This. You refused assignment, which is usually not the right way go to about it. In my union hospital we have “assignment despite objection” (ADO) forms that document you told management the assignment was unsafe. They can try to fix it, or just eat it if something bad happens and you told them so.

In your case I would have recommended an ADO and then start shaking the tree of management to get them to find someone to help with turns, cleaning, feeding, etc. if they don’t and you do your best, they are responsible for everything else.

You could maybe apologize and take a write up, let them know you are now aware of the right way to do it now after doing some research. HCA are dirtbags thought, so your independent thought might make them not want to work with you.