Evaluation of a Presurgical Pregnancy Testing Protocol at an Ambulatory Surgery Center

Jamese C. Lamb, Deborah Allen, Jennifer Franklin, Victoria Goode

Research output: Contribution to journalArticlepeer-review

1 Scopus citations


Purpose: A presurgical pregnancy testing protocol is recommended to prevent the administration of surgery and anesthesia to women of childbearing years who present for surgery with an undetected pregnancy. It is important to determine the compliance, cost analysis, time required, and barriers to complete a presurgical pregnancy testing protocol. Design: Postimplementation qualitative and quantitative evaluation of a presurgical pregnancy protocol. Methods: A review of the patient's electronic medical record, survey of the nursing staff, and an administrative interview was conducted 1 year after implementation of the presurgical pregnancy protocol. Findings: Overall presurgical pregnancy protocol compliance was 0.7%. The total labor and equipment costs were $19,033 to $30,202 per year. Nurses reported significant time- and patient-related barriers to execute the protocol. Conclusions: A pregnancy testing protocol is a valuable safety measure that faces barriers, which can impede compliance. Through the use of simplified protocols, educational interventions for patients and providers, protocol compliance can be increased.

Original languageEnglish (US)
Pages (from-to)938-945
Number of pages8
JournalJournal of Perianesthesia Nursing
Issue number5
StatePublished - Oct 2019


  • ambulatory surgery
  • anesthesia
  • hCG
  • pregnancy testing
  • preoperative
  • protocol

ASJC Scopus subject areas

  • Medical–Surgical


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