You know you're Old School when...

Nurses General Nursing

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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 :)

Yes, its old school but I must say "I salute all of you!!!" Job well done!:yeah:

Specializes in NICU CM LNC MB HHC, Flight nurse.

I have enjoyed the trip reading all the posts and wonder how we managed to get the work done, but we did. remember staying 1 hr past shift to chart on paper nurses notes, kardexs and med cards, rectal tubes prn, using sugar and peroxide paste on open decubs, the big med carts you had to push, the glass IV bottles and syringes and the DRIP factors. I remember the paradehyde for the etoh abusers (p.u. did it stink!), no gloves for iv's and blood draws, and going home with blood on your uniforms so everyone knew you were a nurse (absolutely crazy), shift reports were given either by the charge nurse or placed on a tape recorder and attended by the entire oncoming shift. I don't miss those old hand crank beds and "hospital corners". I actually had an instructor bounce a quarter on one of my beds and watch her pull all the linens off for a do over! And the funniest I remember is making my rounds at night with a flashlight at beginning of shift asking people if they needed a sleeping pill! :nurse:

Specializes in ICU,ER,med-Surg,Geri,Correctional.

I remember when we took ACLS and anytime you got in a jam it was always "Give an amp of bicarb" . tx for hypertension crisis was a drug called Hyperstat.

or the 3 colored pen red=nights, green=evening and black was day shift. working an ER on night shift without any MD in the house and getting telephone orders for management. how about tx male inct with a Cunningham clamp?

All white shoes that" Could not resemble tennis shoes".

Only allowed to wear a wedding band.

the bad thing is I really miss some of the good old days....

Specializes in NICU.

After having my laparoscopic cholestystectomy, I'm really glad that they no longer have to be ICU stays with suction machines. I hated the Jackson-Pratt (when it was pulled out)

What a wonderful thread. My first job was in a Catholic hospital every oncoming shift there was a nun who stood in the only door you were allowed to report to work in . You had to kneel and if your dress did not touch the floor you were sent home with out pay. This was 1975 so you wore your uniform long. In the winter they liked to keep the place cold so you were allowed to wear a uniform pants suit but had to wear a pants liner ( it is like a slip under your pants) the nun would then check if you were wearing it if not you were sent home. It was so cold in the place you were happy to wear it you were only allowed to wear a cardiagan nurses sweater in either navy blue or white.

If someone passed you shut all of the patients doors and made sure there was no one on the elevator and the hallway was kept clear Then the body was taken into the morgue where you had to sign them in. There was usually quite a few in the morgue cause in those days the mortuary didn't always come to get them right away.

I still have a glass medicine cup and it was the med nurses duty to do the dishes before the end of shift . We only had one set of keys and if you went home with them it was a $50 fine. I was only taking home $180 for 2 weeks work.

We made all of our own tube feeding in a blender it smelled horrible usually the ppl you were giving it too were in a coma I am sure they would have been grateful.

Rubber sheets need I say more lol.

You used to have to make your own kraya paste from a powder with water. The colostomy bags and ileostomy bags were these horrible red rubber things that you had to pull off of the poor patients skin twice a day or more. Their poor skin it was always a battle to keep them free of open areas.

There were 4 eye hooks one in each corner of the sloarium and if you had a confused patient and they could be in a wheelchair you would hook a chain underneath the chair and then put the hook into the eye and the patient had the feeling they were going somewhere but just in a circle. All of the solarium had a circle in each corner.

The nuns made all of the restraints and the vest was always referred to as a pneumonia vest. If the paitent gave you a hard time you would ask them would like like to get pneumonia of course they would say no and the vest would go right on

If a patient gave you a difficult time one of the Sisters would talk to them and that would be that. If at night they gave you a hard time you would put a pillowcase over our hair and pretend to be a nun worked every time.

In the morning everything came to a standstill so communion could be given and it was the nurses responsiblity to walk Father around no matter what was happening.

Precordal Thumps.

We called the Doctors at home if necessary no answering service

Unmarried females were not allowed to place a foley cather if there wasn't a married nurse in the house( that is how they referred to the whole hospital) or a male orderly that was quaified then the Doctor would have to do it.

