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Quick Reference

Enhanced Barrier Precautions (EBP) reduce transmission of multidrug-resistant organisms (MDROs) in nursing homes.
Used for residents with:

  • Known MDRO infection or colonization when Contact Precautions are not otherwise required.
  • Wounds or indwelling medical devices, regardless of known MDRO status, when indicated by guidance.
    Required PPE during high-contact care:
  • Gown
  • Gloves
    High-Contact Activities:
  • Bathing and dressing.
  • Transferring residents.
  • Providing hygiene or toileting care.
  • Changing linens.
  • Changing briefs or assisting with device care.
  • Wound care and indwelling device care.
    Lower-Contact Activities:
  • Delivering meals.
  • Providing medication without extensive contact.
  • Brief conversation or social visits.
  • Adjusting personal items without significant resident contact.

Important Considerations

  • EBP is used in addition to Standard Precautions.
  • EBP differs from Contact Precautions because gown and gloves are targeted to high-contact activities.
  • Residents under EBP are generally not restricted to their rooms solely because of EBP.
  • Perform hand hygiene before and after required PPE use.
  • Follow posted signage and facility infection-control policies.

Sources

Flashcards

What is the purpose of enhanced barrier precautions in nursing homes?01-foundations / reference-guidelines
Answer

Reduce spread of certain MDROs during high-contact resident care.