“等等——我需要个人防护装备吗?” 强化屏障预防措施的意义
长期护理中的感染预防需要团队合作,有时还需要一些额外的支持。CMS 正式将增强屏障预防措施 (EBP) 添加到感染控制指南中已经一年了,但那个大问题 — — “我需要 PPE 吗?” — — 仍然会出现。
EBP 将个人防护设备 (PPE) 的用途扩展到隔离之外,还适用于伤口护理、更换床单和洗澡等高接触护理。EBP 是阻止长期护理机构中多重耐药菌 (MDRO) 传播的关键,但需要明确的系统和持续的员工教育才能使其坚持下去。
预期内容:本月的资源旨在满足您的团队的需求 - 无论您是提供直接护理、协调治疗还是支持整个设施的感染预防工作。
- 8加强屏障预防措施的时刻:简单的视觉教育工具。如果您曾经听说过“我需要 PPE 来做这件事吗?”——这个工具就是您的新朋友。还提供8其他语言版本!
- VDH 的养老院增强屏障预防措施算法:该决策工具以通俗易懂的语言详细说明了何时以及为何使用 EBP。
- CDC 的 EBP 实施——观察工具:专为感染预防专家和机构负责人打造,此资源可帮助跟踪 EBP 的使用情况并确定需要指导的领域
如何使用这些资源:
- 在休息室、护理站、聚会或员工电子邮件中分享8时刻视觉效果。
- 使用算法和观察工具来支持您设施的感染控制计划或准备调查准备。
加强屏障预防措施是一个巨大的转变,但这不是一个单独努力的结果。无论您是提供直接护理还是领导感染预防和控制 (IPC) 工作,这些工具都可以帮助您开展工作并解释原因。感染预防一直在不断发展,我们也在不断发展。
指导和法规更新
VIPTA 成员跟踪指导和法规资源,以共享指导公共卫生人员以及临床和非临床医疗保健人员的感染预防和控制实践的源文件。
每篇文章都包含法规或指南更新的日期。请检查链接内容以确保它是最新的和推荐的做法。
CDC: Considerations for Reducing Risk – Water in Healthcare Facilities (2/6/2026)
ASHRAE:医疗保健设施的通风 (2/16/2026)
CDC:更新了 2026 国家医疗安全网络 (NHSN) 监测协议(1 月 2026)
APIC:关于集中式健康相关感染监测计划和微证书以推进集中式 HAI 监测和患者安全的新白皮书 (1/20/2026)
VDH:临床医生来信:Virginia呼吸系统疾病和麻疹最新情况 (1/21/2026)
Spotlight on Lake Taylor Transitional Care Hospital
This month, we’re highlighting Lake Taylor Transitional Care Hospital in Norfolk, VA—a 296‑bed facility offering multiple levels of care, including skilled nursing rehabilitation, long‑term care, an adult ventilator unit, and a 25‑bed pediatric unit caring for medically complex children who often require ventilators, tracheostomies, feeding tubes, and continuous monitoring.
When a pediatric patient transferred to an acute‑care hospital for a respiratory infection and grew carbapenem‑resistant Acinetobacter baumannii (CRAB) in Spring of 2025, Lake Taylor quickly identified a second child in their own facility with the same organism. In response, the team launched unit‑wide point prevalence testing every two weeks. Over seven rounds, six asymptomatic children tested positive. All were promptly cohorted to reduce transmission risk.
The facility conducted a thorough review of hand hygiene practices, signage, and supply placement. They introduced ATP testing to validate environmental cleaning and switched to a disinfectant with a shorter contact time to improve compliance. According to Infection Preventionist, Carol Evans and VP of Patient Services, Karen Wilhelm, these changes strengthened staff confidence and consistency.
Collaboration with the Virginia Department of Health and the CDC was central to their success. Leadership remained deeply engaged, implementing recommendations swiftly. The team at Lake Taylor spoke highly of the mentorship they received from VDH throughout the process, and Devonne Winston from VDH, who nominated the Lake Taylor team for this month’s Cheers for Peers, says “They led by example” of the leadership team.
On October 17, Lake Taylor hosted a highly successful education event with 106 participants from across the facility, recognizing that this education was important in the adult units as well. Staff practiced hand hygiene using GloGerm, completed PPE donning and doffing demonstrations, learned about multiple MDROs, and participated in an environmental cleaning station.
Kudos to the Lake Taylor team for their rapid, coordinated response and commitment to protecting patients throughout the facility.
✨Check out the McKnight Prize for Healthcare Outbreak Heroes – a great way to cheer on a peer nationally!
IPC 教育与培训图书馆
搜索 VIPTA 图书馆精选的感染预防和控制 (IPC) 教育和培训资源。IPC 教育和培训资源库包括与医疗相关感染、抗菌素耐药性和/或 IPC 相关的州和国家资源。访问VIPTA 常见问题解答页面,了解有关 VIPTA 图书馆内容的更多信息。
