I am a new OR nurse and still in my orientation. I recently made the unfortunate mistake of breaking sterility when setting up a case and not speaking up for my mistake. When opening a sterile package my hand touched it and it fell in the sterile basin. I know that maintaining my patient's safety is the most important responsibility I have as an OR RN and I honestly can't believe what I did. I haven't been able to think about anything else since. I'm so worried that my patient could develope a SSI because of me; that's the first thing I think about when I wake up and the last thing I think about before I fall asleep. I pray every night that my patient doesn't suffer because of my stupid and unethical mistake. I know 100% without a doubt that if I ever break sterility again, I'll speak up and help reopen anything necessary. I really don't know what to do about this though. I'm not sure if I should talk to my boss about my mistake and concerns or just keep praying for my patient and learn from my mistake. I never would have thought in a million years that I would've done this but I did and I have to live with that. I'm also wondering if hospitals undergo investigations with the staff if a patient gets a SSI or if in some way that hide cameras in ORs just for these types of situations.... I know that's a little paranoid but I feel really bad for what I did. Any advice? Thanks in advance.