i have been doing private duty for a 3 year old girl on a vent for a little while now. the home i work in is very nice, and on paper this family looks wonderful..but they arent. they are foster parents for now, but will be adopting her soon. the husband is retired from the medical field, and they have even adopted a child 6 yrs ago that was on a vent. so on paper this place is great. they know how to work with these kids. but...ive been there a few months and they never i mean never come in the room and see the kid. its so sad. he just lays there in the crib. i have been working with him, and we have come a long way. now i can sit her up and she can actually hold her head up without falling back. it makes me mad because the only reason this girl is so far behind is because nobody works with her. but thats not the only problem. the family doesnt want nurses calling the dr, they will always call. they dont want us telling the company we work for anything either. when something does go wrong, for example her picc line being swollen, they make excuses to not go to the dr. she also cant regulate her temp very well, so we give tylenol pretty often. i cant even count how many times we have run out, and the family is aware, and a week or 2 goes by before they get more. there are other meds as well as her breathing treatments that run out, and the family always has an excuse why we cant get more..pharmacy is out(wouldnt u call another one?) or the dr is on vacation and cant write a refill..im sorry but if it was my child, i would find a way to get it. u cant just got for 2 weeks without meds! they have pressured the nurses to do things out of our lpn scope of practice as well such as trach changes and picc flushes. the only reason i have stayed so far is for the girl. i have grown so attached to her, so i want to do whats best for her. i have spoken to my company, and they are aware and agree that the family neglects her, but nobody does anything about it! the case manager has known about them forever and she overlooks everything too! what should i do? i worry that i risking my nursing license there sometimes. but at the same time, this kid needs someone that cares about her and does the right thing..so should i stay?