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.
Carilion Clinic
The Carilion Clinic Infection Prevention and Control (IPC) team is engaging patients in the outpatient hand hygiene program. Infection prevention is a team effort, and everyone, including patients, has a role to play. Hand hygiene is the most crucial strategy for preventing infections, and through this program, Carilion is committed to providing the best patient care.
The Patient Feedback Monitoring Program invites patients at ambulatory sites to provide feedback on their providers’ hand hygiene. During their visits, patients receive feedback cards where they can indicate “yes,” “no,” or “unsure” if their provider performed hand hygiene before initiating physical contact. These data are compiled into a Tableau dashboard and shared with sites in real-time to evaluate compliance. The goal of this program is to highlight the importance of hand hygiene in the clinical setting and empower patients to be allies and advocates for infection prevention.
Since the program’s creation, the Carilion Clinic IPC team has been actively engaging ambulatory clinics and promoting the initiative, setting a goal for each clinic to submit 40 observations per month. Collaborating with the marketing and technology departments, the team ensured that the observation tools are accessible. The total number of outpatient hand hygiene observations increased from 12,311 in 2022 to 17,033 in 2023. As of July 2024, outpatient clinics have already collected 11,259 observations, and the year is only half over!
Carilion Clinic IPC Hand Hygiene Survey