There was no one in the lab at night we used to keep 4 units of universal donor blood in the surgery refrig just in case you needed it during the night;

Respiratory only worked in the day time.

This is one I have never seen in another hospital they were called orderlies on call they had a room that they stayed in (most were med students) they would come and do all of the heavy lifting on the day and evening shift. It was wonderful.

The families were not allowed to call the nurses station every call came in through the operator and at the end of every shift you would put down each patient condition and give it to the operator on your way out.

We used to rotate shift I don't remember how it went but so many shifts on days, then evenings, the nights and then you had a long weekend. You could plot our your shifts months in advance.

When you worked the night shift we used to play cards in between rounds. And the patients got so much better care than they do today. Each floor had a full working kitchen and a fully stocked refrig for the staff or patients it was nothing for us to cook a meal for a patient in the middle of the night.

The Doctors did the full body assessment you only assess for what they were there for.

Brings back a lot of good memories that is when I really loved nursing couldn't wait to get to the hospital each and every day.

Specializes in onc, critical care.

I love hearing all this, I was not a nurse yet, but I AM that old

"snowing " patients with Bronfman cocktail

Glass chest tubes

Sterilizing your own equipment

-#13 ewald NG for every OD (a tube the width of a quarter shoved down your throat and 2-4 liters of NS inserted and removed manually (no closed system)

-Honey applied for vulvectomy incisions daily

-Sucking on miconizole suppositories for thrush of the mouth for all cancer patients

-No LPN only RNA and they only worked in convalesent hospitals RN's only in hospitals

-Patient load 12 pts on days 20 patient on nights nothing automated all manual

-peritoneal dialysis manually (bag in left in 40 minutes bag dropped to ground to remove fluid only to repeat over and over manually

-Patients with MI's spent 6 weeks in the hospital minimum the first week on strict bed rest even had to had bed baths. The 2nd week they were allowed to dangle their legs. Etc

-Dressing sets were rationed only 6 sets per floor you had to share sets between all your patients including sterile gloves (one glove for one patient one for another the third patient got forceps only no gloves

-IV metal intracaths were rationed (6 of each size per floor ) it was nothing to start an IV on a patient using a #14 intracath.

-Only interns started IV's nurses were not allowed

- banana bag we still use often : 1 liter NS with 1 mg folic acid,100 mg thiamine, multivitamin and magnesium sulfate if needed.

-pneumovac system for everything as no computer.

-Hoyer lift no way you lifted 2 person manually when you were alone which was most of the time I remember how excited we got when someone invented the belt for lifting a pt.

-rinsing out your draw sheets before putting them in the laundry

-primary care nursing on an oncology floor (you were responsible for 20 patients's care even when you were not there the nurses followed your plan.)

- peritoneal lavage as no ultrasound

-rapid volume infuser consisted of a plastic tube that slid over a normal IV widening the entrance so turned an 18 cath into a 12 gauge so fluid could flow faster.

-changing the a central line dressing easily took 45 minutes due to strict sterile technique.

Specializes in Hospice.

I remember:

Mercury thermometers and bp cuffs. Using tongs to remove sterile gauze from a stock container.

Mixing all my own iv meds, including chemotherapy, in the nurses' station med room.

Chest tube drainage being glass bottles on the floor, hooked up to a portable suction machine.

"Telemetry" consisted of a portable monitor the size of a large microwave in the hallway, connected to the patient with a looooong cable. We could see them on the fly whenever we went down the hall. Ventricular ectopy was treated on the floor with lidocaine drips titrated by counting drops. Ditto for pressors (levophed, usually).

Rotating tourniquets for pulmonary edema.

Iced saline lavage for gi bleeds ... oh my aching feet! ... when you got the bleed under control, the patient went on a Sippy diet ... milk alternating with maalox q2hr. Anyone remember tagamet? What a breakthrough ... but it cost $10/pill in the early 70's. Then there was the pitressin infused directly into a bleeding vessel ... the only thing we ever saw on a pump.

Blakemore-Senstaken tubes for bleeding esophageal varices with the end of the tube tied to a football helmet to keep pressure on the varices.

