patient who is difficult to take care of.

has she had to take care of that patient several days in a row, not alternating with other cna's? maybe she is burning out if that is the situation, and i would allow a change of assignments. if its her "turn" then i would not allow for a change.

the reason why she refused her assignment is not legit at all. she refused because she does not like to take care of one patient who is difficult to take care of.

difficult patients need to be rotated. no one needs to be stuck with them all the time. also, if she has worked many days in a row, and i might think twice about sticking her with a difficult patient. unless she does that often, i would probably give in to her request. but if it is a daily thing, a line has to be drawn.