New onset of afib should be on telemetry floor.
If you look thru his meds, if he is already on a blood thinner such as warfarin or xarelto, then afib most likely is not new, and you can keep the patient on medsurg as long as he continues to take his bloodthinners and betablockers.In some cases, due to bleeding risk, patients are only on aspirin and plavix, no heavy duty anticoagulant. Age, fall risk, previous GI bleeds.
Call the doctor, and communicate safety concern. Make sure to use the word "safety", that gets people listening.
Afib rvr needs cardizem drip, new afib 5needs heparin drip, if rvr, also a cardizem drip.