Narrative:

As a reserve I was assigned to standby at the airport starting in the early afternoon. After an hour sit I was assigned an east coast turn that later canceled. I was then assigned a non-stop to the west coast departing about six hours after my standby began. When I arrived I was informed by crew scheduling my trip schedule hadn't been updated. When I arrived at the layover hotel--and initially my room wasn't ready and I had to wait--I called crew scheduling again and I was advised I'd have a 14 hour and 50 minute layover and then fly an east coast non-stop with a 19 hour layover. Then I'd be surface transported to another airport the next day and work a flight back to my domicile and that would close out my identification.I didn't sleep well at my layover because of bug bites through the night. The layover hotel only has a coffee bistro so there were limited food options during my 19 hour layover. Exhausted from not being able to sleep the night before I drank a couple cups of coffee hoping it would help me stay alert to work the flight. My fifth straight day working and last day of a three day identification (I'd worked a two day turn prior to this sequence); I felt if I could just stay alert this last flight I'd be ok. So I drank more coffee onboard...the coffee helped a bit at first but I had to struggle to stay alert. At some point unknown to me crew scheduling added two other flights to my identification without advising me as the contract requires; another two day east coast turn. Sleep deprived and fatigued I felt I had the responsibility to myself; my flying partners; my company and the passengers we serve to inform the crew desk I didn't feel safe to be the one standing there to arm and disarm an airplane door or respond in an emergency situation. I spoke with a scheduling supervisor and explained that not only had I not been advised of the additional segments I was too fatigued to work them. She had a few questions for me and then she took me off the added segments and placed 'fatigue' in my flight record and told me I needed to speak with an onboard supervisor. That supervisor suggested I go to a local hospital to be checked out. I said I'd prefer to see my own doctor. She responded that I was not being denied the right to see my own doctor but the crew desk would provide a cab for me to go to the company's selected medical facility. She further stated this type of situation doesn't come up often and she wasn't totally sure how to handle it and had to research some protocol. I said I understood. I then filled out a report and left.

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Original NASA ASRS Text

Title: A Flight Attendant reported cumulative fatigue from arduous rescheduling over a five day period. When her fatigue reached an unacceptable level her airline took measures to coerce her to complete the last reassignment by ordering to undergo medical assessment at a hospital of the airline's choice.

Narrative: As a reserve I was assigned to standby at the airport starting in the early afternoon. After an hour sit I was assigned an East Coast turn that later canceled. I was then assigned a non-stop to the West Coast departing about six hours after my standby began. When I arrived I was informed by Crew Scheduling my trip schedule hadn't been updated. When I arrived at the layover hotel--and initially my room wasn't ready and I had to wait--I called Crew Scheduling again and I was advised I'd have a 14 hour and 50 minute layover and then fly an East Coast non-stop with a 19 hour layover. Then I'd be surface transported to another airport the next day and work a flight back to my domicile and that would close out my ID.I didn't sleep well at my layover because of bug bites through the night. The layover hotel only has a coffee bistro so there were limited food options during my 19 hour layover. Exhausted from not being able to sleep the night before I drank a couple cups of coffee hoping it would help me stay alert to work the flight. My fifth straight day working and last day of a three day ID (I'd worked a two day turn prior to this sequence); I felt if I could just stay alert this last flight I'd be OK. So I drank more coffee onboard...the coffee helped a bit at first but I had to struggle to stay alert. At some point unknown to me Crew Scheduling added two other flights to my ID without advising me as the contract requires; another two day East Coast turn. Sleep deprived and fatigued I felt I had the responsibility to myself; my flying partners; my company and the passengers we serve to inform the Crew Desk I didn't feel safe to be the one standing there to arm and disarm an airplane door or respond in an emergency situation. I spoke with a Scheduling Supervisor and explained that not only had I not been advised of the additional segments I was too fatigued to work them. She had a few questions for me and then she took me off the added segments and placed 'fatigue' in my flight record and told me I needed to speak with an Onboard Supervisor. That Supervisor suggested I go to a local hospital to be checked out. I said I'd prefer to see my own doctor. She responded that I was not being denied the right to see my own doctor but the crew desk would provide a cab for me to go to the company's selected medical facility. She further stated this type of situation doesn't come up often and she wasn't totally sure how to handle it and had to research some protocol. I said I understood. I then filled out a report and left.

Data retrieved from NASA's ASRS site as of April 2012 and automatically converted to unabbreviated mixed upper/lowercase text. This report is for informational purposes with no guarantee of accuracy. See NASA's ASRS site for official report.