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Studies have shown that emphasis should be placed on adequately training environmental service workers and providing timely feedback on the thoroughness of cleaning by using fluorescent marking or ATP methods. By identifying the connectors and promoters from the front-line staff and focusing them on creating a culture of care and trust, we can take the organic approach to change and improved performance.

Health care textiles are a crucial component in the care and treatment of patients if positive outcomes are to be realized. The absence of guidance from regulatory organizations pertaining to the handling, internal transportation, and storage of hygienically clean textiles within the confines of health care facilities brings into question the hygienic integrity of such textiles. This document addresses the shortcomings and provides suggested direction and support.