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.

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. 
CDC: Updated 2026 National Healthcare Safety Network (NHSN) Surveillance Protocols (January 2026)
CDC
Any Practice Setting
Department of Health
Surveillance
CDC updated the NHSN Patient Safety Component Manual, including Antimicrobial Use and Resistance (AUR) Module protocols and data definitions used for facility reporting. These updates include new documentation and reporting guidance, effective for 2026 surveillance. A summary of updates is available on the CDC website. 
APIC: New White Paper on Centralized Health-Associated Infection Surveillance Programs and Micro-Credential to Advance Centralized HAI Surveillance and Patient Safety (1/20/2026)
APIC
Any Practice Setting
Department of Health
Surveillance
This paper offers guidance and expert perspectives on implementing centralized surveillance programs for healthcare-associated infections (HAI) data within health systems, a key step toward more standardized HAI measurement and prevention. It emphasizes improving surveillance accuracy, data use, and patient safety. 
VDH: Clinician Letter: Respiratory Illness and Measles Updates for Virginia (1/21/2026)
VDH
Acute Care Hospital
Ambulatory (Outpatient) Care
Department of Health
Outbreak Investigation
Standard Precautions
Vaccination
The clinician letter reports that respiratory illness activity in Virginia has declined but influenza-related hospitalizations remain elevated, and clinicians should continue vaccination, testing, and prompt antiviral treatment for high-risk patients.   The letter also warns of ongoing measles cases and exposures in Virginia, urging clinicians to maintain a high index of suspicion, immediately isolate suspected cases, notify public health, and ensure staff and patients have documented MMR immunity.  
AHRQ: Toolkit for Improving Skin Care and MDRO Prevention in Long-Term Care Settings
AHRQ
Acute Care Rehabilitation or Long-Term Care Acute Hospital (LTACH)
Assisted Living Facility (ALF)
Behavioral Health Facilities
Hospice and Palliative Care
Nursing Home / Skilled Nursing Facility (SNF)
Antimicrobial & Diagnostic Stewardship
Toolkit for Improving Skin Care and Multidrug-Resistant Organism (MDRO) Prevention in Long-Term Care Settings   Clinical topics in the toolkit center around four key strategies to protect skin and prevent infection: (1) Keep skin clean and safe; (2) Reduce MDRO transmission; (3) Use antibiotics wisely; and (4) Clean high-touch surfaces.   The toolkit also includes “teachable moments.” These documents use real-world healthcare scenarios to reinforce concepts related to skin care and infection prevention.

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 hydrophilaBecause 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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Last Updated: June 30, 2025