Date of Award

Fall 12-2021

Degree Type


Degree Name

Doctor of Nursing Practice (DNP)


Leadership and Advanced Nursing Practice

Committee Chair

Michong Rayborn

Committee Chair School

Leadership and Advanced Nursing Practice

Committee Member 2

Stephanie Parks

Committee Member 2 School

Leadership and Advanced Nursing Practice


The purpose of this Doctor of Nursing Practice (DNP) project was to propose a safe practice recommendation through the utilization of evidence-based research on the use of the standardized color-coded labeling guidelines for user-filled syringes in anesthesia practice. The primary objective of standardized color-coded labeling is to improve patient safety by facilitating the identification of user-prepared medication syringes. Guidelines developed by the American Society for Testing and Materials International (ASTM) are endorsed by the American Society of Anesthesiologists (ASA) and aim to increase quality care and patient safety. Currently, there is no standardized color-coded labeling system in anesthesia practice that is universally implemented and enforced by accrediting organizations. These inconsistencies can lead to medication errors and adverse patient outcomes. Ubiquitous adoption of a standardized color-coded labeling system is capable of increasing patient safety and decreasing the incidence of mediation errors through the facilitation of syringe recognition by anesthesia providers in the perioperative period.

The guidelines developed by ASTM International were used to develop a safe practice recommendation. A survey was sent to current junior and senior students at The University of Southern Mississippi (USM) as well as nurse anesthesia faculty at The University of Southern Mississippi. Data and feedback from the survey was analyzed for further development of the safe practice recommendation.