In the United States, thousands of healthcare professionals are exposed to surgical smoke annually. Electrosurgical devices heat tissue that generates the smoke during surgery. Surgical smoke exposes patients and perioperative personnel to smoke byproducts made of chemicals, bacteria, blood, and viruses, which can cause long-term health problems or surgical site infections. Smoke evacuation devices can significantly reduce these risks by removing smoke during surgery. However, ensuring compliance with smoke evacuation protocols has been challenging in many hospital environments due to staff resistance, limited understanding of the equipment operation, insufficient awareness of health hazards, and inadequate stakeholder support. This project aims to enhance compliance in accordance with The Joint Commission (TJC), the Association of Perioperative Registered Nurses (AORN), the Centers for Disease Control and Prevention (CDC), the National Institute for Occupational Safety and Health (NIOSH), and state legislation addressing the growing concern about surgical smoke exposure. This project will utilize the AORN Go Clear audit tool over 12 weeks in the OR of a military treatment facility. These audits are focused on the OR utilization of smoke evacuation during surgical procedures that generate smoke by utilizing smoke evacuation devices with filters, the position of the device on the surgical field, staff wearing appropriate personal protective equipment, disposal of contaminated filters, and ensuring the filters are used per the manufacturer's instructions for use. This will facilitate the identification of problems, performance monitoring, and adherence to recommendations to enhance performance. By implementing adjustments, the project will optimize the OR's compliance. The Plan-Do-Study-Act (PDSA) methodology will guide change initiatives and ensure sustained quality improvement. The project will begin with an integrative literature review and assessment of current practice standards to provide a strong evidence-based foundation for improvement. Initial audits revealed 92% compliance with the use of smoke evacuation devices. Results of conducting the smoke evacuation compliance audit, which spanned 12 weeks from 18 May 2025 to 08 August 2025, revealed 99% compliance with smoke evacuation device usage. These audit findings reveal a 7% increase in compliance, highlighting the importance of smoke evacuation education, audit observation, and the initiation of competencies. Initial observations in the operating room at a military treatment facility revealed a significant need to improve compliance with smoke evacuation guidelines. This project aimed to promote a smoke-free environment within the operating rooms of the military treatment facility, thereby protecting perioperative staff from exposure to surgical smoke. This project promoted education and awareness of smoke evacuation devices within the operating room, introduced smoke evacuation competencies for perioperative staff, increased compliance with the use of smoke evacuation devices through an iterative twelve-week audit of compliance, and promoted the sustainability of the smoke evacuation initiative by applying for AORN Go Clear certification.