Nursing the old fashioned way - page 2
hi all, i just read a thread asking about older nursing interventions and it made me think of the older techniques that we really did use before so many modern meds and procedures. for a lower... Read More
Dec 3, '10 by CNABESSWell, I was in school to be an LPN 25 years ago, working as a nurses aide at the time. I remember many of these things, as well as a total lack of gloves for routine patient care. Depends briefs were brand new and on a trial basis. We all thought they were sent directly from Heaven, but were told they were "demeaning" by the management and could not use them.
One thing I will say is, my 120 hour CNA course this past year with 2 weeks of clinicals covered as much or more than the first 6 months of LPN training did 25 years ago. I never finished back then becasue I gave birth to a sick child. Now I am happily back at it, but as a CNA studying for Renal dialysis tech.
Dec 3, '10 by ohioSICUrn, BSN, RNhahaha!!- i like the one about the misspell of hospital...not hospitality because seriously- it seems like a hotel these days!!Last edit by ohioSICUrn on Dec 3, '10 : Reason: post didnt make sence
Dec 3, '10 by Scarlette WingsQuote from blondy2061hlet me see if i remember. one line of thought was that the ice and cold could cause vagal stimulation i believe... and then some nurses also believed it would shunt blood to the stomach that was needed for cardiac function if the patient ate anything too hot or too cold so hot coffee or tea was also a no-no. everything was room temperature. anyone else have a different theory in their area for this one?what was the rationale here?
i remember glass thermometers and when one broke we played with the mercury.
heat lamps also went with the sitz baths post partum and after having a baby vaginally those heat lamps felt good! that was before fetal monitors and they straped you down to have babies so "you won't accidently touch the doctor's sterile field."
used many a b/p cuff on arms and legs and rotated them for chf as well.
right with the triple h enemas. high...hot...and h*ll of a lot! first time the doctor "explained" what it was i blushed. boy was i green.
chest tubes drained by a glass bottle system and the old suction set up had to be put together and all the tubing checked before you cut the motors on.
gloves were only worn in or. nurses wore only starched white with a cap and thier nursing pin and name badge. nurses got up when the doctor's came and gave them our seat. (i could kick my big booty myself for doing that one now)Last edit by Scarlette Wings on Dec 3, '10 : Reason: clarification
Dec 3, '10 by Scarlette WingsQuote from indynurse '87it scares me now to think of covering a patient with insulin based on their urine glucose.ohhhhh my! do i remember those days ....
i too remember m&m (maalox and methiolate) for pressure areas along with the heat lamp, packing wounds with betadine ointment mixed with sugar, pelvic, wrist and leg restraints, gerichairs with locking trays to prevent the patient form getting up. feeding pureed diets to a difficult patient with an asepto. very seldom did we have g/tubes. it was usually ng tubes for feeding patients with swallowing problems. testing diabetics urine for sugar levels and coverage.
i remember the first hiv patient our hospital ever had. they put them on my floor in total isolation, negative pressure room, and people actually came from other floors to peak in the glass window of the inner isolation room to "see what an aids patient looked like." even nursing was naive back then and did not understand because the medical community didn't know what caused it but they all agreed it was a killer.
i am glad we have learned since then.
pediatric patients were not allowed to see their parents except during visiting hours each day. i remember being in the hospital when i was 4 and crying and screaming for my mom and dad. the nurses were nice, but they were not mom and dad!
Dec 3, '10 by SonjailanaQuote from sevensonnetsNobody's responded to the HHH enema mention. Wonder how many newer nurses know that one?
Hahaha..I gave one Wednesday and I've been in for 3 years.
Dec 3, '10 by LiquidiamondMaybe we're old fashioned at my hospital, but we still have metal bedpans and gerichairs :S
Dec 3, '10 by Belle EpoquePlacing babies on their bellies to sleep, discouraging breastfeeding, smoking at the nurse's station, episiotomies, patients with 02! smoking in their rooms.
We still use geri chairs with locking trays.
Dec 3, '10 by Retired R.N.Wangensteen suction device was used to handle secretions after cholecystectomy. Emptying and cleaning the big glass jugs was obnoxious task.
Dec 3, '10 by elkparkQuote from cheyfirethat's the theory i recall, also. when i was in nursing school (in an excellent hospital-based diploma program), mi clients spent weeks in the cardiac step-down unit (that's after they came out of the ccu), and everything in the unit was arranged to protect their fragile, damaged hearts from any stress and possible further damage. no particularly hot or cold food or fluids; a special bed bath procedure to protect them from getting chilled and physically stressed (i no longer remember what the technique was, but i remember we had to learn a different, special bed bath routine just for the cardiac unit), and we all tip-toed around and spoke in whispers to, again, protect them from being startled and stressing their hearts. (and, now, you get sent home a few days after a big mi -- my, my, how things change ...)let me see if i remember. one line of thought was that the ice and cold could cause vagal stimulation i believe... and then some nurses also believed it would shunt blood to the stomach that was needed for cardiac function if the patient ate anything too hot or too cold so hot coffee or tea was also a no-no. everything was room temperature. anyone else have a different theory in their area for this one?
people who had cataract surgery were in the hospital for many days, also, with their heads immobilized with sand bags.
checking people's urine glucose by holding the "dipstick" up to the color scale on the side of the dipstick canister and giving the ssi based on that.
almost never wearing gloves -- just for specific procedures like sterile dressing changes. and i wore real "whites" and my cap proudly (still do, on the rare occasions when i'm in whites -- my specialty is psych, so i've spent most of my career in street clothes); never stood up for a doc, though -- that was before my time, thank goodness!
yes, "3h" enemas. and a whole series of different weird treatments for pressure sores. the betadine and sugar mixture became popular while i was in school. one of the orthopedic surgeons at the hospital was mixing up betadine and sugar at home, bringing it into the hospital, and using it to pack his surgical sites (joint replacements, orifs, etc.) it was v. "cutting edge" at the time, and you couldn't get a commercial preparation.