According to Diaz and Newman, the ultimate goal for reducing surgical site infection was to follow specific guidelines that could prevent this from happening, such as using antibiotics, regulating internal temperature and compliance with the standardized hand washing method. Health and Human Services (2014) found that specific surgical site infections have occurred within outpatient hospitals and that some serious associated serious infections have been found in outpatient surgery centers. According to () surgical site infections following ambulatory surgical procedures, “nurses and perioperative managers in ambulatory surgical settings should be prepared to develop and implement quality improvement initiatives to address the prevention of SSIs after ambulatory surgical procedures.” (Owens, Barrett, Raetzman, Gibbons, Steiner, 2014, p. 590). Establishing early interventions and preparing for any potential risk outcomes should be a nursing priority. The Center for Disease Control and the National Nosocomial Infection System has identified SSIs by knowing some clinical criteria to exclude the problem. Nurses working with these patients can use evidence-based practice by knowing the signs and symptoms of infections such as "a purulent exudate draining from a surgical site, a positive culture obtained from an initially closed surgical site, a diagnosis of surgeon's part, a surgical site that requires reopening due to at least one of the following signs or symptoms: tenderness, swelling, redness, or warmth” (Diaz and Newman, 2015, P. 63). Nurses can be diligent in minimizing the risks associated with surgical site infection if they follow the evidence-based guidelines they have been given and practice those measures to the best of their ability. According to the article, 75% of postoperative deaths were associated with surgical site infections. It