I have a question about my patient assignment last night. I have been a RN for 9mths, doing float nursing the entire time. Last night I floated to a Rehab unit where it was myself and a LPN. We had a patient on a ventilator. In our hospital Ventilators can only be in this Rehab unit and in ICU. I had never taken care of a Vent pt. much less that this pt was 12yrs old and her parents were very, very particular. Our policy is that LPNs cannot care for a Vent pt. Also in my orientation they never once mentioned that I would take care of Vent pts and had absolutley no orientation. I immediately called the House Supervisor and told her that I was not comfortable but knew there was no staffing to help cover the shift. The LPN had volunteered to help me out as much as possible, but overall it was still my responsibility. I was extremely nervous almost to the point of tears of what would I do if something went wrong. I had six other patients as well. The house super called in the unit manager to cover the pt, which she was upset about. Did I do the right thing. I didn't actually refuse to take the pt, but if I would've if I thought there was anyone else to cover. Did I do the right thing?? I did spend the night trying to find info on vent. pts but would still not feel comfortable taking care of one. Our policy and procedure basically states respiratory takes care of the pt, if alarms sound call resp. stat and manually bag the pt. If alarms were not sounding there was no other policy for assessments I should be doing. What should I do if I am in put in this position again??