History of Perioperative Nursing

8/3/2019 History of Perioperative Nursing

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The History of PerioperativeNursing

By: Ruth Crothers, RN BSN CNOR RNFA


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Why Care About The History of

Nursing?

You have to know who you are and where

you come from.

If you dont know where you come from, how

do you know where you are going?

F. Fleisher, The Jazz Singer-1980


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Leg Surgery Performed

in the Kitchen

Hand Washing & Boiling of Instruments Practiced Much Later

Eye Surgery in the

City Plaza


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Early Neurosurgery 1561


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Women Go To War

Early recognition ofthe importance ofhand washing.

Gradually, cloths,instruments anddressings weremeticulously cleaned.

The practice ofasepsis wasadvanced.


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Due to the Influence ofLouis Pasteur, Various

Types of Sterilizers Were Developed and Asepsis

Became the Standard


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Civil War Nursing

Anesthetics allowed

for more complicated

surgeries.

Fatal infections

occurred in more than

30% of patients.

D

raining of incisionsbegan around 1860 to

treat infections.


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The Agnew Clinic1899


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In 1891, rubber gloves were introduced and

later the face mask was adopted

Spanish-American

War 1899


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Positioning Patients in the 1800s

OR Table 1850

Gyne Chair 1878


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OR Nursing Late 1800s

Operating Room Theatre1898

Operating Theatre 1897

In 1901 the four blood groups were identified for blood transfusions.


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OR Nursing in the 1890s

The student nurse was responsible forsterility of equipment.

She prepared the room, scrubbed the floorand walls with antiseptics.

Dressings were boiled, soaked andwrapped in antiseptic towels or large glass

jars. She prepared everything that was needed

including.


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Surgical Supplies

Hot water bottle

Stimulants

Clean towels

Soft rags Lint

Basins

Pails

Hot and cold water

Bran

Sticking plaster

Carbonized water

Ice

Pins

Needles

Silk Petroleum jelly

Soap

Oil silk

Sponges

Rubber blanket

Pillow

Sheet to cover patient


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OR Nursing Education

The nurse was to read nomedical books. Nursingtexts did not exist.

If she wishes to be a

physician, she should goto medical school.

Nurses who readmedical books areoverburdening theirbrains.

In any case, anyinformation read wouldnot be rememberedovernight.


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World War I


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OR Nursing France 1918

Administered

Anesthesia

Sutured and Tied

Placed Drains

Removed Dead and

Devitalized Tissue


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OR & Anesthesia-First Nursing

Specialties


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Surgery 1918


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Surgical Gloves

Choosing gloves for an Appy

1941

Recycling Gloves


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Surgery Prep 1940s


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X-ray Department 1940s


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WWII Nurses


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World War II


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World War II Nurse POWs


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New Professionalism


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Instrument Nurses 1950s


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Surgical Bunker - Korean War


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Korean War OR


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M.A.S.H. Images of Nurses


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Margaret Hotlips HoolihanA True Perioperative Nurse

Major Hoolihans image

evolved much like the image of

nursing.


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Surgery Team 1960s


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Nursing Images of Viet Nam War

Capt Eleanor Grace Alexander,US Army, BSN, RN, Age 27Died in aircraft crash on11/30/1967, Central Highlands,Republic of VietnamHer remains were guarded bySgtW. J. Doyle, Jr, USAF, at

Dover AFB, DE Mortuary


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Operation Desert Storm


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Student Nurses in the OR

Most nursing curricula offered 12-

16 weeks perioperative experience

Students were exposed to

the practice of

perioperative nursing


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1984 Survey of 1400 Schools

16.6% offered

perioperative nursing in

basic curriculum

13.3% reportedintegration of

perioperative nursing as

elective

67% had no perioperative

content

Virtually no perioperative

experience offered today.


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Welcome To Perioperative Nursing!

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History of Perioperative Nursing

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