You know you're Old School when...

Nurses General Nursing

Published

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 when I look back so many things have changed so.... so you know your old school when you remember......

Metal bed pans that had to be washed in the bedpan washer. Kind nurses used to warm them with hot water as they were freezing cold and would have patients hopping off the bed :)

Female nurses only being allowed to wear dresses and hats. The number of stripes on your hat indicated how long you had been training and when qualified you got a cotton one with lace trim. Evil things they were you used to spend half your life pinning them back as confused patients knocked them off

Unless you were married you had to live in the nurses home whilst training. Lights were meant to be out by 11pm and the house mother used to do spot checks on the rooms to make sure no men were hidden away!!!!:redbeathe Once a month an army bus used to come and pick all the student nurses up and take them back to the barracks were 300 army boys were waiting for a free disco, free food, free drink and far to much free love :)

We were not allowed to tell patients our first name and were called Student Nurse Smith. When a patient died we would dress them in a shroud, put a flower in their folded hands and then they would e wrapped in a sheet. A window would be left open to allow their soul to leave. They would go off to Rose Cottage, never called the mortuary. The nurse in charge would always say "there be 2 more before the week's out" as in those days people only ever died in threes!!!!

The wards were long open plan called Nightingale wards. 15 patients down each side. We had a back trolley and every two hours would work our way up and down the ward turning and cahnging every patient. We used to rub something onto pressure areas but I can't remember what it was. If you had lots of dependent patients then it was like painting the forth bridge - as soon as you had finished it was time to go round again!!! At Christmas a huge tree would be delivered and we would decorate the beds with tinsel - wouldn't be allowed today becuase of infection risks.

Consultant ward rounds were like a royal visit. They occured at the same time on set days. The Consultant would only talk with the Sister and you were expected to have every pt in bed, sheet folded to middle of the chest looking tidy!!!!! Never figured out how to make a pt look tidy.

Getting your silver nurses buckle was like a right of passage. As soon as you got your results from your final exams the whole set headed off to the only jewellers that stocked buckles and chose their badge. I still wear mine but it's fair to say the belt is notably bigger :yeah:

Male nurses and female doctors were rare. Now in my department we have more male nurses than female definitely a change for the better.

We took temperatures with a glass mercury filled thermometer covered in a disposable plastic cover and BP's were taken with a manual syphg and stethescope.

I am sure there are more but please other old school nurses share your memories with me :)

Specializes in Gerontology, nursing education.

I remember one of our instructors telling us that we should never wear gloves while changing a colostomy bag because it would make the patient feel bad.

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 lady partsl 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.

Specializes in PACU, CARDIAC ICU, TRAUMA, SICU, LTC.

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 respirators..no such thing as assist-control or IMV.

14. No 24 hour pharmacy coverage..you 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...............

Specializes in ED, CTSurg, IVTeam, Oncology.

I can remember the difference between YOU'RE (a contraction of You Are) and YOUR (a possessive adjective of You)... :eek:

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.

Specializes in Certified Med/Surg tele, and other stuff.

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

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

"String of cups on all males who just had prostate surgery..."

Would somebody explain this?

Specializes in Critical Care; Cardiac; Professional Development.

We are still required at our school to have hair "up" and all white shoes. :)

I love reading these!

Specializes in neuro/ortho med surge 4.
Glass IV bottles

Glass syringes and needles you washed, sterilized and re-used:eek:

Wooden wheelchairs ~ we still had some on the ortho floor as the old docs thought they were better:uhoh3:

White support hose held up by garter belts:uhoh3: ugh (pre-pantie hose era) and being totally encased in white:mad:.

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:rolleyes: mine added an additional 4" to my already tall 5'8":mad:

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:lol2:

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.

Specializes in LTC.
I can remember the difference between YOU'RE (a contraction of You Are) and YOUR (a possessive adjective of You)... :eek:

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.

Specializes in LTC.

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.

Specializes in PACU, CARDIAC ICU, TRAUMA, SICU, LTC.

PR Paraldehyde (God how it smelled like rotten eggs) for ETOH patients!

Specializes in neuro/ortho med surge 4.
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 lady partsl 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.

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