Dr. Lisa Spruce is the Director of Evidence Based Perioperative Practice for the Association of PeriOperative Registered Nurses. She is responsible for the overall leadership, development, evaluation and maintenance of the products, services, and guidelines for perioperative practice developed by AORNs Nursing Practice Team and AORNs Research and Information Center. Prior to coming to AORN she was the Clinical Manager of Surgical Services for Universal Health Services where she managed all clinical practice for 25 perioperative departments throughout the U. S. She was instrumental in bringing evidence-based practice changes to the Universal Health Care System. Dr. Spruce is an Acute Care Nurse Practitioner, Adult Clinical Nurse Specialist, Perioperative Clinical Nurse Specialist and a CNOR. Dr. Spruce has authored four AORN national guidelines and was the creator and author of the AORN Journal’s Back to Basics Series for 8 years. She has been a fellow in the American Academy of Nursing since 2015.