How would y'all have handled this situation.. Yesterday we took an admission that had been hospitalized for the past week with influenza A. The hospital tried sending her on Tuesday but she was still being treated with Tamiflu and per our facility policy we can't take a flu pt. until they've completed the Tamiflu and are asymptomatic x 48 hrs. When I saw her name on the board for Friday I voiced my concerns. Social services said if she's been sx free then we could take her, When I took report I asked about symptoms the answer I got was "afebrile since last Friday" I asked about a cough and was told "no cough". The patient shows up wearing a mask.... She had a loose, productive cough from the moment she rolled in. She was placed in a room with another elderly lady who is quite mobile. The rooms are small so they are in close proximity. This a.m. I kept the curtain pulled as a barrier. Needless to say, room mates family came in found out their mom's new roomie had influenza and were not happy (to put it mildly). We have no open beds to move someone to. They wanted to speak with our administrator. I had no idea how to rectify the situation. We have no way of knowing if this new patient was still shedding the virus, but is it worth it to risk it? We already had a flu outbreak in the facility and actually had a resident die from flu related complications. What would you have done? How do you properly follow droplet precautions in a semi-private room? Also how do you go about protecting the roommat's visitors without violating anyone's privacy rights?