Let me give you some advice. Find employment elsewhere and enroll in LPN or ADN or go to EMT school even... ASAP. If you turn a blind eye to abuse or let it go unreported a single time you become part of the problem.
As a paramedic who worked in the tampa/st.pete area I would guess 80% of my calls were for geriatric patients. half of those were at assisted living, nursing or LTC facilities.
They are the most horrible place on earth. I worked as a correctional officer in 2 states before EMS. We take much better care of our inmates.
I have seen an LPN doing CPR on a consious patient.
I have seen multiple patients with aspiration pneumonia from being force/rapidly fed orally or through feeding tubes.
I have been called for difficulty breathing only to find the patient laying flat on their back, with no oxygen, and no nurse or CNA present.
I have seen 80% of LTC patients with toe nails yellowed and an inch long, severe bed sores, infections and rashes from laying in feces and urine.
I have smelled the overpowering smell of urine and feces in 80% of LTC i have been in.
I have run on a patient with a UTI so far gone they became septic, had a core temp of 104, a blown pupil, screaming, babbling, crying, seizure like activity, hypotension and mild hypoglycemia. SA02 @ 88%. Laying in days worth of feces and urine. basically left to die. When the screaming became unbearable the LTC called 911.
I have had nursing homes request that I begin CPR and transport a deceased patient with obvious rigor, and dependant lividity.
I have seen first hand a LTC facility make up fake 911 compalints for patients on an entire wing to have them removed so they could deep clean for a state inspection.
I have called the department of health and human services because of filthy conditions. returned a week later and found the same dirty used band-aid on the floor where it was a week earlier.
I have transported "Difficult patients" that "accidentally" fall or get dropped by staff.
I have had patients from an infamous LTC close to st.pete general hospital tell me stories of patients having to trade sexual favors just to get their food and medications. Staff allowing violent psychiatric patients to prey on the old and infirm.
In many cases ( certainly not all ) CNA's are uneducated, overworked, underpaid, understaffed. LCT facilities are in the buisness of warehousing people. They make a profit when medicare or medicaid pays. All that is required is that the residents are kept alive. The very poor or lower middle class without supplemental income or insurance are doomed to neglect if they are very lucky. Downright abuse and maltreatment very often.
The few CNA's or LPN's at nursing homes that are waiting with the patient, have a full medical history, list of meds, allergies and a good history of recent changes, signs and symptoms... I literally have hugged them and praised them for doing an amazing job. I have given my number and email out and assisted many of them into finding an affordable EMT or LPN Program.
Patient Advocacy: Speak for those that cant speak for themselves. Defend those that nobody else cares about. Always Err on the side of caution when a human life is involved.
File a complaint every single time you see a violation of patient safety, dignity, human rights, care or comfort. Meet with a patients family, encourage them to visit often and to participate in patient care.
This is the ugly side of healthcare that nobody wants to talk about.