Does anyone have any ideas about noncompliance. If it were up to me I would discharge immediately BUT... can't be done at my current job, we are supposed to keep them on for teaching. There are some things you can't change. I am now on my 4th job in Texas because I leave to search for an agency with enough backbone to do things correctly according to Medicare guidelines. Apparently this "keep the numbers up" is the norm for this state. I am tired of job hopping and I need the job. I also have issues with patients who think "It's your job, I'm not a nurse"