Funny things happen when you start work in new environments.  Surely most clinicians have experienced this first hand.  Think back to that first time you scrubbed in and walked into an operating room, the first time you set foot in an ICU, the first time you worked in an ED different than the one you trained in.  What was that like? overwhelming? empowering? disorientating?  Did you ever get caught up in just trying to figure out where the heck the 25 gauge needles and 10 ml syringes were in the supply closet?