---
title: How full is your bucket?
description: How full is your bucket?
---

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## How full is your bucket?

<http://static1.squarespace.com/static/595689fc9de4bbc892200518/t/59568ac95fd63b5f292876e3/1498845273463//img.png.com/static/595689fc9de4bbc892200518/t/59568ac95fd63b5f292876e4/1498843849842/1000w/> I admit there are times I get a “bit” riled up but to be  
 fair, sometimes I get riled up because ***some* *people***  
 find it amusing to “push my buttons”.  I  
 will also openly admit there some topics that I am passionate about, probably  
 to the point of being a zealot. Tonight I was flipping through my latest copy  
 of Infection Control Today when I came across an article written by the editor  
 Kelly Pyrek “[Room  
 Turnover Times: Trash-and-Dash Approach Jeopardizes Patient Outcomes](http://digital.infectioncontroltoday.com/i/555974-sep-2015/1)”. One  
 a scale of 1 to 10 in terms of having strong feelings and opinions over  
 cleaning of patient rooms, I am about an 11, and just reading the title started  
 to make me quiver.

I have long said that focusing on what a disinfectant  
 product kills is not the answer to our environmental hygiene issues.  Certainly, choosing a product with contact  
 times faster than 10 minutes will help ensure contact time compliance which  
 will help ensure we are killing the bugs we are concerned with, but don’t be  
 fooled. A faster contact time is not the silver bullet we are looking for  
 either. The truth is there is no silver bullet. We have had the answer for  
 years. The answer is understanding that cleaning and disinfection is a process  
 that requires meticulous attention and sufficient time allowed to ensure  
 corners do not get cut. As one of the people interviewed by Pyrek had stated “*When I talk about processing, this includes  
 cleaning and disinfection practices, because healthcare environmental services  
 (EVS) is process-driven, just as surgery and nursing is process-driven. EVS is  
 finally standing up and stating we cannot cut out parts of our process and  
 expect to get proper results. We must follow our processes, and we require  
 sufficient time to perform the job properly, and if we don’t, we risk poor  
 patient outcomes*.”

EVS staff genuinely want to do a good job and like doctors,  
 nurses and other clinical staff they want to be acknowledged for the work they  
 do and their role in improving patient outcomes.  How often have you heard someone (or you  
 being that person saying) “Get this room done in 10 minutes!”  I know how I feel when rushed and end up  
 cutting corners or producing work that is not to the standard that I set for  
 myself.  I become frustrated.  I become angry.  I feel bad about myself.  My invisible bucket tips over and big  
 invisible drips spill out.

As the article states if you were to tell a surgeon to  
 remove a gall bladder in 10 minutes or a nurse to insert a central line in 5  
 minutes they would revolt.  They would  
 push back stating they cannot do it properly or safely in that length of  
 time.  They would cite the fact that they  
 have standards and a code of conduct they must adhere to.  It’s interesting that we do not allow EVS  
 staff to do the same.  It’s interesting  
 that there is a plethora of published data supporting the importance of  
 cleaning and disinfection and the importance that achieving compliance (e.g.  
 contact times, wiping all high touch surfaces, etc) has on improving the status  
 of environmental hygiene, reducing bioburden, reducing HAIs and improving  
 patient outcomes. 

It’s interesting that we acknowledge the work of our  
 doctors, nurses and other clinical staff.   
 We’re quick to fill their buckets.   
 Similarly, it’s also interesting that we do not applaud and celebrate  
 the important work that our EVS staff does.   
 We’re quick to empty their buckets by pushing them to do more with less  
 and by pointing fingers and blaming them for environmental transmission of  
 HAIs.  We’re less apt to applaud them for  
 their work and ensure their buckets are full.

What is this bucket I talk of?  We all have an invisible bucket.  It’s that part of you that when it’s empty  
 you feel bad and when it’s full you feel great.   
 It’s that happy feeling you get when you’ve helped someone or have been  
 nice to someone and that sad feeling you get when you’ve been hurt by someone  
 or know that you’ve done something wrong.   
 If you still don’t get it read “[How  
 full is your bucket – for kids](https://www.chapters.indigo.ca/en-ca/books/how-full-is-your-bucket/9781595620279-item.html)” by Tom Rath and Mary Reckmeyer.  It’s a favorite bedtime story of my son’s and  
 tonight he rightly told me I make him feel bad when I rush him in the  
 morning.  He doddles...I get  
 impatient....our buckets start emptying.....

I’ll leave you to read the full ICT article.  It’s well worth the read and I hope will  
 change your attitude on the time it takes to clean the room, and if you have  
 the authority I hope you’ll help your EVS team to strengthen the importance of  
 their roles.  I hope you’ll solidify the  
 importance of following processes and not cutting corners.  I hope you’ll help EVS justify their budgets  
 and FTE levels the next time they are told to cut their budgets and fire some  
 staff. I hope you’ll start filling the buckets of your EVS staff!

*  
*

*Bugging Off!   *                                                                                                     

Nicole

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