I am a fairly new RN (2.5 years in) and was hired out of nursing school
on a postpartum floor that has no nursery so I have new mamas and newborns as my patients. I love my job! However, when our census dips, as it has recently, we have been sent to other units to task.
Recently, we have been told we now have to take patient assignments on med-surg units. I have had to do this once since this has begun and was anxious the entire shift.
I am not comfortable doing this as I feel inadequately trained to handle a med-surg patient and their vast array of medications and diagnoses. Yes, I know I was exposed and taught many med-surg topics in nursing school, but my focus has only been moms and babies for the past 2.5 years...not med-surg issues.
When I asked my director if I had the option of refusing the assignment and being put on call or just calling in she told me I would have to accept the assignment and my only option would be to call safe harbor. (This conversation took place after the fact, in anticipation for the next occurrence.)
Am I wrong in not wanting to accept these assignments or am I making a much bigger deal out of things? I do not want to risk my license or, more importantly, put any patients in danger. I feel a great responsibility to provide the very best care possible to my patients and don't ever want to put their well-being in jeopardy.