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.
“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.
- 8 Moments of Enhanced Barrier Precautions: Simple visual education tool. If you’ve ever heard “Do I need PPE for this?”—this tool is your new best friend. Also available in 8 other languages!
- VDH’s Enhanced Barrier Precautions in Nursing Homes Algorithm: This decision-making tool breaks down when and why to use EBP in plain language.
- CDC’s EBP Implementation—Observations Tool: Built for infection preventionists and facility leads, this resource helps track EBP use and identify areas for coaching
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.
VDH Southwest Regional Team Infection Prevention Mentorship Program
This month, Paige Bordwine, Southwest Regional Epidemiologist with the Virginia Department of Health (VDH) is highlighting the successes of an infection prevention mentorship program among health department staff in her region.
The Southwest Virginia Regional Infection Prevention team consists of three infection preventionists (IPs), supported by regional containment team members who assist with COVID-19 investigation and prevention. To strengthen IPC expertise and expand regional support, the IPs began mentoring containment team members. Through shadowing during on-site IPC assessments, mentees gained hands-on experience in conducting observations, providing education, and offering resources to address facility needs.
After facilities receive their recommendations report, an IP mentee follows up to address questions and needs, as well as provide education, observations, and interventions based on the IPC assessment. Notably, many skilled nursing and congregate care facilities lacked trained N95 fit testers. In response, the regional team assigned a specialist to conduct train-the-trainer sessions and assist with initial fit testing.
The Southwest Region has received excellent feedback on the value of the IP mentee program. Facilities benefit from mentee support, while mentees gain infection prevention experience, often using the program as a pathway to becoming infection preventionists and pursuing certification in infection control. Mentees describe the experience as rewarding, impactful, and an invaluable learning opportunity.
