Table 1 Environmental cleaning bundle
| Bundle component | Key activities |
|---|---|
| Training |
- Tailored training activities with environmental services staff at the commencement of the intervention phase, as part of induction for new cleaning staff, and as required throughout the intervention phase - Content to reflect the trial site context and cleaning roles and responsibilities |
| Technique |
Attention to cleaning technique, including: - A defined and consistent cleaning sequence - A focus on cleaning high risk frequent touch points - The use of sufficient pressure and movement - Adherence to manufacturers’ instructions for product use |
| Product |
- Disinfectant minimally used for all discharge cleans and for daily cleans of high risk/precautions rooms - Point of care wipes used for medical equipment |
| Audit |
- Audit activities across the trial site using ultraviolet (UV) marker technology (all trial sites) and adenosine tri-phosphate (ATP) luminosity (3 trial sites) - Regular audit feedback to cleaning staff - Summarised audit results provided to clinical governance committees |
| Communication |
- Promotion of a team approach - Daily contact between cleaners and ward leaders or managers - Cleaners represented on relevant clinical governance committees |