All I can say is, DOCUMENT! You are really obligated to protect the patients from her, and if your administration won't listen to you verbalize, they need to see something in writing. You could also report the deficiency to your Dept. of Health Services, or to the people that fund/manage your facility. An annonomyous letter from a 'patient' could be helpful for your admin. to hear this from someone other than yourself. Perhaps you could suggest some type of ongoing testing process for nurses in your clinic to keep them 'updated' on those diseases,skills, etc. Maybe that is a way you could get admin. to see her lack of ability, knowledge etc.in an OBJECTIVE manner (since they think your SUBJECTIVE comments aren't valid). Sophie