Nursing the old fashioned way - page 5
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
0Dec 6, '10 by j621dQuote from blondy2061hI think the rational was that the ice would be too great a shock to the heart or the body, and would be harmful to the patient. I didn't question it, as I was a 17 year old nurses aide. It didn't make sense to me and I would "sneak" a little ice into the water pitcher. If you live in Florida you know that the "cold" water from the tap is not cold at all, rather it is somewhat warm and you need some ice to cool it down! This was back in the mid 1970s.What was the rationale here?
4Dec 6, '10 by onetiredmommaLogrolling back surgery pts for a week....Gall Bladder pts always had a foley, NG, T-tube, IV, oxygen......pain meds were all IM.....bunionectomy pts with the foot of the bed gatched to elevate their feet would often faint first time they sat up and put their feet down to go to the bathroom.....Sippy diet for stomach ulcers: basin of ice water at the bedside with a carton of half and half and they were supposed to drink an ounce an hour (or something like that)....Peds units that didn't allow any visitors in the rooms, parents had to stand in the doorway and try to soothe their sobbing kiddos.....Peds pts that got a med called Loridine by injection so much it oozed out previous injection sites in their poor lil bottoms!!
3Dec 7, '10 by Esme12, BSN, RN Senior Moderator"sippy one sippy two" diet something every hour to protect the stomach linning by coating it foot cradles and chest tube strippers, wrapping the ENTIRE tubing and bag with foil to protect nipride from light. I remember the first time I hung nitro. It was called TRIDIL and you had to use the special TRIDIL tubing.......we were terrified if we dropped it it would explode or something horrible we were sure would happen.
Never change an initial surgical dressing reinforce it only. Demerol and atropine for pre ops. pre medicating for Amphotericin B. Minimize the usage of gloves because it made the patient feel ailenated......theraputic touch was all the rage. I remember one nurse asking me if I was afraid to "get a little poop on you Honey?" when I wanted some with a particularly bloodied patient in the ED. You NEVER wore gloves to start IV's......
2Dec 7, '10 by RNAnnjehThings have changed since 1995!
Our 3 H Enema was a 5 H---add "hold it till it hurts" to the end!
Adding the timing tape along the IV bag....absolutely!
Nursing diagnosis and resolving nursing problems
Visiting hours from 2-4pm and 6-8pm
I'm sure there are more, but so many have been mentioned in earlier posts. I sit nodding my head to most of these. Thanks for the smiles
3Dec 7, '10 by sevensonnetsYou could come in the hospital and stay as long as you liked if you claimed back pain. Pelvic traction, Demerol 100mg and Phenergan 50mg q 3-4 hrs. PRN and don't be 3 minutes late. Some of the old orthos also ordered Valium as a muscle relaxant. Lots of patients could still get up and walk around after all of the above looking for the coffee pot. One orthopedic surgeon kept his back fusions flat in the bed for 4 weeks straight---you had to feed them, give them bed baths, and log roll for 4 weeks! Another good way to get into the hospital for a little R&R was to complain of a sore throat. Yep. One of our old ENT's ordered saline gargles q 4 hrs. performed by the nurse, never the patient, with this grotesque metal container and a rubber tubing. You didn't dare get caught allowing the patient to hold the tubing himself. We also had husband and wives who'd come in for colonoscopies and stay a week just because they could.
5Dec 8, '10 by JessicRNlets see
honey to vulvectomy pt's wounds
glass needle syringes and metal needle that were resterilized
glass iv bottles
moms stayed 3 days after vaginal delivery and 5 days for C section babies always slept in the nursery during the night and came out only to breastfeed
having to remain flat on back 24 hrs after Lumbar puncture or cataract surgery
Intraperitoneal dialysis manually
Gastric lavage for overdoses with ewalds and not a closed system
iced normal saline lavages for GI bleeds.
obtaining sputum culture by using your mouth as the suction (stills makes me gag when i think of it)
giving every patient a back rub at bedtime usually with alcohol.
12:1 pt load on days 20;1 on nights did not matter if getting dialysis or chemo.
NO paperwork except about 4 lines in the ED paperwork with vital signs.
med cards for every medication.
multidose vials and containers for every medication no single doses.
medications outside pts rooms in unlocked drawers
preparing your own chemo
45 minute tubing changes on central lines as no extension tubing
NO IMED PUMPS
only interns and residents and students started IV's pts always being connected to IV 's and being KVO. Manually calculating drips on all IV fluids you used buretrols for critical meds.
RNA's CNA's ???? no such thing. PRIMARY CARE NURSING (you were assigned to 20 patients, if they were admitted you were totally responsible for their care every time (you did their care plan))
vaginal fungal suppositories to be sucked on for stomatitis from chemo.
0Dec 8, '10 by enchantmentdisQuote from Esme12Wow........regression........
I remember metal bedpans and urinals......med carts and non unit dose meds.....tube feedings with methylene blue and kaopectate.....I rememeber treating acute MI's with sublingual nitro and a prayer.....Oh and rotating tourniquets for CHF/PE.
Sun lamps for bedsores.....Geri chairs and wrist restraints.......insulin coverage for urine glucose spillage 1+,2+,3+.4+ (now that's scary) and red rubber NG tubes!
Those metal bedpans are gorgeous. Where can i buy one.
1Dec 8, '10 by enchantmentdisQuote from Old.Timeran absolutely useless practice.This is a fun read!
Does anyone remember monitoring IV infusions by placing a sticky label along the length of the glass IV bottle marking hourly times to correspond with the amount of fluid that should be infused by that specific time?
2Dec 8, '10 by sevensonnetsI work in a Catholic hospital that's been here since the dawn of time (1898). Old books about the hospital describe what nurses back then had to do. Help in the kitchen to prepare breakfast. Mop floors. Go down to the basement and bring up coal early in the morning to light the fireplaces. All while wearing white floor-length dresses with long sleeves and cuffs. Wow. And we get undone about having to make toast!