In a med surg setting, when would you refuse the assignement? What if you were a new grad? What are the repercussions for refusing ann unsafe assignment? If I refuse an unsafe assignment I fear I am going to be fired, if I keep taking on the assignment that is clearly too many patients I am prob going to lose my license or make a dangerous mistake. I am stuck between a rock and a hard place. When interviewed I asked the patient ratio and was told 5, maybe 6 patients. I have yet to have less than 7 and the norm has been 8. There is no way to properly care for this many patients, what can I do? I can't afford to quit, as a new grad jobs are hard to get. I also cant afford to lose my license. The patients are not being cared for properly. The staffing issue keeps getting worse and the PRN nurses are all quitting. (three this past week) so now it is going to be worse this week. Other nurse will not float to our floor, they all refuse the assignment & run away leaving us to deal with the unsafe patient loads. Can I annonymously complain somewhere?