Enhanced Barrier Precautions are recommended for residents known to be colonized or infected with a MDRO as well as those at increased risk of MDRO acquisition (e.g., residents with wounds or indwelling medical devices). Standard Precautions still apply while using Enhanced Barrier Precautions.
This time, we’re discussing the brand new requirements for using Enhanced Barrier Precautions in nursing homes, guidance which was added to this regulation on March 20, 2024.
Specific wounds that would require use of EBP include chronic wounds, not shorter lasting wounds such as skin breaks, abrasions, or skin tears covered with an adhesive bandage or similar dressing.
No, EBP would not typically be indicated for a new surgical wound. The intent of EBP is to focus on residents with a higher risk of acquiring an MDRO over a prolonged period and this generally includes residents with chronic wounds and not those with only shorter lasting wounds.2
The presence of an active infection does not require a change to Contact Precautions in most cases (unless there is a change in the presence of a wound that cannot be contained, uncontrolled drainage, an indwelling medical device, or infectious diarrhea).
Face protection (e.g., facemask plus goggles or a face shield) may also be needed if performing an activity with the risk of splash or spray (e.g., irrigating a wound).
Wounds include chronic wounds, such as pressure ulcers, diabetic foot ulcers, unhealed surgical wounds, and venous stasis ulcers. Shorter lasting wounds, such as skin breaks or skin tears covered with an adhesive bandage or similar dressing, do not require EBP.
ANSWER: Yes. Contact precautions are recommended for residents with diarrhea, draining wounds, or other secretions or excretions unable to be covered or contained or for a limited period during a suspected or confirmed MDRO outbreak investigation.
Wounds that are chronic including, but are not limited to, pressure ulcers, diabetic foot ulcers, unhealed surgical wounds, and chronic venous stasis ulcers. Superficial and short term wounds requiring band aids, e.g. skin tears do not require EBP. VDH (2022, November 16) Enhanced Barrier Precautions for Nursing Homes.
Therapists should use gowns and gloves when working with residents on Enhanced Barrier Precautions in the therapy gym or in the resident’s room if they anticipate close physical contact while assisting with transfers, mobility, or any high contact activity.
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