Parasitic Infestations SOP– forms//September 2015

Information and/or Treatment Request Letters for Relatives, Staff, GPs and Pharmacists

To All Staff...... 2

GP. Staff with Symptoms...... 3

GP. Patient Close Contact...... 4

Designation:Dear Pharmacist...... 5

Patient Has Rash - Relative Letter...... 6

Patient with NO Rash - Relative Letter...... 7

Scabies Skin Monitoring form for all Staff and Patients …………………………………….8

ToAll Staff

You may be aware that a number of patients (and staff) have reported skin rashes

on the ward. The Medical Team has confirmed that this is due to scabies.

Scabies is a very common infection and spreads from person to person by touch.

People are infectious whist they are incubating scabies and because the incubation

period can be very long it is easy to see why it can be spread so easily. Therefore it

is essential we treat everyone involved at the same time.

We have discussed with Occupational Health and the Infection Prevention and Control Team how best to manage this. If you have a rash you will be given a letter by the Nurse orWard Manager to ask your GP to confirm you have scabies. When you have been diagnosed you will be offered two treatments, each one week apart. The scabicidepreparation will be provided by the Pharmacy on a named person basis.

It is absolutely essential that all your household contacts be treated when you receive

your first treatment. If you do not ensure this happens then you may become

re-infected from a member of your household.

Staff with rashes will also be given letters to show the GP who cares for their

household contacts, explaining why treatment is necessary.

If you do not have a rash you will be given one treatment from the Pharmacy on

a named person basis, but we will not expect your household contacts to be treated.

Your co-operation in this is essentially and greatly appreciated.

A copy of the Scabies Policy is available on the Trust website, or you may contact me

if you have any queries.

Yours sincerely

Designation:

GP. Staff with Symptoms

Dear Dr

Management of a Scabies Outbreak on ……………..Ward…………………Hospital

The Medical Team and the Infection Prevention and Control Team are advising the above ward where cases of scabies have been diagnosed. Both patients and members of staffare affected.

Your patient, ……………………………DOB……… of Address ……………………………is complainingof a rash and or irritation. If following examination you believe this may be due toscabies please could you sign and date this letter below and return it to your patient, who will then be provided with a scabicide preparation by the Trusts pharmacy department.

Your co-operation is greatly appreciated.

If you have any queries about this letter please contact the ward.

Yours sincerely

Designation:

I confirm that I have examined………………………………………………………………

and diagnose that he/she is infected with scabies.

Signature:

Print Name:

Date:

GP Patient Close Contact

Dear Dr

Management of a Scabies Outbreak on ……………..Ward…………………Hospital

The Medical Team and the Infection Prevention and Control Team are advising the above ward where cases of scabies have been diagnosed. Both patients and members of staffare affected. Your patient is a close contact of a member of staff who has a rash andsymptoms of scabies. The staff member is receiving treatment via the Trust. Wewould therefore be very grateful if your patient, as a close contact could be treated with an appropriate scabicide.

As you know scabies has a long incubation period – up to five weeks – and patients

who are incubating can pass the infection on before a rash appears.

To manage and control scabies it is essential all close contacts of those with rashes

are treated once, even when they have no symptoms.

Your co-operation is greatly appreciated.

If you have any queries about this letter please contact the ward.

Yours sincerely

Designation:Dear Pharmacist

Management of a Scabies Outbreak on ……………..Ward…………………Hospital

I confirm that ………………………………………………………..is a member of staff

and a close contact of an infected patient on the above ward

Please dispense a topical scabicide.

Your co-operation is greatly appreciated.

If you have any queries I can be contacted on ……………………………………………

Yours sincerely

Designation:

Patient Has Rash - Relative Letter

Dear Relative

You will be aware that your ______has been complaining of a rash and

irritation.

The Medical team now think this may be due to scabies and we will be commencing

treatment. Scabies as you know is an infectious condition and is passed from person

to person by touch. People who are incubating the infection can pass it on. In a ward

such as this all patients are treated just in case they are incubating the infection.

If you have been in close contact with ______. then it is

advisable for you to contact your GP to be prescribed appropriate treatment.

A copy of the Scabies Policy is available on the Trust website or you may contact the

ward if you have any queries.

Yours sincerely

Designation:

Patient with NO Rash - Relative Letter

Dear Relative

You may be aware that some patients on the ward have been complaining of skin

rashes and irritation. The Medical Team now think this may be due to scabies and we

will be commencing treatment.

Scabies as you know is an infectious condition and although your ______

does not have a rash, we would like us to treat all patients. This is because the

incubation period for scabies is long and people are infectious whilst they are

incubating even though there is no rash.

A copy of the Scabies Policy is available on the Trust website or you may contact the

ward if you have any queries.

Yours sincerely

Designation:

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Parasitic Infestations SOP– forms//September 2015

Scabies Skin Monitoring form for all Staff and Patients

Name / Date rash
appeared / Appearance
of rash / Symptoms
e.g. itching,
excoriation / Areas affected / Name of
scabicide
prescribed / Number of
times used and
when / Person with rash
is immunocompromised / Person with
rash is
prescribed
steroids,
systemic or
topical

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