i would definately stay out of that hot tub! tel the mother that you cannot put your self at risk like that.

I assume it's possible to catch this from a hot tub soak with the "child".  Something about this whole situation seems a little inky to me... parents of children in home health do not always know what is best nor do they consider the risk for their care takers. I would alert your agency to the mother's latest whim, so that another nurse isn't asked to be put at risk and under no circumstances would I get in the tub with the child. If the mother thinks it's a good idea let the mother get in with her and you can stand by and supervise in case there is an emergency getting in the tub is not neccessary to provide security if the mother is in the tub it's not like a pool she could easily pulled out if there was a problem. Is soaking in a hot tub really a good idea anyway for her open wounds? (nursing student but it doesn't seem like a valid plan of action for healing them up and could reintroduce infection to open wounds.)  When in doubt about anything being infectious it is ALWAYS best to assume that it is infectious rather then put yourself at risk, you can't care for anyone if you are sick yourself.