CDC/STRIVE Infection Control Training
States Targeting Reduction in Infections via Engagement (STRIVE)
The CDC/STRIVE curriculum was developed by national infection prevention experts led by the Health Research & Educational Trust (HRET) for CDC. See the American Hospital Association’s HRET STRIVE page Getting Hospitals to Zero.
Courses address both the technical and foundational elements of healthcare-associated infection (HAI) prevention.
Courses can be taken in any order. Each course has 1 or more modules.
Individual modules can be used for:
- new employee training
- annual infection prevention training
- periodic training
- All Staff
- Infection Preventionists
- Infection Prevention and Control Team/Committee
- Hospital Leaders
- Clinical Educators
- Nurse Managers
- Physician Managers
- Environmental Services (EVS) Managers
- Patient and Family Advisors
- CBT 101: Competency-based Training for IP [PDF – 60 pages]
Defines competency-based training and describes key components to consider when designing infection prevention training.
- CBT 102: Using Audits to Monitor IP Practices [PDF – 41 pages]
Reviews the importance of conducting infection prevention audits and how audits can be performed and implemented as part of an infection prevention surveillance program.
- CBT 103: Giving IP Feedback [PDF – 44 pages]
Highlights essential components of effective feedback and discusses strategies to deliver feedback effectively.
- HH 101: Core Concepts for Hand Hygiene: Clean Hands for Health Care Personnel [PDF – 47 pages]
Reviews the critical role of hand hygiene as a foundation for preventing HAIs and proper technique as well as the key moments to perform hand hygiene.
- HH 102: Hand Hygiene: Education, Monitoring and Feedback [PDF – 59 pages]
Illustrates different methods to use to monitor hand hygiene adherence and components to include in monitoring tools and feedback reports about hand hygiene compliance.
- HH 103: Identifying Motivators for Hand Hygiene: External and Internal Factors [PDF – 52 pages]
Describes common barriers to the performance of hand hygiene and how external and internal motivators can influence infection prevention behaviors.
SP 101: Strategies for Preventing HAIs [PDF – 90 pages]
Describes the overarching socio-adaptive issues to consider when implementing quality improvement work. It provides strategies to engage senior leaders and physicians in quality improvement initiatives and highlights approaches for overcoming common barriers that arise during new initiatives and quality improvement work.
- EC 101: Environmental Cleaning and Disinfection: Principles of Infection Transmission and the Role of the Environment [PDF – 53 pages]
Describes the important role that the hospital environment can play in pathogen transmission and shares useful concepts to improve a hospital cleaning and disinfection program.
- EC 102: Cleaning and Disinfection Strategies for Non-Critical Surfaces and Equipment [PDF – 52 pages]
Provides an overview of strategies to consider when training staff about cleaning and disinfection policies and procedures, and identifies tools to assist with monitoring and auditing these practices.
- EC 103: Using a Quality Improvement Approach to Improve Environmental Cleaning Practices [PDF – 60 pages]
Explores using quality improvement strategies, like Plan-Do-Study-Act (PDSA), to monitor and guide infection prevention improvement initiatives.
- PPE 101: The Basics of Standard Precautions [PDF – 47 pages]
Identifies the key principles of Standard Precautions practice in the health care environment and reviews appropriate and effective PPE use.
- PPE 102: Transmission-Based Precautions [PDF – 44 pages]
Describes the different types of Transmission-Based Precautions, the PPE that should be used for these enhanced precautions, and how to implement and apply these practices.
- PPE 103: Training Frontline Health Care Professionals and Auditing Practices [PDF – 45 pages]
Reviews strategies to coach and train frontline health care professionals in the use of PPE and strategies for auditing appropriate PPE use to identify gaps and improve PPE adherence.
- PPE 104: Auditing and Feedback of PPE Use [PDF – 39 pages]
Reviews strategies for health care precautions and auditing appropriate PPE use to prevent healthcare- associated infections (HAIs).
Patient and Family Engagement
- PFE 101: Engaging Patients and Families in Infection Prevention [PDF – 85 pages]
Explains the elements of patient and family engagement and how patients and families can be active partners in developing, implementing and evaluating programs and services. Highlights key strategies to ensure patient and family engagement in hospitals’ infection prevention efforts.
