VIPTA is a statewide infection prevention and control education collaborative, led by the Virginia Healthcare-Associated Infections Advisory Group. Through partnership, VIPTA curates IPC resources for Virginia’s healthcare, congregate care, and public health settings.
“Wait – Do I Need PPE for This?” Making Sense of Enhanced Barrier Precautions
Infection prevention in long-term care takes teamwork—and sometimes a little extra reinforcement. It’s been a year since CMS formally added Enhanced Barrier Precautions (EBP) to infection control guidance, and that big question— “Do I need PPE for this?”—still comes up.
EBP expands personal protective equipment (PPE) use beyond isolation, applying to high-contact care like wound care, changing linens, and bathing. EBP is key to stopping the spread of multidrug-resistant organisms (MDROs) in long-term care facilities, but it takes clear systems and consistent staff education to make it stick.
What to Expect: This month’s resources are designed to meet your team where they are—whether you’re providing direct care, coordinating therapy, or supporting infection prevention efforts facility-wide.
- 8 Moments of Enhanced Barrier Precautions: Simple visual education tool. If you’ve ever heard “Do I need PPE for this?”—this tool is your new best friend. Also available in 8 other languages!
- VDH’s Enhanced Barrier Precautions in Nursing Homes Algorithm: This decision-making tool breaks down when and why to use EBP in plain language.
- CDC’s EBP Implementation—Observations Tool: Built for infection preventionists and facility leads, this resource helps track EBP use and identify areas for coaching
How to Use These Resources:
- Share the 8 Moments visual in breakrooms, care stations, huddles, or staff emails.
- Use the algorithm and observation tool to support your facility’s infection control plan or prep for survey readiness.
Enhanced Barrier Precautions are a big shift, but they’re not a solo effort. Whether you’re providing direct care or leading infection prevention and control (IPC) efforts, these tools are here to help you do the work and explain the why. Infection prevention is always evolving, but so are we.
LeadingAge Virginia
Meet Emily Varvil, Project Manager at LeadingAge Virginia, an association of not-for-profit aging services serving older Virginians across the aging services continuum. She is passionate about empowering adult day centers (ADCs) in Virginia with infection prevention knowledge and resources. Over the last 2 years, LeadingAge Virginia has worked on the creation and implementation of infection prevention template policies for Virginia’s ADCs. Prior to the COVID-19 pandemic, these centers were largely without formal written IP policies. However, LeadingAge Virginia realized during the pandemic that as participants socialize in close contact with one another, more thorough IP policies were needed.
Emily and her team have set up a website of grant-developed infection prevention and control (IPC) resources and orchestrated three regional half-day workshops for ADC leaders across the state (Williamsburg, Arlington, and Roanoke). During the IPC workshops, Emily reviews the resources available to the ADCs, provides at-home infection prevention resources for ADC participants (see links below), and includes presentations from Health Quality Innovators about antimicrobial stewardship and Virginia Department of Health about infection prevention education and adult learning principles. They also discuss other available IPC resources from VIPTA and the Virginia Infection Prevention Training Center (VIPTC).
All of the grant-developed resources will continue to be available online when the grant funding ends in July 2024 to help centers keep their great infection prevention work going.
LeadingAge Virginia webpage containing the grant-developed IPC resources: https://leadingagevirginia.org/page/AdultDayIPC
“At home” resources for participants and their caregivers: https://leadingagevirginia.org/page/ADCIPC_AtHome
The workshops for ADCs are being funded by the Adult Day Center Model Infection Control and Prevention Policies grant. This grant was awarded to LeadingAge Virginia in 2022 by the Virginia Department of Health Office of Epidemiology, funded by the CDC under Federal Award Identification Number NU50CK00055.
