Understand the updated Transmission Based Precautions guidance

The updated guidance introduces several important changes to the way Transmission Based Precautions are applied in health and care settings.
Key changes include:
- A new way of describing infection transmission
- Updated terminology and language to support a clearer understanding of how infections spread.
- A new approach to categorising transmission risk
- Introduction of risk categories (R categories).
- Consideration of vulnerable health and care staff within risk assessments.
- Consideration of high-risk exposures.
- Changes to face mask selection
- Updated guidance on when to use a Fluid Resistant Surgical Face Mask (FRSM) and when Respiratory Protective Equipment (RPE) is required.
- Putting on a mask before entering a room or care area
- Consideration of long-range exposure
- Reinforcing the importance of donning a mask before entering the room/care area
- Use of FRSM when caring for individuals who are immunocompromised
- Updated recommendations to support the protection of vulnerable patients.
- Extended use of masks during periods of high transmission
- Guidance for health and care staff, patients, residents and visitors when local health boards determine local increased transmission risk.
Understanding these changes will help ensure that precautions remain proportionate, effective and based on risk.
Find out more
Take time to familiarise yourself with the updated guidance and supporting resources.
- What's Changed?
- A summary of the key changes within the updated TBP guidance.
- Frequently Asked Questions (FAQs)
- Practical answers to common questions relating to this update.
- Appendix 15
- An algorithm to support appropriate mask selection
- Presentation Slides
- Download the TBP update presentation to support local learning and team discussions.
- TURAS Learning
- Keep your infection prevention and control knowledge up to date.
- Complete the Patient and Resident Placement and Assessment of Risk learning module.
- Complete the updated Transmission Based Precautions learning module.
- Evidence Resources
- Understand the evidence which informs transmission-based precautions, RPE and FRSM guidance.
- Systematic literature reviews.
- Considered Judgement Forms (CJFs).