I finished my first day of my preceptorship rotation in local a county hospital; we get the sickest of the sick, and lots of people from off the streets. The utter lack of observance to personal hygiene and BSI was sickening. I saw nurses who were doing wound changes with Hep-C patients not using gloves; a nurse clean up some messy diarrhea, discard her gloves, and drink from a water bottle. Almost nobody used the alcohol-based hand sanitizers on a regular basis. All I can say is this: don't be surprised that I don't have a cookie from the bowl sitting in the nurses lounge; I vomit a little in my mouth every time I see someone eating one.