Not solely has an emphasis been placed on hand washing over current years, but the actual washing process to observe has now been specified, including the elimination of any rings and false nails and a sure period of time to wash palms for. Cleanliness is paramount within a hospital surroundings, not solely throughout the wards and working theatres themselves, but in addition within all public areas including waiting rooms, public toilet services, cafeterias and chapels. Evidence has shown that poor environmental hygiene is linked to the transmission of HAIs and better ranges of cleanliness monitoring have now been actioned to guard towards additional increases in this respect.