Virginia Infection Prevention & Control Training Alliance (VIPTA)

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8 Moments of Enhanced Barrier Precautions

“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.

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.

VDH: Clinician Letter – Measles Outbreak Expansion and Back-to-School Immunizations (6/26/2026)
VDH
Acute Care Hospital
Ambulatory (Outpatient) Care
Department of Health
Emergency Medical Services (EMS)
Pediatric / NICU
Emergency Preparedness & Operations
Vaccination
Clinician Letter: Measles Outbreak Expansion and Back-to-School Immunizations (6/26/2026) The Virginia Department of Health announced that the Buckingham County measles outbreak has expanded to Cumberland County. Review the expanded outbreak vaccination recommendations, encourage patients to stay up to date on immunizations before the school year, and immediately report suspected or confirmed measles cases to your local health department.
VDH: Clinician Letter – Public Health Updates on Measles, Ebola Preparedness, and Travel-Associated Illnesses (6/03/2026)
VDH
Acute Care Hospital
Ambulatory (Outpatient) Care
Department of Health
Emergency Medical Services (EMS)
Pediatric / NICU
Emergency Preparedness & Operations
Vaccination
Clinician Letter: Public Health Updates on Measles, Ebola Preparedness, and Travel-Associated Illnesses (6/03/2026) This clinician letter provides updates on rising measles activity, Ebola preparedness, and travel-associated illnesses. Protect patients and staff by maintaining a high index of suspicion, assessing travel history, following infection control guidance, ensuring vaccination coverage, and promptly reporting suspected cases to your local health department.
APIC: New Toolkit to Address Problematic Manufacturer Instructions for Use for Non‑Critical Devices (5/08/2026)
APIC
Any Practice Setting
Department of Health
Quality Improvement
Regulatory Compliance
New Toolkit to Address Problematic Manufacturer Instructions for Use for Non‑Critical Devices: This toolkit provides practical strategies and resources to help healthcare professionals address problems with manufacturer instructions for use (IFUs) for non-critical medical devices. It supports infection preventionists in safely reprocessing devices when IFUs are unclear, incomplete, or difficult to follow.  *Access this resource with a free APIC account.

Photo collage of Virginia attendees at APIC 2025 conference

✨ Celebrating Virginia’s Infection Prevention Leaders at APIC 2025 Annual Conference

Congratulations to the incredible APIC Virginia members – and all attendees from our state – who represented Virginia with excellence at the APIC 2025 Annual Conference in Phoenix, Arizona!
Their dedication to advancing infection prevention was on full display as they shared their expertise, innovative practices, and real-world insights with colleagues from around the world.

These presenters exemplify the spirit of collaboration and commitment to infection prevention and patient safety that defines our Virginia infection prevention community:

Karen McGoldrick, MT (ASCP), CIC, CHOP of Sentara Leigh Hospital – Presented on “Fridays @ 4” highlighting the critical role IPs play in emergency and outbreak responses. Karen was also part of the conference planning committee, and she moderated eight presentation sessions.

Sue Felber, LPN, AAS, CIC and Krista Byalik, BS, CIC of Sentara Health System – Shared findings from “Mentorship Adaptations When Team Structure, Experience and Geography Present Unique Barriers” focused on the importance of mentorship and tailored approach to new IP onboarding.

Maimuna Jatta, MSN, RN, CIC, CPHQ, FAPIC of Carilion Clinic – Delivered a session on “Transforming IPC Outcomes Through Strategic Staffing Expansion” discussing the value of the IPs and how resource allocation for IPC ensures both patient safety and financial stewardship. Maimuna was also named as a Fellow of APIC, joining a list of leaders in the field of infection prevention.

Abigal Cunanan, MS, MLS(ASCP), CPHQ, CIC of Inova Health System – Presented a poster on “Redefining Isolation Practices: Streamlining Discontinuation Protocols for Multidrug-Resistant Gram-Negative Bacteria in a Multi-Hospital Health System” highlighting a protocol aimed to improve patient experience, reduce excessive personal protective equipment use, and expedite room turnover.

Kathleen Manchin, MPH, BSN, CIC of Carilion Clinic – Shared findings from “Engaging Travel Nurses to Improve Infection Prevention Bundle Compliance and HAI Reduction” focused on ensuring contract travel nurses follow and adhere to organization-specific infection prevention standards and practices.

Heather Gutierrez, MSI, BSN, RN, CIC of Riverside Health System – Delivered a poster on “Implementation of Copper Silver Ionization System to Control Legionella in a Community Hospital Water System” discussing innovation in healthcare focused on the use of copper silver ionization system in healthcare water system management.

Awards and Accolades: The Virginia Infection Prevention Training Center (VIPTC), led by Kaila Cooper, MSN, RN, CIC of VCU Health brought home to our state the GRAND PRIZE of APIC25 Film Festival with their video submission titled “Chain of Transmission with C. difficile”. Congratulations on shining bright at APIC and highlighting the incredible work at VIPTC.

Each speaker made us proud by contributing to the advancement of infection prevention and control practices not only in Virginia, but globally. Thank you to all the presenters and attendees who represented Virginia at APIC25. Your leadership and knowledge-sharing are vital to our profession and the health of our communities.


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.

 

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