History of Perioperative Nursing
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Transcript of 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!