Q:

What are key steps to ensure compliance with the updated Enhanced Barrier Precautions (EBP) guidance that takes effect 4/28/25?

 

A:

Facilities should take the following steps to prepare for surveyor evaluation of EBP implementation:

1. Identify Residents Who Require EBP – Review the updated criteria and ensure that residents with CDC-targeted MDROs, chronic wounds, or indwelling medical devices are identified for EBP use.

2. Educate Staff on EBP Requirements – Train staff on when to apply EBP, including donning gown and gloves for high-contact resident care activities. Ensure staff can differentiate between EBP and Contact Precautions.

  • Staff must don gowns and gloves when performing high-contact resident care activities, including:
    • Dressing and bathing/showering
    • Transferring and providing hygiene
    • Changing briefs or assisting with toileting
    • Caring for central lines, urinary catheters, feeding tubes, or tracheostomies
    • Performing wound care for any skin opening requiring a dressing

3. Ensure PPE Accessibility – Make gowns, gloves, and hand hygiene supplies readily available near resident rooms or other designated areas to facilitate EBP compliance.

  • Facilities should strategically place PPE near resident rooms or high-contact care areas. Options include:
    • Wall-mounted dispensers outside or inside rooms
    • Mobile PPE stations in hallways or nurse stations
    • Storage bins or cabinets in designated areas

4. Develop and Implement a Communication Plan – Establish subtle but effective ways to alert staff about which residents require EBP while maintaining a home-like environment.

  • CMS allows for creative, discreet methods to communicate EBP requirements. Facilities can:
    • Use electronic medical records (EMRs) to flag residents requiring EBP.
    • Implement subtle signage or color-coded indicators outside resident rooms (e.g., a small symbol on a door frame).
    • Conduct staff huddles or shift handoffs to reinforce EBP needs without drawing unnecessary attention.

5. Audit Compliance with EBP Implementation – Regularly assess whether staff are consistently using EBP as required and provide feedback and re-education as necessary.

  • Surveyors will evaluate:
    • Whether residents requiring EBP are correctly identified
    • Staff knowledge and adherence to EBP protocols during high-contact care activities
    • Accessibility and appropriate use of PPE
    • Facility policies and training programs related to EBP implementation

6. Review Policies and Procedures – Update infection prevention and control policies to align with the latest CDC recommendations and ensure documentation reflects compliance with EBP.

 

Join Proactive May 1-2, 2025 for a 2-day virtual Infection Preventionist Workshop designed for SNF Infection Preventionists. Learn from real-world scenarios, case studies, interactive discussion and expert instructors. Learn more and register!

 

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