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.

Society for Healthcare Epidemiology of America (SHEA)
SHEA
Acute Care Hospital
Nursing Home / Skilled Nursing Facility (SNF)
Pediatric / NICU
Infection Prevention and Control of Candida auris in Pediatric Settings (6/23/2026) The guidance recommends identifying at-risk pediatric patients through targeted screening, using appropriate isolation and room-placement precautions, and coordinating closely with infection prevention and public health partners when Candida auris is suspected or confirmed. It also emphasizes prevention through meticulous hand hygiene, effective environmental cleaning and disinfection, and careful management of shared medical equipment, toys, common spaces, visitors, breastfeeding, skin-to-skin contact, and caregiver-child interactions.
Centers for Medicare and Medicaid Services (CMS) 
CMS
Nursing Home / Skilled Nursing Facility (SNF)
Regulatory Compliance
CMS QSO-26-14-NH Memo: Nursing Home Risk-Based Survey National Implementation (7/16/2026) CMS will implement a nationwide risk-based survey process beginning September 8, 2026. Qualifying high-performing nursing homes may receive streamlined recertification surveys, allowing survey resources to be focused on facilities and complaints that present greater risks to resident health and safety.
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.

Society for Healthcare Epidemiology of America (SHEA)

Infection Prevention and Control of Candida auris in Pediatric Settings (6/23/2026) The guidance recommends identifying at-risk pediatric patients through targeted screening, using appropriate isolation and room-placement precautions, and coordinating closely with infection prevention and public health partners when Candida auris is suspected or confirmed. It also emphasizes prevention through meticulous hand hygiene, effective environmental cleaning and disinfection, and careful...


Henrico Doctors’ Hospital’s team of equipment cleaning techs was awarded a Cheers for Peers certificate for hard work and collaboration with the IP team.

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.

  1. Pick a positive infection prevention accomplishment you want to celebrate.
  2. Customize and print the new Cheers for Peers certificate (or print a few blank ones to take on rounds).
  3. 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.
  4. Brag on them on a unit board, your intranet, a team huddle, or any space meaningful to the recipient.
  5. (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.

 

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