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- Apr 9, '12 by LibitinaQuote from DoGoodThenGoWe still do both of these in the NHS. Re changing the sheets, how do you do that differently?
Making an occupied bed by doing all one side at once (with pt positioned on his/her side), pushing the layers underneath pt, reposition pt, then going over to the otherside and taking away the soiled linen and pulling over the fresh.
When patients died and they were ready to move the body to the morgue all doors to other patient's rooms were closed so they couldn't see the transfer.
- Apr 9, '12 by Esme12Quote from AnnONCThe theory is that constricting devices were used in a rotating order to pool blood in the extremities. The purpose is to relieve congestion in the lungs in the treatment of acute pulmonary edema. Use of the rotating tourniquet has declined with the development of vasodilating drugs and diuretics. It was said to decrease the returning volume of blood to the heart by as much as 1000 cc therefore decreasing the hearts workload so it can more effectively diurese.....an early preload reductor.This is an enjoyable thread.
Can someone explain the rationale behind rotating tourniquets for pulmonary edema? I'm curious.
Clinical Nursing Procedures - Kathleen Hoerth Belland, Belland, Mary Ann Wells - Google Books
- Apr 9, '12 by Ruby VeeQuote from libitinawe still make occupied beds the same way in the icu as well -- and close all doors before going by with the morgue cart.we still do both of these in the nhs. re changing the sheets, how do you do that differently?
- Apr 9, '12 by GrnTearotating tourniquets on old ladies with chf-- in the ward, not the icu.
backrubs at bedtime, where everyone got a back full of lotion and a coating of baby powder
a vial of digitalis leaf in the med drawer-- really, the dried, brown leafy bits, still in the pharmacopaeia.
unscrewing iv bottle tops with a tourniquet, adding an amp of something or other, and attaching it to the 3-way foley for urinary irrigation (did this as an aide). square plastic urine drainage "bags," with screw-off tops attached to the drainage tubing--open,pour into a urinal, replace cover.
chief of medicine cardioverting patients with carotid sinus massage. cheaper than electricity.
if the urine was "blue-negative" in the test tube, all was well.
sheepskins for pressure relief that were really sheepskins, with leather backs, real wool. a few hundred times thru the hospital laundry and they were rigid flat things studded with wool lumps as hard as gravel, but by god we put them under people.
the ice machine in the basement, where aides from every floor met to smoke and collect the ice for the shift
using the same cart to pass trays that we used to pass--and retrieve-- the bedtime bedpans.
butterfly needles for ivs, and as an aide i saw nurses suck on them --with their mouths-- to get a blood return.
taking care of fresh open hearts with a single-lumen cvp/ plastic manometer, and an arterial line connected to a manometer dial via a length of latex tubing.
curing decubiti with a paste of table sugar and h2o2, covered with a denture cup with a hole for the o2 catheter. worked, too.
- Apr 9, '12 by GrnTeawill one of you guys elaborate on how one "sharpens a needle?"
you have a very fine grindstone, you wet it, and you rub the needle gently so the angle is correct and the edge is sharp, and you inspect it visually to be sure you got the little burr off the end where it always got bent. then it gets rewrapped with its glass syringe, after you have made sure that the syringe barrel and plunger are a mated pair, because they had to be or they wouldn't fit together, in a nice double layer of green or blue-grey cotton cloth, and autoclaved.
we also sterilized the glass thermometers when i worked in central supply for a summer in high school. they got packed individually in peel-apart paper packages, blue for oral (long tip) and red for rectal (blunt tip). one week my boss got a lot of complaints from the floors that the thermometers were all screwed up...turned out i had washed them in hot water before i packaged them. ::sigh::
we had a gas sterilizer for things that had to be cold-sterilized, about the size of a microwave oven. god knows how much ethylene i breathed that summer. and we had those huge old autoclaves, the size of mini coopers, two of them side by side, where we sterilized the hundreds of bottles of saline for urinary irrigation, or linen packs, instruments, and everything that had to be sterile. one day we had our lunches warming in there (we and the or sent out for sliced roast beef and fresh anadama bread from the bakery downtown every payday) and the don came through giving a tour. ::sniff, sniff::"what's that smell, richard?" she asks the boss...