Building a Business Case for Infection Prevention
- BC 101: Creating a Business Case for Infection Prevention [PDF – 77 pages]
Provides an overview of the benefits and reasons for developing a business case, provide a description of what makes up an effective business case and highlight useful tools and resources.
- BC 102: Tools and Resources to Help Create a Business Case for Infection Prevention [PDF – 63 pages]
Provides a number of ideas and recommendations for presenting the infection prevention business case to senior leaders and to get buy-in to sustain or expand infection prevention work.
Catheter-Associated Urinary Tract Infection (CAUTI)
- CAUTI 101: Overview of CAUTI Prevention [PDF – 40 pages]
Provides background information on the impact CAUTI has on patients, the pathogenesis of CAUTI and Tier 1 strategies to prevent CAUTI.
- CAUTI 102: Appropriate Use and Prompt Removal of Indwelling Urinary Catheters [PDF – 75 pages]
Outlines Tier 1 strategies such as the importance of only placing indwelling urinary catheters when necessary and ensuring they are removed as soon as clinically possible. Additionally, this module highlights tools and strategies to ensure appropriate catheter use and removal.
- CAUTI 103: Alternatives to the Indwelling Urinary Catheter [PDF – 56 pages]
Reviews alternatives to indwelling urinary catheters to consider using prior to catheter insertion. This module also introduces tools and Tier 1 strategies to avoid unnecessary catheter use and improve clinical decision-making.
- CAUTI 104: Indwelling Urinary Catheter Insertion and Maintenance [PDF – 61 pages]
Reviews Tier 1 interventions such as including indwelling urinary catheter insertion and maintenance bundles and highlights the importance of proper catheter insertion and care as a means to prevent CAUTI.
- CAUTI 105: A Culture of Stewardship: Antibiotic Stewardship Starts with the Urine Culture [PDF – 42 pages]
An overview of Tier 1 strategies, antibiotic stewardship, and lab testing stewardship and how they play a crucial role in CAUTI.
- CAUTI 201: Using the Guide to Patient Safety (GPS) and Targeted Assessment for Prevention (TAP) to Assess CAUTI Prevention Efforts [PDF – 35 pages]
Reviews using the CAUTI GPS and the TAP to establish focused goals and evaluate possible barriers to implementation of CAUTI prevention strategies. Introduction to Tier 2 CAUTI prevention strategies.
- CAUTI 202: Catheter-Associated Urinary Tract Infection (CAUTI) Tier 2 Interventions [PDF – 42 pages]
Outlines Tier 2 CAUTI prevention strategies and how to implement complex interventions such as conducting catheter rounds with targeted education, providing infection and catheter utilization metrics to frontline staff, observing and documenting competencies, and performing a full root cause analysis of every CAUTI.
Methicillin-resistant Staphylococcus aureus (MRSA) Bacteremia
- MRSA 101: Overview of MRSA [PDF – 45 pages]
Provides background information on the impact MRSA has on patients, the pathogenesis of MRSA and Tier 1 strategies to prevent MRSA bacteremia.
- MRSA 102: MRSA Risk Assessment and Monitoring [PDF – 50 pages]
Reviews the importance of Tier 1 strategies such as conducting a MRSA risk assessment to prioritize prevention strategies, what data to use in the MRSA risk assessment and how to use the risk assessment to drive MRSA prevention actions.
- MRSA 103: Identification and Prevention of MRSA Transmission [PDF – 47 pages]
Identifies Tier 1 strategies that can be used to reduce MRSA transmission in hospitals. This module also reviews the advantages of horizontal infection prevention strategies and the importance of following recommendations and best practices.
- MRSA 201: Using the Guide to Patient Safety (GPS) to Assess MRSA Prevention Efforts [PDF – 33 pages]
Reviews conducting a needs assessment using a MRSA GPS to evaluate possible barriers to implementation of MRSA bacteremia prevention strategies. Provides an introduction to Tier 2 MRSA prevention strategies.
- MRSA 202: MRSA Prevention Tier 2 Interventions [PDF – 52 pages]
Outlines Tier 2 enhanced MRSA prevention strategies and how to implement them. These strategies include implementing daily chlorhexidine bathing for at-risk populations, decolonizing patients colonized with MRSA, performing Active Surveillance Testing (AST) for high-risk patient populations and implementing gowning and gloving for all ICU patients.
