Surgical delays are costly to the organization and to the patient. Incomplete pre-surgical processes increase inefficiency, but also have significant secondary impacts. Inefficiencies are amplified with repeated visits to patient’s bedside by Operating Room (OR) Nurses to ensure pre-surgical processes are complete such as: consents, antibiotics, and laboratory information as well as the nursing-initiated verification of the Surgical Site Verification (SSV) Form. Additional downstream effects may occur if the patient is delayed from having surgery in a timely manner. A systematic, evidence-based data driven approach was employed to explore and mitigate the problem of operative delays due to inefficiency in the preoperative process. Based on the evidence and local data, an educational intervention was implemented to units and all members who were responsible for sending the patient to the OR to support Patient Readiness. A team consisting of OR and PACU Pre-Op Nurses worked together to ensure Patient Readiness for surgery. The process improvement plan included careful surveillance of unit completion of the following metrics: surgical consents, antibiotics, and labs. Patient data prior to the project implementation was compared to patient data after implementation. Using Chi Square statistics, out of 94 cases reviewed (excluding those that were N/A in some of the metrics), post intervention results showed the following: 51.1% confirmed completion of the SSV (DHA Form 228) (p < .0000437); 75.9% confirmed completion of Pre-op ABX (p < 0.00001); 81.2% confirmed completion of Pre-Op Labs (p<0.00001); 56.4% completion of “All Ready” status (patients who were identified as having all metrics ready for surgical intervention) (p <.05). Operative delays due to inefficiency in the perioperative process result in issues for both the patient and the institution. This project sought to develop an evidence-based approach to efficient perioperative management. Staff support for this initiative was an unexpected outcome. This suggests that if given an opportunity, stakeholders will rise to the occasion positively to influence change to improve outcomes for patient care. This is of value for the patients and the institution alike.