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The World of Nursing: Then and Now

Pam Cipriano, PhD, RN, FAAN, NEA-BC Editor-in-chief | American Nurse Today

The Nurse List

In keeping with the spirit of Beloit’s Mindset List, I offer some observations about nursing care from the 1970s to the present.

In the 1970s:

  • Nurses lived and died by the Kardex, a folded card-stock roadmap to all things for the patient, completed in pencil and continuously crossed out or erased and updated.
  • Universal precautions didn’t exist.
  • Electrophysiology studies were done at the bedside to discover and treat arrhythmias.
  • GI bleeds were managed by inserting tubes with balloons (attached to football helmets) to tamponade varices.
  • Warm-water-heated metal bedpans were used for patient comfort.
  • Central venous pressure was measured with water manometers.
  • Nurses used the second hand of a wristwatch to calculate I.V. drip rates.
  • White oxford lace-up shoes were the norm for nurses.
  • Only operating-room (OR) staff and physicians wore scrubs.
  • Vital signs recording required a three-colored pen to reflect the three different shifts.
  • Nurses mixed antibiotics without pharmacist assistance.
  • Nurses became proficient in I.V. sticks by practicing on one another.
  • Patients were weighed manually.
  • Requisitions were completed on typewriters.
  • Public health meant well-baby check-ups at the new mother’s home.
  • Grandma died at home.
  • Patients heading for the OR had their body hair shaved with hand razors.
  • Most surgery patients were admitted to the hospital the night before.
  • Nursing caps were still popular.
  • The Physician’s Desk Reference and the U.S. Pharmacopeia, chained to the desk, were the common drug references.
  • Nurses carried trays with cups of pills and med cards.
  • Cancer was a death sentence.
  • Staff and patients smoked in the hospital.



The Nurse List Now →

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