I'm not a nurse but a physical therapist working in what I may add a very unsanitary nursing home. The staff is very neglectful with regards to patient care. The nursing assistants do not toilet residents on a regular basis so often residents are sitting in soiled briefs for hours or they have on two briefs because the staff don't want to change them. This presents as a skin and hygiene issue. Two weeks ago bed bugs were found crawling around a pts bed and infested their wheelchair. I could go on but I digress. Anything you can think of many of the pts have from Mrsa, cdiff, HIV etc. I got reprimanded not once but twice for ambulating residents in the hallway wearing gloves while doing my job. These pts of course had active infections. My defense is that I have a responsibility to adhere to universal precautions as I don't wish to get sick. My health is my primary concern and protecting the health of residents as well. Often in the midst of working with a pt is enough to make them void. I was told that it was a dignity issue. How when I am working with sick people? Why should I have to throw caution to the wind here? It's hard to get many of these pts to simply wash their hands. I observe people actively digging around in their own briefs. Any advice on how to proceed now?