When you must miss a shift, who should you inform first?

• A. A coworker
• B. A client
• C. Human resources department
• D. Your supervisor, boss, or manager

Answer: (D)

When you must miss a shift, the essential step is to follow the established chain of command for absences. The person you inform first is your supervisor, boss, or manager. They’re responsible for coordinating staffing, ensuring patient safety, and arranging coverage on the unit. By contacting them first, you provide a clear line of communication so your absence can be documented properly and the schedule can be adjusted to maintain continuity of care.

A coworker can help with coverage, but they don’t have the authority to arrange staffing or officially document the absence. A patient should not be informed about staffing changes; sharing that kind of operational detail with a client can be inappropriate and confusing. Human resources handles policies, benefits, and formal employment processes, not the immediate steps needed to cover a shift. If your facility has a specific call-out procedure or time frame, follow that after notifying your supervisor.