JPKToxicWaste

I am a private duty nurse, and I am having issues with a coworker. I have been on this particular case for about 5 years, and she started about 6 months ago. She seems nice, and their parents adore her, but here are my problems: First, she is always late. I don't mean 15 or 20 minutes, I mean like 2-3 HOURS. We both work days, and I only know this because the parents complain about it to me. The night nurses were getting upset at her lateness, so she changed her start time with scheduling to 7:30 am, so now the night nurses just give report to the parents. we attend school with the patient, and one day earlier this year, the patient missed school because the nurse wasn't there by the time the bus came.... At 9:45 am! The parents aren't going to complain, because they think she's absolutely wonderful, and she covers 4 day shifts a week, but she's involving them in her fraud by having them sign her sheet stating a fraudulent start time. I tried to bring this up to them, but they got defensive and refused to discuss it. She also hides her nursing notes. We keep all the notes in a box in the home (current and recent carbon copies) so that nurses and parents can review them. She puts hers somewhere else, I suspect because she's documenting care and assessments at a time when she isn't even in the home. Recently the patient was in distress, and I couldn't review her notes for the past 3 days because they were nowhere to be found. I've given a lot of thought as to whether I should just continue to mind my own business, or whether I should say something to the agency. Ordinarily, I wouldn't, but I'm thinking of dropping this case, and I know my supervisor will want to know why I'm leaving after all this time. I'm just sick of her BS. She blatantly disregards orders to follow the parents wishes (giving vitamins, changing feedings, even giving ABT eye drops the patient had left over from a previous infection because she thought the patient needed them, but didn't notify anyone but the parents) so of course when I refuse to do what she's been doing until I can get an order, the parents get very upset with me. I tried to discuss this with her, but she continues these behaviors. I'm not risking my license for this case anymore, and I want to be honest with the agency when I leave. I have mentioned these incidents to our previous clinical manager, but she never did anything about it (as far as I know; she certainly may have addressed it, but there was no change in this nurses behaviors) and the clinical manager recently quit. what would you do?