You know you're Old School when... - page 2

Oh dear I really have set myself off on a trip down memory lane!! Recently a doctor called me "very old school" I think it was meant as a complement but unsurprisingly I was horrified but to be fair... Read More

  1. by   scoochy
    1. pts. who had undergone hemorrhoidectomies were not discahrged until they had their first bowel movement..

    2. cataracts..stayed in bed for 3 days with sandbags on both sides of their heads.

    3. Isolation patients: steel basin outside the room filled with 1/2 str. betadine to "disinfect your hands."

    4. Total joint replacements stayed in bed for days on end..

    5. No such thing as Infusion pumps for IV administration..the IV bag was time taped, and you calculated the drip rate.

    6. In the summer, all Hyperal solutions in glass bottles had to be shaken q 1 hour.

    7. No such thing as air-conditioning...big fans that were coated with dust!

    8. Maalox alternating with milk instilled in an N/G tube.

    9. Stripping chest tubes on open heart patients.

    10. No such thing as pressurized NS/Heparin that flushed Art. Lines..manifolds were used to manually flush the aline..God forbid if it clotted!

    11. Patients were admitted the day before surgery.

    12. Private rooms?? We had 12 and 18 bed wards..patients felt they were in "stalls."

    13. Emerson such thing as assist-control or IMV.

    14. No 24 hour pharmacy mixed your own drips!

    15. No such thing as post-op floors that only accepted one type of patient, i.e., vascular vs. GU.

    The list goes on and on...............
  2. by   Emergency RN
    I can remember the difference between YOU'RE (a contraction of You Are) and YOUR (a possessive adjective of You)...

    Honestly, nurses used to get dinged on spelling and grammar. Nowadays, with some of the entries I've read in charts, I wonder if we're still speaking English.

    Oh, as for age old nursing tech that I don't miss; if anyone has heard of the Harris Flush, then you're probably as old school as they come.
  3. by   tokmom
    All white nursing shoe's. Glass iv bottles, no nail polish. How about med carts? If a pt was going to use the other half of a vial of morphine you just put it in your pocket until you needed it again. Lol
  4. by   retiredlady
    Big adult respirators used on tiny babies (only ones they had)
    Putting your hair back in pony tail or up on head
    No clogs!!!
    Medication cards you checked every shift
    everyone got IM pain meds--not iv
    Did have better cafeteria food.
    New mothers stayed 3 days for vag and 5 to 6 days for C/S
    No children to visit under 14
  5. by   Cul2
    "String of cups on all males who just had prostate surgery..."

    Would somebody explain this?
  6. by   not.done.yet
    We are still required at our school to have hair "up" and all white shoes.

    I love reading these!
  7. by   sistasoul
    Quote from DogWmn
    Glass IV bottles
    Glass syringes and needles you washed, sterilized and re-used
    Wooden wheelchairs ~ we still had some on the ortho floor as the old docs thought they were better
    White support hose held up by garter belts ugh (pre-pantie hose era) and being totally encased in white.
    Unfitted sheets and learning how to make a bed so a coin would bounce
    4-6 bed wards
    All nurse hospitals only LPN's/RN's, no aids or techs ~ just licensed nurses and as an LPN we were respected and valued by the RN's we worked with
    Remembering all the different styles of nursing caps from different schools and wishing yours didn't make you look like the flying nun mine added an additional 4" to my already tall 5'8"
    All the non-disposible equiment that required autoclaving. The first hospital I worked in had a huge steril supply department operating multiple autoclaves, as a student nurse I remember roatating through for 2 weeks and learning all the in's and out's of putting sterile packs together.
    Working 3-11 and giving back rubs to EVERY patient, each one got a real "tucked in for the night" ritual to help them sleep.
    NO ICU, I worked in a rural hospital and patients came right to the floor and were put in singles next to the nurses station.
    3 year diploma RN's that rocked right out of school!

    Patients stayed in the hospital much longer back then, I never remember being overwhelmed by a shift assignment, we were busy, but got our breaks and lunch/dinner. The patients got great care, shift supers were very experienced and had spent years working on different floors before being promoted to that exaulted position.
    Sheesh...really dating myself

    Kinda fun walking down memory lane and can't wait to read other inputs - thanks for this fun thread.

    I have less than a years experience as an RN. I believe I would have liked this type of nursing better than the insanity of the no breaks, no lunch, no peeing of today. I would just love to have the time to give my patients a back rub before they went to bed for the night.
  8. by   LesMonsterRN
    Quote from Emergency RN
    I can remember the difference between YOU'RE (a contraction of You Are) and YOUR (a possessive adjective of You)...

    Honestly, nurses used to get dinged on spelling and grammar. Nowadays, with some of the entries I've read in charts, I wonder if we're still speaking English.

    Oh, as for age old nursing tech that I don't miss; if anyone has heard of the Harris Flush, then you're probably as old school as they come.
    I saw a Harris Flush a couple of semesters ago in clinical - I had never heard of it before.
  9. by   LesMonsterRN
    I'm amazed at how student clinical uniforms have changed over the years. When I went to LPN school in '93 we wore what we called "smurf dresses" - blue and white striped a-line bags with white pinafores that had buttons down each side that went just to or below the knee, white hose, white leather shoes and our caps. We had to be checked off on our uniforms each morning of clinical before we could go to the floor.

