Sanity is madness put to good use. – George Santayana

A Little History:
It’s 1958 and Ensign Thomas Eggleston is giving an inservice to US Navy Nurses LT. Frances Hogan, LCDR Magie Ziskovsky, and LCDR Edna Schnips about the Van Der Graaff teletherapy machine. The nurses were participating in the Nuclear Nursing Course at the National Naval Medical Center, Bethesda, MD. This machine was considered a medical breakthrough in its day. It looks antiquated now doesn’t it? I can only imagine what these Navy nurses were thinking while they stood next to this medical wonder.
Things have changed since I became a nurse. There were no CAT Scans or MRI machines when I graduated from school. There were no IV pumps either. We ran our IVs by counting drops that flowed into a drip chamber, and we monitored the hourly flow rate by glancing at a strip of medical tape that we marked off in CCs and ran down the side of each IV bottle. The nursing text books were different back then, too. There was no mention of AIDS and a diagnosis of Cancer was a death sentence. It was before the Digital Age, so doctors wrote their illegible orders in paper charts. Like the nurses who came before me, I was amazed by each new technological breakthrough, and I wondered about the things to come.
And indeed, things kept changing throughout the years, and sometimes it was hard to keep up. For example, I remember the first time I worked with patients who received TPN hyperalimentation. It’s commonplace now, but back then TPN was viewed as a futuristic medical intervention. The doctors educated the nurses about TPN. They brought in medical journals for us to read, and they gave us inservices about the new lifesaving fluids. Every day the doctors would write new TPN orders in the charts, and we would transcribe the orders onto TNP recipe cards and add the appropriate amounts of insulin and electrolytes to each patient’s IV bottle at the nurses station. We didn’t mix our IV fluids under a laminar air flow hood. I know that sounds really barbaric now, but back then that was standard nursing procedure.
Now that I am nearing my golden years, I wonder what future generations will see during their nursing careers. I bet they see advancements that we can’t even imagine. I even bet that they view our current cutting edge technology as quaint throwbacks to a simpler time. I wish I could be around to see the things to come.
Tammy Swofford
December 20th, 2011 at 8:11 am
Good Morning!
I loved the image for two reasons! Navy is my team! And I have worked at Bethesda twice, whilst on AT. Once was in PACU and the second time, G.I. Lab. But the picture is a great one!
Last week I had lunch with a dear friend. He referred to nursing as a technological priesthood. I thought it was a good choice of words. We can manage the machines but we are also holistic and can serve as shepherd, advisor and provide healing emotions and hands. smile
Best always,
Tammy
Missy nurse
December 25th, 2011 at 4:30 pm
Well Mother Jones, I’m not far behind you, disposable needles were very new, we mixed our own IVs also. Added K+ to our fluids, ect. Can you imagine the world without cell phones or computers now? What will things look like in the future all the way around.
Cathy Lane RPh
December 28th, 2011 at 10:59 pm
TPNs mixed at the nursing station?!!! (I’ll bet you didn’t have pre-mixed 3-1 bags either!)
I remember working on Saturday morning as a ‘yellowjacket’ high school volunteer. Washing bedpans in the dirty utility room. I remember when nurses poured out medications from stock bottles.
I remember helping with baths, bladder training, and helping the nurse turn patients. When I was a nurse aide in a nursing home later, there was a lot of discussion about other interventions for decubiti prevention and treatment (and I saw some horrific results when our patients were temporarily transferred to another facility and the results of less care in turning routinely).
As a student, I remember working in a pharmacy when drugs were ordered with pencil and paper from different companies looked up in a book, sales representative dropped by on a certain day of the week to stock his (no women in drug sales) section of the pharmacy, carbon paper we used for processing insurance cards, the Bates automatic numbering stamp… I remember when we kept alphabetized cards for each patient in files to record new prescriptions and information, and we documented by hand on the backs of prescriptions the dispensed drugs.
After graduating pharmacy and doing a residency at a VA hospital/nursing home, one of the projects was following up on a heat lamp and Mylanta treatment of bedsores.
Do you remember PPIs were developed and found so effective that ulcers were finally being cured?
Do you remember pink Nipride drips?
Do you remember when Activase was being studied and found to have excellent results in AMI and strokes, and how it was being doled out at first, and how maddening it was that it was so expensive and restricted its use was at first?
What is in store for the medical profession of the future?
The Nerdy Nurse
December 29th, 2011 at 10:43 pm
You’re not only going to be around to see it, you’re gonna be doing it girl!
The future is now my lady and we’re going forward with technology and innovation by leaps and bounds! Hold on tight, it’s going to be fast fast ride!
Jo
January 4th, 2012 at 12:52 pm
Ah, the good old days. I too remember a world without CT/MRI scans. Then when the hospital did acquire a CT scanner, they had only on-call staff to run it, since new-fangled CTs were seldom ordered! Also during training, I recall glass IV bottles and rubber, re-sterilizable NG tubes! It does seem strange now.