I'm going to keep this as brief as possible but I was hoping I could get some advice/feedback. I am an ER nurse that has cross trained to work in the pre-op/PACU in our little rural hospital. Tomorrow I am scheduled to be the first nurse (i.e. get there early and set up for the day and get the first pt ready for surgery) however the first surgery of the day is one that I am incredibly concerned about from a safety level. I verbalized my concerns to my manager several times about how this was a procedure should not be doing in our facility and that we do not have the training/staff to handle the pt afterwards and was told that "everyone is on board with this" and that it will be fine. I completely disagree and want my name and license no where near that chart, especially since I've already verbalized to both the manager and the CNO (and the head of anesthesia) my concerns for this pt's safety.
At this point though I'm not sure how to handle tomorrow morning. Like I said, I'm expected to be the first nurse in and should be the one to get him ready for surgery. I've never refused an assignment before and I feel like that's essentially what I'm doing, but I'm not sure really how to handle that since the assignment has not technically been made. I do not want to be a part of this whole ordeal because I truly feel like we are placing this pt in harms way, but I'm not sure what I should say/do in the morning to ensure that I haven't "accepted care" of the pt.
Any tips or advice would be greatly appreciated. TIA!