I am an OR nurse for a plastic surgeon. I have also worked in an ambulatory surgery center for 5 years in the OR, preop and PACU . I recognize that MH is always a concern during/after surgery but have never had a patient experience this on my watch. Like I said, I am now an OR nurse for a plastic surgeon. The MD I work for has allowed another MD-plastic surgeon- to use our surgery suite for a 7 hour case. When reading over the H&P, the patient has Central Core Myopathy with risk for MH. I am really upset because my MD is expecting me to be working the OR for this case. I don't want to work this case (in fact, I really don't want to be involved with this other MD at all-and have voiced that to my boss). I feel that this person SHOULD NOT have this surgery and SHOULD NOT have it in a office surgical suite envirnoment (even though we are completely certified, have a MH cart and crash cart, etc). I feel that if the pt. wants this surgery that bad...it should be done in a hospital OR. Am I justified in feeling this way? I'm feeling so much pressure for so many reasons (i.e. safety, job, office staff). Please offer experience,advise, suggestions !!!!