It is possible they were starting you there off the cuff so to speak. You might want to give them a day or two to get it together. If you have not been provided without even a skeleton Form 485, plan of care, by your third day on the job, I would resign from the case and from the agency. You are right, you should have been given a verbal intro by the nursing supervisor, even if only to say, we are starting off the cuff, pt is vent dependent, with little to no family support, etc., etc., a med list (which is supposed to be on the 485), contact info for the PCP (also on the 485), a set of blank forms for you to start the MAR, TAR, etc. Like I said, if they don't get you something by the third shift, I would leave the agency (letter of resignation), and go to another agency. This agency would probably do the same thing with each new case and you don't need the lack of competence on their part. Furthermore, you need to make a personal decision about your ability to work in a home with video cameras going, especially since the caregiver speaks of the negative back story for having cameras. Many nurses refuse to work while being videotaped. That is your right. Just refuse such cases across the board if you decide you don't want the added worry about providing free lawsuit fodder.