“…"Developing countries struggle with having enough supplies, equipment, and medication," said Elizabeth Norton, BSN, RN, level III staff nurse, Children's Hospital, Boston, Massachusetts (e-mail communication; July 12, 2011), who traveled to Russia and Poland with Knapp and a group of nurses for People to People experiences. 4,5 In Russia, the OR they visited was in an old building and they had "old equipment, thin mattresses, glass IV bottles, a container that held sterile sponges for the day, an older anesthesia machine, [and] open wards," which contrasted with the facility's new, state-of-the art central processing department. In Poland, Norton and her colleagues "saw pictures of a new OR in a private hospital that appeared to have state-of-the-art equipment and looked like an OR we would see in America today.…”