The nursing profession, as a whole, as well as the role of the nurse have evolved dramatically over the past several decades. I personally have witnessed the changing face of nursing during my 30+ years in the profession. Gone are the days when nurses were thought of as little more than helpers or assistants for physicians. Today's nurses are healthcare professionals in their own right, playing an important and vital role in providing excellent healthcare.
Looking back to when I was in nursing school, and then starting my nursing career, I remember many things that are no longer in use, or things that have transformed over the years. Gone are the days of paper chart, replaced with electronic medical records. Gone are the nursing caps that distinguished the nurse from the rest of the healthcare team.
Here is a partial list of things I remember from days gone by.
Back in the day...
Team nursing
Primary care nursing
Longer patient stays (Patients were actually able to recuperate in the hospital rather than being sent home too soon. There was no such thing as same-day surgery.)
Nurses wore uniforms which consisted of white dresses, white hose, white lace-up oxford shoes, and, of course ... white nursing caps!
Only OR staff and physicians wore scrubs.
The Kardex, a large folded card, was used as an important document of all patient activities, meds, etc. And it was hand-written in pencil so it could be erased and updated as needed. Talk about document tampering!
Requisitions were composed on a typewriter.
Patients were called Mr. or Mrs.
Gloves were used for sterile procedures only. Universal precautions did not exist.
The only lifting machines we had were male aides ... and of course ourselves.
Nurses bent and broke off needles from used syringes
IV pumps were used only in Peds and ICU. Nurses had to calculate the drip rate using the second hand on their watch and a roller clamp to regulate the flow.
Heavy glass IV bottles were still in use
The charge nurse made rounds with the doctors ... and carried the heavy metal charts.
When a doctor arrived at the nurses' station, it was expected that a nurse would stand up and offer her seat....and the doctor never refused
Male nurses were very rare
Cold metal bedpans were offered to patients.
All patients were offered a daily bath and back rub
There were no fitted sheets. Remember hospital corners??
Glass thermometers were still in use.
Nurses notes and vital signs were recorded using a pen with 4 colors of ink as different colors of ink were used on different shifts. Actually, only 3 were used since there were 3 shifts.
Surgery patients were admitted the night before surgery so their preps could be started that evening.
Nurses smoked in the nurses' lounge.
Cancer was almost always a death sentence
Medicine was dispensed by the med nurse carrying a tray with small paper cups of pills and different colored med cards.
Four-year BSN programs were not as plentiful. Most nurses graduated from hospital-based Diploma or ASN programs.
State boards were 2 grueling days of exams that were completed with number 2 pencils. No computerized tests in those days.
Feel free to add items that you remember from the past, even if that past does not seem that long ago. Changes are occurring at an even faster pace in the digital and electronic age of today. What do you think of some of the changes???
One of my profs said they used to do surgery on premie babies without anesthesia because science thought they couldn't feel pain! She used this as an example of that they'll teach us lots of stuff in school but we must keep re-examining ideas and learning.
"Nurses had to calculate the drip rate using the second hand on their watch and a roller clamp to regulate the flow"
Knowing how to manually (or mentally) calcuate drip rates and regulate flow is skill that IMHO all nurses should know and keep keen upon. You never know where your practice will take you and or under what conditions you will be nursing.
Everthing from terrorist attacks and natural disasters to simply a poorly run facility, you'll never know when you're going to be short of even absent of pumps and going to have to go "old school".
I remember, for clinical, we used to wear the white Clinic Nursing shoes. After I polished my shoes the night before, I would dip the white shoelaces in Clorox, to get them white! We were inspected in the morning before we went out on the wards!
The med room was stocked with many, many multi-dose bottles of meds.
Isolation meant the pt did NOT leave the room.
Isolation meant double bagging everything - a "dirty" nurse inside the room would hold out a laundry bag while the
"clean nurse" held out a second laundry bag. The dirty nurse would put their laundry bag into the clean laundry bag. This was repeated for garbage. Meal trays were 100% disposable. I still say we should go back to these practices!
With all this emphasis on patient "customer service" from the federal goverment you girls could perhaps find yourselves back in those shoes, along with whites and caps in the near future! *LOL*
"Nurses had to calculate the drip rate using the second hand on their watch and a roller clamp to regulate the flow"
Knowing how to manually (or mentally) calcuate drip rates and regulate flow is skill that IMHO all nurses should know and keep keen upon. You never know where your practice will take you and or under what conditions you will be nursing.
Everthing from terrorist attacks and natural disasters to simply a poorly run facility, you'll never know when you're going to be short of even absent of pumps and going to have to go "old school".
Old school IV bonus round questions:
What were the patented names of several manual flow rate regulators? What were their advantages over simple screw or roller devices? What was their usual general accuracy flow rate for gravity infused fluids (ml./hr)?
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Silverdragon102, BSN
1 Article; 39,477 Posts
Thermometers had real mercury in them
wound dressings - egg white and oxygen or hydrochloric peroxide are what I remember the most
back rounds every 4 hours and full skin assessment done at this time and rubbing of red areas
This was in the UK