PD assignments and Floor assignments

[Sharmaine616]

I am a new grad and currently have been practicing for only 4 months. I am currently being trained to be a PD nurse, but my floor is also a med/surg floor. The floor that I work on can only house 18 patients. When I accepted the position I was told that I would only have six patients at night because there was only 3 RNs at night. Now that I am learning the floor and talking to the "ones that are left," I now know that the manager will try to give a 6 patient assignment on the floor and PD. This means that I will have the 6 patients on my floor and whatever patient come through ER with PD and that is housed throughout the whole hospital that was admitted for a different reason. I have only been trained up to six patients and I think that it is unsafe to leave my patients on the floor and go to see other patients throughout the hospital. I came to find out that this has been going on for awhile, since a new manager was hired. There has been a turnover of over 25 RNs since the new manager has been on and it has been due to the assignments.

What should I do? I want to refuse the assignment, but don't want if to be on the bounds of abandonment. If there any documentation that I can do? Also, I can't ge to the manager above her because he agree with her. I am lost what should I do.

[Guest296136]

If your hospital has staffing guidelines you can fight it, my hospital has a union if we get more than six we can't refuse but we file a greifience with the union so that we are backed up if anything happens with our patients because of being under staffed.