Virginia Infection Prevention & Control Training Alliance (VIPTA)

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Healthcare Ventilation Can Really Blow

When it comes to infection prevention, what’s in the air matters. This month’s featured resources focus on healthcare airflow and ventilation, breaking down complex concepts into practical tools that are easy to use. Be sure to check the Regulation & Guidance Updates section for new information from the American Society of Heating, Refrigerating, and Air-Conditioning Engineers (ASHRAE) to stay current on the latest recommendations.

What to Expect

  • ASHE Project Firstline Explainer Videos: Short, easy-to-share resource from American Society for Health Care Engineering (ASHE) that help facility managers and frontline staff understand the critical role ventilation plays in keeping healthcare environments safe. (English & Spanish)
  • CDC Project Firstline Ventilation Factsheet: A clear, shareable overview of how ventilation supports infection control and helps reduce the spread of germs in healthcare settings. (English & Spanish)
  • ASHE Ventilation Quick Guide FAQs: A plain-language reference with concise answers to common questions about ventilation and prevention in the healthcare environment. (English & Spanish)

How to use it:

  • Walk-Through with Unit IP Champion: Have a charge nurse or IP do a 5-minute walk of the area looking for best practices and asking staff:
    • “What should never be in front of an airflow vent?”
    • “What rooms require doors closed?”
  • Breakroom Air Facts Board: Post the CDC factsheet with a simple header like: “This room protects patients/residents too. Here’s how the air helps.”
  • Play Rank That Risk!: Use airflow issues you found on rounds or create hypothetical risks you want staff to be aware of like a vent blocked by a trashcan, propped open door of an airborne isolation room, or a missing or open ceiling tile. Ask: “What’s the risk here?”

Target Audience: Intermediate 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. 

✨Innovative Antimicrobial Stewardship Education in Long-Term Care: A Virginia Beach Success Story

Whitney Rice, MPH, CIC, Healthcare-Associated Infections Epidemiologist at the Virginia Beach Department of Public Health, has taken a proactive and creative approach to antimicrobial stewardship in long-term care settings. Inspired by a successful initiative from another Virginia health district, Rice launched an educational campaign across three types of long-term care facilities: skilled nursing facilities, assisted living facilities (ALFs), and multicare centers.

The program was designed to reach all key stakeholders (e.g., providers, residents, and families) with tailored educational materials and interactive sessions. These included PowerPoint presentations, printed handouts, activity books, and engaging games such as a microbe matching challenge (to distinguish between bacterial and viral infections) and a Jeopardy-style quiz game for staff. A post-education survey revealed overwhelmingly positive feedback: residents enjoyed the sessions, and staff expressed interest in more in-depth technical content.

Key Educational Messages:

  • For Residents and Families: Emphasis was placed on the importance of taking antibiotics exactly as prescribed, on time and without skipping doses, and understanding that antibiotics are ineffective against viral infections.
  • For Providers: The training focused on resisting pressure to prescribe unnecessary antibiotics and included guidance on managing multidrug-resistant organisms (MDROs), with a focus on cleaning, disinfection, and Enhanced Barrier Precautions to prevent their spread.

Lessons Learned:

  • Skilled Nursing Facilities: These settings yielded the most effective provider education, likely due to the more consistent presence of medical staff and pharmacists.
  • Assisted Living Facilities: Provider education was more challenging here due to fewer on-site clinicians, but resident engagement was highest, as ALF residents were more able to actively participate in the sessions.
  • Future Plans: These insights will be used to refine and tailor future rounds of education, ensuring that content delivery is optimized for each facility type and audience.

Whitney Rice’s initiative demonstrates how thoughtful, audience-specific education can enhance antimicrobial stewardship and promote responsible antibiotic use in long-term care environments. Her work serves as a model for those seeking to make a meaningful impact in their 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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