The ER overall (equipment, etc) did not seem clean...

The ER overall (equipment, etc) did not seem clean. Not a single person examining my daughter - nurses, Doctor, etc... used the sanitizer foam on their hands without being asked! This should be automatic before touching a patient. The charge nurse that came in to review the discharge instructions (the only one not actually doing an exam) did use the sanitizer. The doctor that saw my daughter did a very cursory exam and skipped elements that should have been included for a child with a fever and her symptoms. She received the treatment she needed at the moment, but if we need ER services again we will try a different location.