Surgical smoke, created via energy-generating surgical devices, is a physical, chemical, and biological hazard that adversely affects the health of exposed individuals. Smoke evacuation devices (SEDs) are readily available at Doernbecher Children’s Hospital (DCH), though a 2020 gap analysis showed they are used in only 3.2% of annual smoke-generating cases. Surgical smoke evacuation legislation was introduced January 1, 2023, in Oregon, requiring hospitals and ambulatory surgery centers to prevent surgical smoke exposure in ORs. The goal of this quality improvement (QI) was to quantify the use of and track compliance of surgical smoke evacuation, while helping the facility to attain the AORN Go Clear recognition.