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.
Our Heart is for Patient Safety
This Valentine’s Day, LewisGale Hospital Pulaski’s theme was Our Heart is for Patient Safety. On 2/14, the entire facility celebrated 10 years without a central line-associated bloodstream infection (CLABSI)! This success was the result of an enormous amount of teamwork. It involved physicians ordering and placing lines appropriately, nurses caring for the lines properly, and many ancillary departments doing their part.
The team thanked Environmental Services for keeping the hospital clean, Supply Chain staff for ensuring necessary products are in stock and Interventional Radiology for carefully and consistently placing peripherally inserted central catheter (PICC) lines. A robust interdisciplinary team discusses every device including the plan for removal. A major contributor to this success is a culture where all staff feel empowered to speak up when there is a patient concern.
Leading up to the celebration of CLABSI prevention, the Infection Preventionists most enjoyed time spent gathering photographs of staff and talking about their contributions to this special event. This momentous occasion was celebrated with banners, balloons, t-shirts and cake for all!
-Becky McDonald, Infection Preventionist, LewisGale Hospital Pulaski
