Nurses routinely identify clinical problems and question the best care for their patients (ONS, 2005). This paper will include a plan for an evidence-based practice change for the problem of potential transmission of pathogens to surgical patients via lanyards. The posing clinical question is, "In surgical patients does the use of lanyards worn by operating room staff increase the future risk of surgical site infections compared with staff not wearing lanyards?" The proposed problem is one that nursing could resolve. The objective of this project is to determine if lanyards worn by health...