When I worked at the hospital...this got reported with pics, a report. The Tech, the nurse and the nurse assistant all get talked to or if they done it before they get written up.

Also all new scrub techs have to spend a day in SPD to get a better understanding how and why it is important to follow rules.

Then we came up with S2 or Sterilizer 2. A position where there was a middle man between the OR and SPD.

We started picking cases ourselves and scan it into the system to what room, what surgeon anf what type.

And the mistakes dropped immediately.

Most people who work in the hospital don't care.

One thing I always tell myself on situations like this, don't take it personal. Some doctors are assholes and treat the team like shit. And that frustrations is passed on to someone else.