Mis228

I've been at my job now for 4 months and it's my first nursing job. I feel like I was "thrown to the wolves", so to speak, as I'm sure many, many new nurses feel. I work in a group home for medically needy individuals who have developmental and intellectual disabilities. 15 to be specific with 1 nurse per shift. We have 6 clients with G-tubes/ Mic-Key buttons so as you can imagine I have my hands full between charting, assessments, treatments, med pass etc... I digress. Unfortunately my care staff are not CNA's but they do all the work of CNA's without the training. I came into my house as the old manager was leaving but no replacement in sight. Because of this my direct care staff have basically run wild. They come in late(sometimes hours),they leave any time they want, they steal from the house/clients and neglect the individuals. At first the staff seemed to like me "you're one of the only nurses who do client care... " and I feel like they've taken advantage of that. Sometimes I'll be running around and see a client saturated so I'll stop and ask one of the workers who's sitting down "so and so is completely soaked would you mind or could you change them real quick" they say okay but an hour later they haven't moved and the client is still soaked. I started out trying to explain why I need them to do these things, I dont want to seem like "the bossy nurse". This month we've gotten a new manager and I've taken it to her and she said "well there are no consequences"...... okay so make some? I've gone to my nurse manager who oversees numerous houses and told her I'm conserned as a nurse. At risk for skin breakdown, decub ulcers from not being repostioned and frankly it's neglect, she said the house manager oversees the direct care staff. I'm absolutely at a loss. The company was just cleared by APD on abuse charges. So short of calling them and reporting I really have no idea what to do. I've started to look for a new job but I'm still a new nurse with less than 6 months experience. Completely aside from that, I care about my clients. I'm worried if I leave who will come in and advocate for them? Or will it be a lazy nurse who doesn't care? Management seems too busy to be bothered and ignores the situation. I'm absolutely at a loss and I literally feel sick to my stomach going to work I absolutely dread my coworkers. What do I do?