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 of Fairfax County Health Department staff celebrating Antimicrobial Awareness Week with purple balloons.

FCHD’s Antibiotic Awareness Week: A Celebration of Health & Education

The Fairfax County Health Department’s Strengthening Antimicrobial Stewardship in Skilled Nursing Facilities (SASS) team put together an amazing educational program for U.S. Antibiotic Awareness Week (USAAW) in November 2023! Their team is using CDC funding to focus on improving antimicrobial stewardship in skilled nursing facilities. During USAAW, they rolled out a toolkit for skilled nursing facilities to use for their own facility education.  

We spoke to Samantha Christensen, Fairfax County Health Department (FCHD) HAI Epidemiologist to learn more about their Antibiotic Awareness Week toolkit. The FCHD started the week off with a big celebration, beginning with a kickoff breakfast, an antimicrobial stewardship podcast playlist with QR codes for easy access, and a microbe “joke of the day”. They also put up a tri-fold education poster with purple themed balloons and decorations, wore purple for Antimicrobial Awareness Week, had antimicrobial stewardship themed trivia with Starbucks gift cards for prizes, and held a watch party (with snacks, of course) for everyone to view educational infection prevention and control videos!

And because we know you want to hear the jokes…. “What’s the most popular antibiotic in Italy?  Amoxsicilian!”   Here’s another good one… “What’s the opposite of an antibiotic?  An uncle-biotic!

Congratulations to Samantha and the entire FCHD team for developing this fun and unique education program to ensure smart antibiotic use in skilled nursing facilities! 


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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