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.
Bug Busters!
This month, we are featuring the UVA Health Infection Prevention and Control (IP&C) team and their Bug Busters program!
Attending the IP Roadshow with Ginger Vanhoozer from the Virginia Department of Health (VDH) inspired Julianna Felsher, Jim Hovanec, Ann Sidebottom, and Fati Craighead to bring fun infection prevention and control education to acute care at UVA Health University Medical Center in Charlottesville, Virginia.
In August 2024, the IP&C team launched a mobile poster board initiative to deliver timely, engaging education across units. The cart (with candy, of course!) features rotating content on key topics like catheter-associated urinary tract infections (CAUTIs), central line-associated bloodstream infections (CLABSIs), and other relevant infection prevention efforts. Each section is updated monthly, with educational materials attached via Velcro® for easy customization. The team spends about 30 minutes per unit, giving staff the flexibility to engage around their clinical duties. Creative themes–such as December’s festive “Grinch Busters”–help draw attention and boost participation.
Bug Busters has been very well received by the staff who have commented on how much they love the colorfulness of the board, the informal setting, and of course, the candy! The casual nature of education encourages staff to ask questions that they may not have realized they even had. They have even had departments such as wound care ask how they can create their own education programs just like this one.
Thank you to the UVA Health IP&C team for sharing your program with us and helping our readers find creative ways to bring education to the masses!