Central Line-Associated Blood Stream Infection (CLABSI)
- CLABSI 101: CLABSI: An Introduction [PDF – 54 pages]
Provides background information on the impact CLABSI has on patients, the pathogenesis, and Tier 1 strategies to prevent it.
- CLABSI 102: Central Venous Catheter Appropriateness [PDF – 50 pages]
Outlines Tier 1 strategies such as the importance of only placing central venous catheters when necessary and shares strategies to determine catheter appropriateness. Additionally, this module highlights tools and strategies to ensure appropriate catheter use and placement.
- CLABSI 103: Prevention of Central Line-Associated Bloodstream Infections: Aseptic Insertion and Site Selection [PDF – 43 pages]
Reviews the supplies necessary for aseptic insertion of central venous catheters and Tier 1 strategies to ensure supplies are assembled and readily available for staff. This module also highlights insertion checklists to guide decisions making to help prevent CLASBSI.
- CLABSI 104: Maintenance and Removal of Central Venous Catheters [PDF – 59 pages]
Reviews Tier 1 interventions to include in a central venous catheter maintenance and removal bundles and highlights the importance of proper catheter care and removal as a means to prevent CLABSI.
- CLABSI 201: Using the Guide to Patient Safety (GPS) and Targeted Assessment for Prevention (TAP) to Assess CLABSI Prevention Efforts [PDF – 37 pages]
Reviews using the CLABSI GPS and the TAP to establish focused goals and evaluate possible barriers to implementation of prevention strategies. Introduction to Tier 2 CLABSI prevention strategies.
- CLABSI 202: Enhanced Interventions to Prevent CLABSI [PDF – 62 pages]
Outlines Tier 2 CLABSI prevention strategies and how to implement them. These strategies include conducting multidisciplinary rounds to audit necessity of catheter use, feeding back CLABSI and catheter utilization metrics to frontline staff in “real-time,” observing and documenting competency and compliance of catheter insertion and maintenance, using additional approaches as indicated by risk assessment and completing a full root cause analysis for every CLABSI.
- CLABSI 203: Advanced Approaches to Prevent CLABSI [PDF – 57 pages]
Reviews advanced Tier 2 strategies such as antibiotic impregnated catheters and antibiotic locks. This module reviews the existing literature and highlights the need to reassess CLABSI prevention measures before implementing additional strategies.
C. difficile Infection (CDI)
- CDI 101: Overview of CDI [PDF – 42 pages]
Provides background information on the impact difficile has on patients, the pathogenesis of C. difficile infection and Tier 1 strategies to prevent CDI.
- CDI 102: Antibiotic and Lab Testing Stewardship to Prevent CDI [PDF – 69 pages]
Overview of Tier 1 strategies, aspects of antibiotic stewardship and lab testing stewardship and how they play a crucial role in preventing CDI.
- CDI 103: CDI: Preventing Transmission [PDF – 46 pages]
Outlines how difficile transmission occurs and how health care staff can work together to prevent transmission using Tier 1 strategies. It also reviews common barriers and offers strategies to effectively overcome challenges.
- CDI 104: Monitoring for Compliance and Improvement [PDF – 63 pages]
Reviews ways hospitals can use the Tier 1 process and outcomes data to
- identify gaps in practice,
- monitor compliance with evidence-based practices,
- communicate with key stakeholders and
- turn data into actionable information to drive improvement.
- CDI 201: Using the Guide to Patient Safety (GPS) and Targeted Assessment for Prevention (TAP) to Assess CDI Prevention Efforts [PDF – 49 pages]
Discusses use of the CDI GPS and the TAP to establish focused goals and evaluate possible barriers to implementation of CDI prevention strategies. Introduction to Tier 2 CDI prevention strategies.
- CDI 202: CDI Tier 2 Interventions [PDF – 66 pages]
Outlines Tier 2 CDI prevention strategies and how to implement them. Strategies include
- initiating Contact Precautions when CDI results are pending and extending them until discharge,
- implementing environmental cleaning process tools and using an EPA –registered sporicidal agent, and,
- implementing hand hygiene with soap and water as the preferred method at room exit with enhanced staff training and monitoring.