Lostinmyownthoughts

Hello I recently went from working in the OR of a large (prestigious) university hospital to a smaller hospital. I expected there to be some differences but never imagined that I would witness so many unsafe practices. I should mention that even though this hospital is much smaller, it still has a really great reputation (awards, teaching hospital, magnets status, etc..). So here is the issue, I feel really nervous and uncomfortable with how lax the staff is in regards to sterile technique, following policies, and overall patient safety. Some of the things I have observed: Consents- messy and illegible, procedures crossed out, things written in margins, confusing Timeouts- not taken very seriously, people doing other things and not really listening/participating Counts-staff don’t usually watch the scrub person count items, there are a lot of miscounts, Sterile technique- staff don’t check packages/wrappers to make sure it’s intact and therefore instruments are sterile This one might just be me but I absolutely hate when people grab stuff off the back table. Here everyone gowns from the back table and I feel like the chance of contamination is so much higher! Anyways, so I don’t really know what to do. I have only worked at this hospital for a few weeks and being new here is hard enough, I don’t want to make it worse by bringing all of this up with the manager or educator. At the same time, I want to stop feeling so morally distressed. I don’t know if I am overreacting. I keep telling myself to stop comparing the new job to my previous one, but I can’t help it when there are so many unsafe practices. Has anyone had a similar experience? What did you do? Please help.