- Apr 9, '12 by GitanoRNas the good o'l days thread continues, i may add that i use to work in a well known catholic hospital in madrid, spain. therefore, most of the nurses were nuns, which wore those incredible hats just like the one that the "flying nun" wore on the t.v. sitcom long ago. however, they no longer wear this type of hat in this particular hospital, so for those of you that don't recall the show; below is a picture of what i'm referring to...
flying nun image by prohta on photobucket
- One thing nurses from the "old days", and one is including right though the 1980's in this, miss is the respect for authority patients and their familes had for nurses.
Yea sure, there was always the odd patient who gave the nurses a hard time, but by and large they did as they were asked told.
Nurse came in with meds or having to do a treatment? You didn't hear "I'm watching my stories/the game, come back later"
Visitors didn't have to be told one thousand times *do not sit on the beds*. You asked them once and that was usually that. If there was a problem you got out the big guns (head or charge nurse) to have a word and that usually more often than not settled matters.
Indeed "head nurses" seemed to have more respect from both staff and family than their peers today. Perhaps because so many came up from the ranks thus were well known before taking on the job. The best of them could stand down any doctor and hold ground for not only herself but staff as well.
You didn't get patients asking several thousand questions about what one was doing/giving, why are you doing/giving, and then saying they would have to "think" about letting you get on. You also didn't have family members leaning over your shoulder and or getting into "your business" whilst trying to administer a med or treatment. Ok, one is all for concerned relations and so forth, but there are limits. *LOL*
- Quote from gitanornjust a small niggle.as the good o'l days thread continues, i may add that i use to work in a well known catholic hospital in madrid, spain. therefore, most of the nurses were nuns, which wore those incredible hats just like the one that the "flying nun" wore on the t.v. sitcom long ago. however, they no longer wear this type of hat in this particular hospital, so for those of you that don't recall the show; below is a picture of what i'm referring to...
flying nun image by prohta on photobucket
proper term is cornette or coif depending upon the religous order. the former (aka serre-tete in french), was the cornette head gear of various orders belonging to the daughters and sisters of charity rc religous orders for women.
in old french cornette meant "horns" and that name came from how after folding the head gear resembed such upon a woman's head. dating from medevial times this headgear in some form was still worn by french peasant women to help block the sun when out of doors. later when the daughters and sisters of charity were founding their orders (which historically dates from when the habit is created), they choose various forms of the cornette.
many of the elaborate coifs and cornettes adopted by rc religous orders not only came about because of association with ancient forms of daily and or mourning head-dress but they were also great for keeping custody of the eyes as well. sadly as the modern era of automobiles, trucks, trolleys and such took over from horse and buggy orders had to adapt their head dresses, at least those worn out of doors.
because they were so good at shielding the wearers face/eyes sisters/nuns couldn't see fast moving vehicles coming (nor always hear them for that matter because of all that cloth around their ears), often with dire adverse outcomes. the women would be hit and often sent flying. upon landing not only were there injuries and or death to contend with, but the fact the poor nun's habit may have ended up in the most immodest display of her person.
for sisters involved in "working" outside the convent such as teaching or nursing, those large headgear made life difficult. with lateral view blocked you have to turn your head to see what was going on. this could range from doing treatments to keeping an eye on pupils. just ask any kid who went to catholic school with nuns who wore such gear; if you wanted to act up or pass a note you waited until sister's back was turned. *lol*
Last edit by DoGoodThenGo on Apr 9, '12 : Reason: Added Photo
- Apr 9, '12 by GitanoRNQuote from dogoodthengounquestionably, you're totally correct, however that's the reason i didn't use the proper name cornette because of the "horns" i didn't want to offend anyone...just saying...just a small niggle.
in old french cornette meant "horns"
- Though IIRC the Sisters of Charity did not wear a cornette based head gear, some say the original Saint Vincent's Hospital School of Nursing cap is based upon them.
It is one of the few caps with "horns" that is meant to sit towards the front of one's head. The only other one can think of atm would be the old College of Staten Island School of Nursing cap, but they've long since stopped using them.
If you wish to see a wide variety of "old" nun's habits, head gear and nursing caps for that matter from Catholic facilites, pipe: