scabies at my facility.

Nurses General Nursing

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I have a question for anyone that had a scabies outbreak at work and contracted the little buggers.

We have two confirmed cases of scabies at my facility. The first was a new admission, the second being the roommate who was already a resident at my facility.

We also have at least two, and possibly four confirmed cases amongst the staff. These are CNA's who either did direct care with the infected resident, or helped the staff assigned to that resident.

Well, even tho I'm not on that wing, my S/O is, and helped the staff assigned to the infected resident more than once.

Now, it seems I developed a rash in all the right places for scabies, and so did the S/O. I immediately called the DON, who sent me to Occupational Health for a checkup, and possible tx. The Doc there didn't do a scraping, but examined both of us and agreed it was scabies. Got the script, and I'm literally sitting here coated with Permethrin 5% cream.

My first question is, since I was on the schedule at work today and tomorrow, and was told by the Doc to NOT return to work until Saturday, should I be paid for the time I'm forced to take off d/t inf? I asked the DON, and she said it was something to be expected in our profession, and in fact no, I wouldn't be paid! I've been in health care for 20 years as a CNA, and a few as an LPN, and have NEVER contracted scabies, or anything other than a cold from work. I feel since I contracted this at work, and they have CONFIRMED outbreaks both among staff and residents, it's a pretty safe bet I got it from there. I personally know that's where I got it, because I literally just go between home and work, and don't really socialize anywhere or with anyone else.

They can't use sick days for me, as I delegated not to take them as a benefit, and instead recieve an extra dollar an hour. I'm full time, and the two days off is going to hurt, especially right before the holidays.

Who do I need to talk to, and what do I need to do to get paid?

Second question, is the Permethrin 0.05% spray effective at treating soft furniture? I need to treat my couch, as I fell asleep there several times since I was exposed, and before I got tx. I can't put it in a large bag, and really can't think of anything else to do to it.

As usual ladies and gents, any info is greatly appreciated.

Thanks in advance, and Merry Christmas to all!

I am sorry for a few things. #1, sorry you are going thru this. I went through this a year ago and was undiagnosed for 3 months! I nearly needed to see a psych professional due to the fact I thought I was going nuts. I was misdiagnosed by 6 physicians including an Internist, ER doc, and Infectious disease specialist. So consider yourself lucky to have at leas been diagnosed and treated quickly.

I also want you to know that you are most likely not contagious after the Permethrin cream application but you are STILL a potential case of infestation until you are formally cleared of this. I was told 3 days or so. There are different forms of scabies by the way(I am not including animal scabies which is completely different). IF you treat yourself but you missed a spot on your leg or hand or back then guess what? You could still have scabies and then infect a bunch of people. I don't think many people in our profession have seen this but it can be a devastating thing to go through until you are sure it is gone.

I think you can go to work if you are clear. I didn't get any compensation for it when I missed work and I contracted it ar work. I suppose I could have persued it but I was just so happy to find a treatment for the horrible itching!

Good luck to you and don't forget to wash all the clothing worn within the past week in hot water or seal in a airtight bag for a week.

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