This learning activity examines telemedicine integration in ambulatory surgery, focusing on preoperative assessment and postoperative monitoring protocols for registered nurses. Content covers virtual patient evaluation including risk assessment, medication reconciliation, patient education, and home environment evaluation. The module details structured postoperative telemedicine visits within 24-48 hours of discharge, emphasizing wound assessment techniques, pain evaluation, and escalation criteria for complications. Regulatory requirements are addressed including Joint Commission standards, Medicare/Medicaid policies, HIPAA compliance, and scope of practice considerations. Special emphasis is placed on health equity through identifying technology access barriers, implementing alternative care pathways, and addressing social determinants affecting recovery. Nurses will gain competencies in evidence-based telemedicine applications while recognizing appropriate uses and limitations of virtual versus in-person evaluation for safe perioperative care delivery.