I feel your pain. I have been an intern myself, I know how hard not knowing, how to anticipate what is needed next. What i did if my preceptor is not receptive on my learning style, I utilize other resources ... try asking your Surgical Tech the sequence of the procedure. Prior to the surgery, set aside possible trays, sutures possibly needed. Take lots of notes. Be patient. You can try buying this book (helped me a lot to understand procedures) "pocket guide to the operating room" by maxine goldman 3rd edition ~ totally explains equipment needed for common procedures. In july it will be my 1st year in the OR, I don't know everything yet, everyday is a learning experience. Preceptors sometimes have high expectations for interns, they test your ability to think under pressure, they will see how well you conduct yourself in this arena, prove to them that you are a team player, a reliable RN ... and yes, try to see your ability on how to prioritize. 1st PATIENT needs ~ 2nd SURGEONs needs ~ 3rd the rest ... stick to the basics ... good luck . . . hang in there...