Environmental Services

Exposure to germs in the environment can lead to illness in both patients and healthcare professionals. Environmental services (EVS) in infection prevention and control strategies can effectively prevent healthcare-associated infections. This page contains environmental infection prevention resources and education for both healthcare professionals and consumers.

Through funding provided by the Centers for Disease Control and Prevention (CDC) for the States Targeting Reduction in Infections via Engagement (STRIVE) program, four modules were developed to support training for environmental services technicians by APIC subject matter experts and reviewed by subject matter experts from the Association for the Health Care Environment (AHE). These modules are described below.

APIC was a member of the STRIVE National Program Team and provided subject matter expertise to participating hospitals through resource development, presentations on national webinars, and direct interaction with facilities through in-person presentations and site visits, coordinated by the American Hospital Association’s Health Research & Educational Trust (HRET). The Environmental Services Training Modules and Tools are one of several STRIVE resources APIC created or helped to create. Read more about the STRIVE program at APIC Infection Preventionist: States Targeting Reduction in Infections via Engagement

STRIVE Environmental Services Training Modules and Tools

These materials are downloadable, free of charge. All may be adapted for use at your facility, except for the pre-recorded audio versions of module presentations.

Module 1: Basic Principles of Infection Control for EVS Technicians
This module defines what an infection is, reviews the chain of infection, and discusses how important environmental cleaning is to break the chain of infection.

Tools and Resources In English and Spanish

Module 2: PPE and EVS: Keeping EVS Team Members, Patients, and Caregivers Safe
This module provides information on what basic personal protective equipment (PPE) is, how to don and doff it, and when and how to use it during routine EVS activities.

Tools and Resources In English and Spanish

Module 3: Chemical Safety for EVS 
This module covers safety practices EVS personnel should follow to protect themselves, other staff, patients, and visitors when using chemical disinfectants.

Tools and Resources In English and Spanish

Module 4: Surface Cleaning and Disinfection Procedures and Techniques in EVS 
This module covers best practices for cleaning and low-level disinfection of environmental surfaces in occupied patients rooms and at the time of patient discharge or transfer, as well as how to evaluate adequate cleaning. 

Tools and Resources In English and Spanish

The following links are APIC and external resources on EVS for healthcare professionals.

Implementation Guides and Tools

Education and Training

APIC offers a comprehensive collection of clinical education and professional development programs. The following resources are educational opportunities related to environmental services. Visit the Education & Certification page for more educational opportunities.

AJIC articles

Search the American Journal of Infection Control (AJIC) website for more articles on environmental services. To access these articles, you need to first login to the APIC website. Additionally, you can search the AJIC website for articles from the Environmental Hygiene Article Collection.

External resources

The following links are APIC and external resources on environmental services and infection prevention for consumers.


External resources