The urology team encountered a number of practice-related issues (manual pressure pump VS continuous pressure pump). Patient and staff have reported incidents of safety risks related to the use of the hand pump. Mr. Sales volunteered to lead a quality improvement initiative related to surgical patient and employee safety. Evaluated the difference between the use of the manual pump and the continuous pressure pump by soliciting the assistance of housekeeping technicians, RN/ST care manager, flow coordinator and medical representatives to gather information to identify a probable root cause of the safety risk issues: handling and indication of use in urological surgical cases. It aggregated the data; identified evidence-based studies and provided recommendations to resolve existing problems. His presentation includes proper hand pump management, rest between prolonged hand pump use, and identification of appropriate urological cases when the hand pump is highly