Edgar Cayce said something like, "You can't get someone into more trouble than they can get themselves into".
I've dealt with a lot of Coworkers who were like you described, dogmom. For example one Tech was blatantly insubordinate. I informed him of this and said if he didn't do as I requested, I'd have to report him. He replied, "I don't care". So, I wrote a letter to the unit Supervisor, objectively documenting the facts. Well, the Tech was a drinking buddy of the Supervisor and nothing was done. Okay. I did what I could and let it pass.
Sometime later, the Tech behaved inappropriately with a Patient in restraints, the Patient made a complaint, the behavior was reviewed on tape and the Tech was fired, proving Mr. Cayce's premise.
Another time, in two separate situations, an agency Nurse blatantly neglected to provide care for two incontinent geriatric psych Patients. I attempted to deal with the agency Nurse directly to no avail. Again, I objectively documented the situation and sent emails to the unit Supervisor and Director. And, once again, nothing was done.
After the agency Nurse's contract was up, she attempted to apply for a full time position at the medical center. I caught wind of her application and wrote "a letter of condemnation" and attached the email. The agency Nurse was not hired.
Administration of the psych division have recently refused to respond to my communications regarding Patient and Staff safety concerns. So I began generating Event Reports in the ERS which are reviewed by the Chief Administrators, not just of the psych division.
Although it is standard that reports filed into the ERS do not necessitate a response, I do see things happening.
My advice to you, dogmom, is to objectively document these situations of concern, inform those in charge, and allow the fates to have their way.
My very best to you.