    In my RN program now, we wear navy scrub pants with white scrub tops and tennis shoes or nursing shoes.
  10. by   scoochy
    PR Paraldehyde (God how it smelled like rotten eggs) for ETOH patients!
  11. by   sistasoul
    Quote from Moogie
    YES! We were never to wear gloves during injections, enemas, bedpans, or derm treatments because we might make the patient feel bad. The only time we were supposed to wear gloves with derm treatments was if the treatment could be dangerous to non-diseased skin. Otherwise, we were applying all sorts of medications bare-handed.

    Like CT Pixie, I also remember taping the buttocks open for the heat lamp and Milk of Mag treatment, wet-to-dry dressings, full side rails, mechanical hoyers, flat bottom sheets on the beds...

    ...and yes, those lovely bed cranks. I don't know how many times I ran my shin into one of those things. Now THAT's a painful memory.

    I worked inpatient derm for a while and we still had to wear our head-to-toe whites, even though the treatments we gave could permanently stain clothing. We asked administration if we could wear old scrubs leftover by the ICU staff and were told no, because if we wore scrubs, it might make the patients feel "dirty". So all of our uniforms were permanently stained and most of the nurses who floated to our floor would wear patient gowns over their uniforms---but that didn't make the patients feel "dirty", I guess :icon_roll

    One of the biggest changes was in the length of hospital stay. In the late seventies and early eighties, moms who had given birth (non-complicated vaginal birth) stayed for at least five days, often a week. Moms who had C-sections might stay up to two weeks. Prior to the introduction of same-day surgery, folks who had hemmorrhoidectomies would stay five days or even more; we didn't let them go home until they were having nice, soft stools that wouldn't irritate their bottoms.

    We would never send anyone home with an IV, an unhealed wound, a PICC line or anything like we see today. Even if all a person needed was a couple of days of IV antibiotics, he/she would be in the hospital, not kept at home to receive home care (if lucky) or for the patient and/or family to do the treatments without nursing help or supervision. A few months ago, when I had surgery, my wound dehisced my first night at home. The doctor later told me that a "lot" of women experienced dehiscence after an abdominal hysterectomy---I had two ER visits due to the dehiscence, plus a CT scan---all of which consumed both time and money---so wouldn't it have made a bit more sense, if the doctor knew that this was a pattern, to keep post-op patients even one more day? Ridiculous.

    I honestly miss what nursing was back then---not the parts about not wearing gloves or the backwards treatments we did---but I miss getting the chance to get to know the patients, to have the time to assess and meet psychosocial and spiritual needs. Now it seems that acute care is like a drive-through fast food place. You're in, you're out, here's your burger and your take-home meds, buh-bye!

    We have gained so much in forms of technological innovation and evidence-based practice since the '70s and '80s, but we have lost the whole foundation for the therapeutic relationship, at least in most acute care settings. There's still the opportunity to develop relationships (at least with family) in ICU and if there are long-term patients who are there for whatever reason---but honestly, I think nurses and patients have lost a tremendous, intangible experience because of the short stays we have now.
    I completely agree with not being able to meet therapeutic relationship needs. I feel like I can barely meet their medical needs with all of the redundant charting and CYA that has to be done. I enjoy the therapeutic aspect of nursing a great deal and find I just don't have the time for it. I had a little old lady with dementia last night who did not understand that she was moved to a private room because of MRSA in the nares. She thought that if she took something for her "cold" that she could go back to the room she was in and liked. After explaining to her and reassuring her multiple times I just had to give up and get on to my other patients. I was working a 4 hr shift and had a new admit and not to mention learning our new admin rx system. Needless to say my 4 hr shift turned into 7. More and more of our patients come in with dementia and these folks just plain take more time. Time we do not have to give unfortunately.
  12. by   tokmom
    I remember when blood bags were hung without pumps. You just timed them. One drop per 5 seconds. Of course some positional IV really made it difficult to keep on track.
  13. by   Kooky Korky
    Maybe someone already said it - IV bottles were glass and IV needles were metal. A few years back, a young nurse look at me as if I had 2 heads when I said that I was better at starting IV's when our IV needles were metal and left indwelling.

    Some things have not changed for the better. Subordinate staff, that is, the aides, lived in fear of the RN. Not that we want people necessarily afraid of us, but it was much better when the aides realized that the RN was actually in charge and there'd be consequences to pay for the aide who challenged that. Things were better when more military-like.

    Now, anything goes because managers are afraid to discipline or even correct. Managers and Administrators fear c/o racism or genderism or religionism, so refuse to make problem employees shape up or ship out. I"m not saying there weren't problems or unfairness, but there are today, too, no matter how fair and reasonable we all try to be. Anyone who's upset today can utter the right word or 2 and bring Management to its knees, whether justified or not.

    Hospitals were into real customer service and we didn't need Press-Ganey to show us the right way to do things. We gave correct nursing care and somehow achieved the same goals.