Do I have the right to tell my boss I'm not subjecting my health to this BS anymore and they need to get this cleaned for the sake of the children in the home??? If so - time off to be compensated or am I just not used to the life of being an in home nurse?
It's true the life of a private duty nurse can get bizarre at times. Someone here once related that cockroaches were falling off the ceiling of the client's home and landing in her hair. I personally observed a colony of cockroaches living in one child's ventilator. Another had ants but not near the client.
Those are horrifying but isolated incidents overall.
These parents need help, or to the point, evaluation of reasons they are not functioning at even a minimal level of competence, and the mention of "a night of domestic violence", means the baby's life is at risk.
If your agency is affiliated with a pediatric hospital, social services are already an integrated part of the system.
I agree with Ilg, what to do in these situations should be part of orientation, none of the agencies I worked for included it.