Virginia Infection Prevention & Control Training Alliance (VIPTA)

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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.

CMS Fiscal Year 2027 Acute Care Hospital and Long-Term Care Hospital (LTCH) Prospective Payment System Final Rule: CMS-1849-F (8/04/2026)
CMS
Acute Care Hospital
Acute Care Rehabilitation or Long-Term Care Acute Hospital (LTACH)
Quality Improvement
CMS updated Medicare payment and quality requirements for hospitals and LTCHs. The Hospital-Acquired Condition Reduction Program (HACRP) will continue. Hospitals with the poorest performance on hospital-acquired conditions may lose 1% of Medicare fee-for-service payment.
CMS Fiscal Year 2027 Skilled Nursing Facility (SNF) Prospective Payment System Final Rule: (7/31/2026)
CMS
Nursing Home / Skilled Nursing Facility (SNF)
Quality Improvement
CMS will remove two COVID-19 vaccination measures from the SNF Quality Reporting Program beginning in FY 2028.SNFs will no longer report COVID-19 vaccination coverage for healthcare workers or whether residents are up to date through this program. Facilities should still follow current CDC vaccination guidance and CMS infection control requirements.
Surveillance for Candida auris — United States, 2022–2024 (07/02/2026)
CDC
Acute Care Hospital
Acute Care Rehabilitation or Long-Term Care Acute Hospital (LTACH)
Department of Health
Nursing Home / Skilled Nursing Facility (SNF)
Surveillance
CDC reported continued growth of Candida auris in U.S. healthcare settings from 2022–2024. Clinical cases increased from 2,882 to 6,197, and screening cases increased from 6,226 to 12,432. CDC emphasizes continued C. auris screening of high-risk patients, appropriate Transmission-Based Precautions, use of disinfectants effective against C. auris, communication of C. auris status during transfers, antifungal susceptibility testing, and strong coordination between healthcare facilities and public health to limit further transmission.

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...


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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