Virginia Infection Prevention & Control Training Alliance (VIPTA)

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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.

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Image showing germs spreading from one person coughing to another person breathing.

Spread Knowledge, Not Germs: Cough Etiquette Tips

Respiratory season is still in full swing, with rising cases of seasonal influenza locally and H5 bird flu infections and human metapneumovirus globally. It’s the perfect time to revisit the basics of cough etiquette, a critical component of Standard Precautions to reduce the spread of infections. This month, we’re featuring the Pause for Prevention: Cough Etiquette resource developed by Health Quality Innovation Network, a VIPTA partner, to enhance infection prevention and control (IPC) practices across healthcare settings.

What to Expect

  • A three-page education package with an educational flyer and a facilitator guide designed to train on cough etiquette using workplace learning principles.
  • You can use everyday items like a spray bottle and personal protective equipment to create quick, interactive demonstrations that leave a lasting impression on participants.

Ways to Share this Resource

  • Use in team huddles, small group orientation, or one-on-one training sessions.
  • Adapt the scenarios to role-play situations involving your healthcare roles and facility.

Target Audience: Essential IPC Education Level

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.

CDC: Core Elements of Hospital Diagnostic Excellence (DxEx) (February 4, 2026)
CDC
Acute Care Hospital
Acute Care Rehabilitation or Long-Term Care Acute Hospital (LTACH)
Assisted Living Facility (ALF)
Department of Health
Hospice and Palliative Care
Nursing Home / Skilled Nursing Facility (SNF)
Core Elements of Hospital Diagnostic Excellence (DxEx) (February 4, 2026) The Diagnostic excellence (DxEx) provides guidance to implement actionable strategies within hospitals to enhance diagnostic accuracy through improved diagnostic reasoning, testing methodologies, and communication processes, ultimately elevating patient safety standards. It encourages the implementation of systematic approaches and evidence-based practices for improving diagnostic processes, ultimately aiming to reduce errors and increase patient safety across healthcare settings.
CDC: Clostridioides difficile Infection (CDI) Surveillance (March 19, 2026)
CDC
Any Practice Setting
Department of Health
Surveillance
Clostridioides difficile Infection (CDI) Surveillance (March 19, 2026) The guidance on Clostridioides difficile (C. diff) emphasizes the importance of implementing prevention strategies, including appropriate antibiotic use, enhanced infection control practices, and patient education to reduce the incidence of C. diff infections in healthcare settings. It highlights the role of the Emerging Infections Program (EIP) in monitoring C. diff cases, promoting research on infection trends, and improving response efforts to effectively manage outbreaks and improve patient care.
VDH: Clinician Letter – Updates on Virginia Department of Health Vaccine Recommendations (2/19/2026)
VDH
Department of Health
Pediatric / NICU
Vaccination
Clinician Letter: Updates on Virginia Department of Health Vaccine Recommendations (2/19/2026) The clinician letter reports that Virginia recommends continued use of the American Academy of Pediatrics 2026 immunization schedule despite recent federal changes, emphasizing that current vaccine guidance should remain grounded in established scientific evidence and clinical best practices. The letter also states that there are no changes to Virginia school immunization requirements and urges clinicians to continue offering recommended vaccines and use clinical judgment in shared decision-making with patients and families.
CDC: Considerations for Reducing Risk – Water in Healthcare Facilities (2/6/2026)
CDC
Any Practice Setting
Water Management
Centers for Disease Control and Prevention (CDC) Considerations for Reducing Risk: Water in Healthcare Facilities (February 6, 2026) CDC recommends establishing a water management program that identifies risk areas in a facility’s water system and implements controls to prevent harmful pathogens like Legionella. The program should be routinely monitored, documented, and adjusted to ensure it remains effective and responsive to changing conditions.
ASHRAE: Ventilation of Healthcare Facilities (2/16/2026)
Any Practice Setting
Air Quality
Ventilator
The American Society of Heating, Refrigerating, and Air-Conditioning Engineers (ASHRAE)  Ventilation of Healthcare Facilities (02/16/2026)   The 2025 edition of ANSI/ASHRAE/ASHE Standard 170 outlines minimum ventilation requirements for health care facilities, emphasizing compliance and best practices for HVAC system design.  Key updates include the option for natural ventilation, total outdoor air calculations for combined spaces, and clarified requirements for imaging and outpatient areas. 

Effective Partnerships, Safe Communities

Old Dominion Rehabilitation and Nursing demonstrated exceptional commitment to resident and community safety during recent healthcare-associated infection and multidrug-resistant organism outbreak responses. Andrea Hart, Infection Preventionist and Sheila Clements, Director of Nursing, provided strong, effective leadership, working seamlessly with local and regional health departments to quickly address infection control gaps, implement public health guidance, and strengthen prevention practices.  

Transparent communication and a collaborative mindset were key to the facility’s success, enabling timely, coordinated, and highly effective outbreak containment. This partnership also fostered lasting improvements in infection prevention that extend well beyond the immediate responses.  

The VDH Eastern Region Infection Preventionist worked closely with the facility and commended its leadership for their professionalism, adaptability, and dedication to safety. Through consistent communication, on-site and remote support, and shared problem-solving, the team implemented evidence-based interventions and piloted new tools to enhance outbreak readiness.  

The success of these outbreak responses underscores the power of strong partnerships between long-term care facilities and public health teams. Old Dominion Rehabilitation and Nursing’s collaborative approach exemplifies excellence in long-term care leadership and a shared commitment to protecting residents, staff, and the community. 

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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