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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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.

What’s In Your Water?

Hayley Andrews, an infection preventionist in the southwest region of Virginia, used her curious mind and a desire to educate others to help uncover environmental contamination that caused an illness in one of her patients.

Hayley’s facility admitted a patient with sepsis, and blood cultures grew Aeromonas hydrophila.  Because Hayley had never heard of this organism, she researched it and learned that it is typically a waterborne organism.  Hayley took this information to the nursing unit where the patient was located and the patient’s son heard her educating the nurses about Aeromonas.  He joined in and mentioned that his mom had a well and he was concerned that it may be contaminated.

The health department visited the home and tested the water. Sure enough, it was contaminated with Aeromonas and other organisms, and failed potability testing. The health department was able to get the patient an alternate, safe water source upon her discharge to prevent further infection until her well water could be remediated. 

Thank you, Hayley! Your diligence prevented this patient from getting sick again, and perhaps prevented other neighbors from a similar outcome! 

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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