A small study from the American Journal of Infection Control showed Clostridium difficile spores were just as likely to be found on a gloved hand after it contacted an environmental surface (bed rail, bedside table, telephone, call bell) as after it contacted commonly examined skin sites (chest, abdomen, hand). While this is a small study, the results are powerful. Environmental contamination is a significant factor in spreading a serious, sometimes fatal, infection. What do facilities do to proactively prevent environmental contamination?