So what WAS nursing like in the "good old days"? - page 3

Ever since I was in nursing school a few years ago all I heard was how much nusing has changed since the 60's/70's/80's. My only frame of refrence for this time period is Dixie from EMERGENCY! (LOL)... Read More

  1. Visit  findingmywayRN profile page
    1
    Originally posted by ernurse2244
    On evening shift were expected to take the BP of every visitor in the room....

    "Good evening" was adequate charting. .
    Really interesting stuff here!! But why did you have to take the BP of every visitor in the room???
    DeLanaHarvickWannabe likes this.
  2. Visit  ernurse2244 profile page
    1
    Just 'cause they asked me to...and I had the time.
    jrwest likes this.
  3. Visit  LilgirlRN profile page
    1
    I graduated in 1987. AIDS had just come to the forefront. I worked in an intensive care unit, it was supposed to be cardiac but we took regular icu overflow too. we would look like we were going to outerspace just to walk in the room for our aids patients. We had gloves, but it was very common to not use them except when you knew the patient had HIV. one of my patients was the first patient to get TPA at our hospital in 1988 or so. I went to the ER in 1990. The single biggest difference in there is the sheer volume of patients that we see. i worked 11-7. we had 8 beds. me and an lpn, unit clerk and one doc. my big job was making sure the place was restocked. we saw 2-3 patients per night. we had one hellacious night we saw 16 patients, 3 were MI's, 2 went to surgery, 2 were transferred to other hospitals. the next day the doc that was on that night quit. today, that would have been a less than average night. today, at the same hospital there are no lpns, there are 4 rn's at night, 2 docs, a er tech and a unit secretary, the 8 beds are now 14 with 6 holding beds for folks waiting to be admitted. we didnt do conscious sedation back then. if you needed that much sedation you went to the or. luckily for er nurses, most er docs are also a breed apart, i personally have never been treated like crap by an er doc. the private docs are another matter, lol.
    DeLanaHarvickWannabe likes this.
  4. Visit  RNPATL profile page
    0
    Originally posted by findingmywayRN
    Today's health care system and technology have probably created sicker patients - not healing properly/thoroughly before discharge, prolonging the inevitable, teaching families to provide patient care at home that should be still done by nurses, etc. But, there are obviously many lifesaving benefits to modern medical technology.
    Early discharge, back in the days when it was new, attibuted, in my opinion, to many deaths, especially for the elderly patients. However, early discharges also created a whole new speciality in that nursing homes developed and opened sub-acute care units. These units would care for the patients after they discharged from the hospital and were to sick to go home. This also changed the complexion of the nursing homes, as patients were moving in and out of the nursing home about as fast as they were moving in and out of the hospital. As a result of the increased acuity in the nursing homes, assisted living facilities became the big rave .... people who use to go to nursing homes, were now not considered "sick enough" to be there.

    I also recall my nursing instructor telling me that I only needed to wear gloves when I was doing a sterile procedure. I remember cleaning an elderly homeless man and I asked my instructor for a pair of gloves, she frowned at me and said ... "be a man!' ... can you believe that? Of course, today that would be unheard of!


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