I recently received a letter from one of my Physical Therapist very angry about the "lack of direction" provided for pre cautions for a patient who has bed bugs. Apparently the bed bugs have spread through the house. I had all staff wear a gown, gloves, foot covers, and hair cover when caring for the patient. It is unclear whether the precautions were used consistently by the staff who wrote the email. She is refusing to see the patient and is discharging from PT. My concern is, I want to be fully supportive to staff, but I also want this patient not to loose services. We had a charitable giving that would once provide support for these under privilaged patients whith various needs, but it was ended by the company. I am not sure when it comes to bed bugs if all the precautions are enough, if staff feel safe, and I do not want the patient to go without care. Any advice?