
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.
Guidance & Regulation Updates
VIPTA members track guidance and regulation resources to share source documents that guide infection prevention and control practices for public health staff and clinical and non-clinical healthcare personnel.
The date of the regulation or guidance update is included in each post. Please check linked content to be sure it is the most up to date and recommended practice.
AHRQ: Toolkit for Improving Skin Care and MDRO Prevention in Long-Term Care Settings
APIC: Updated Monkeypox Playbook (11/07/2025)
SHEA: Multisociety Guidance for Infection Prevention and Control in Nursing Homes (10/20/2025)
SHEA/APIC: Multisociety Guidance for Infection Prevention and Control in Nursing Homes (10/28/2025)
VDH Clinician Letter: Updates to CDC Immunization Schedule (10/10/2025)
Cheers for Every Infection Prevention Win
This month let’s shine a light on the best practices that add up to big wins. Infection prevention is a team sport, and October is a perfect time to celebrate the everyday wins that keep patients, residents, and staff safe. There’s a new Cheers for Peers award certificate you can download and use right now from VIPTA:
A step-by-step guide to spread “cheer” this month.
- Pick a positive infection prevention accomplishment you want to celebrate.
- Customize and print the new Cheers for Peers certificate (or print a few blank ones to take on rounds).
- Share the certificate with a team member who is doing a great job preventing infections in your healthcare setting. Snap a picture if they’re ok with it.
- Brag on them on a unit board, your intranet, a team huddle, or any space meaningful to the recipient.
- (Optional) Share statewide by submitting to the VIPTA Cheers for Peers nomination form.
Cheers in Action: At Henrico Doctors’ Hospital, Infection Prevention has worked very closely with their equipment cleaning techs on hardwiring the process for cleaning and disinfecting of their neonatal intensive care unit isolettes. Infection Prevention awarded the team a Cheers for Peers certificate for all their hard work and collaboration with the IP team!
Looking for inspiration on what wins to celebrate? Take some of these ideas and tailor to your team’s accomplishments.
- Hand Hygiene Hero: Perfect hand hygiene on a spot audit.
- Infection-Free Milestone: A unit that stayed free of healthcare-associated infections for the month, six months, or a year.
- Oral Care All-Stars: A unit has >90% oral care compliance to lower healthcare-associated pneumonia risk.
- Environmental Services Excellence: Terminal clean passes (checklists or fluorescent-gel checks).
- “Wipe Before We Walk” Award (Facilities/Maintenance): Tools cleaned and disinfected after work in a patient room.
- Breathe-Easy Respiratory Infection Prevention Champions: Proper circuit handling and equipment disinfection across the board.
Try it and tell us how it went: Print a certificate, celebrate a win this month, and share your story. Submit a nomination to VIPTA and let us know what you tried, what worked, and how your team reacted. We cannot wait to cheer with you!
IPC Education & Training Library
Search the VIPTA library of curated infection prevention and control (IPC) education and training resources. The IPC Education & Training Resource Library includes state and national resources related to healthcare-associated infections, antimicrobial resistance and/or IPC. Visit the VIPTA FAQ page to learn more about VIPTA library content.