Treating dt's with 4-point leather restraints, IM librium and paraldehyde by rectum (with a glass syringe because the plastic ones melted).

White polyester pantsuits ... they were still a bit scandalous when I started and many facilities didn't allow them.

And, of course: metal bedpans, blenderized tube feedings, cloth precaution gowns, posey vests tied in back, IPPB treatments with mucomyst q4hr for COPDers, blood gases drawn with glass syringes rinsed with heparin and sent down on ice, clinitest tablets and acetone testing for diabetics.

Do I miss the old days? Nope ... one Rn and 2 aides who weren't allowed to do VS on night shift for 22 patients. The only good thing was that the paperwork was minimal ... med charting and nurses' notes was about it. Let's hear it for JCAHO and CMS!

Specializes in psych, general, emerg, mash.

oh..please..enough of the reminising! I tell dr or pt...yes I am old school! They can tell I am not a kid anymore! Dont get your ego in a knot!

with all the new and very expensive technology, sometimes old school, as, talking to the patient, palpating the patients sore spot! and actually cleaning something for re-use instead of throwing it out.

The biggest thing is encouraging the patient to talk and keeping your mouth shut.

Specializes in Med/Surg.
oh..please..enough of the reminising! I tell dr or pt...yes I am old school! They can tell I am not a kid anymore! Dont get your ego in a knot!

with all the new and very expensive technology, sometimes old school, as, talking to the patient, palpating the patients sore spot! and actually cleaning something for re-use instead of throwing it out.

The biggest thing is encouraging the patient to talk and keeping your mouth shut.

Where did this come from? I don't see a problem with "egos", and it's fun to hear about how nursing used to be. Just enjoy it. Wow.

Specializes in Med Surg, Parish Nurse, Hospice.

Ahh the good old days- Drawing up chemo drugs in the back med room like they were any other meds. 4 nurses caring for 64 plus pts on the evening shift and 3 on the night shift. Pts coming in on Sunday for OR on Monday, inpts for IVP one day and a cysto the next day. Glass chest tube bottles. The start of TPN and central lines. Needing the MD okay to use a "medicut" iv cath rather than a butterfly needle for IV sites. Helping a DR place a Tenchoff cath in the treatment room and then starting PD in a double room, glass PD bottles. Needing to make rounds with certain MD's and carrying their charts from room to room, meanwhile standing at attention while they spoke to the pt- never sitting unless you were very pregnant and the MD's words were gospel- no if, ands or buts. I once had a pt in the ctscan dept- he was rather ill- of course he coded and that was prior to crash carts in the ct dept. Now they are routinley placed. Cataract surgery pts had to be admitted prior to OR and get drops every 5 mins, then come back to the floor in the bed- often the wheels of the bed got stuck in the elevator crack-maybe that is one of the reasons I have a bad back. Then after the catarct surgery, they stayed in bed for a week, no shaving for the male pts, sand bags by the head and needed to be fed. How different from today. I could go on and on but ... some memories are best being just that memories. :)

i have really enjoyed reading every entry. i began my nursing career in 1970 in a county hospital.

we had metal bedpans and washed them in the "hopper", metal enema cans, and reusable foley catheters. we had glass syringes you assembled and you had to check the reusable needles for burrs by dragging them across a piece of gauze. when a doctor entered the nurse's station you stood and gave him your seat. all patients' flowers had to be removed from the room and placed in the hallway each night. was there a fear of them robbing the sick person of much need oxygen? i do not really know why we did this. we pushed the juice cart around and passed water giving everyone fresh ice from the same bucket. many of the same things others have already mentioned. worked like a maniac trying to get everything done with only 2 people for 40 patients. when i was a student nurse i was taught to use a bath blanket. you placed this under the arm, washed the arm, dried it, then moved the bath blanket to the next part and repeated the process until the bath was done. my instructor would have choked if she knew on really short staffed days instead of everyone getting a "bed bath" we have them "pta" (stood for washing only the essential areas, pits, tits and ass). boy nursing school really seemed so idealistic and out of touch with the way it really was on the floors.

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