I am currently working in a non-medical facility and I can not believe the amount of Medicare and Medicaid fraud that goes on. I am an RN working with an LPN and have an RN,BSN manager but we can not do anything medical. The amount of times we have sent someone to ER or the hospital because we can not treat them is unreal. Sending someone to the ER for a splinter in their hand, strong smelling urine. I need the input from others working in these types of facilities, Is this normal? Should I report what seems to be fraud to the CMS? How do you work in these facilities and not feel like you are losing your nursing skills. I got reprimanded for putting a pressure dressing on a head wound to stop the bleeding because "that has to be done in ER we don;t do that in the facility." So I'm suppose to let him bleed until EMS gets there? Help I have only been there for a month and I feel so un-nurse like.