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The History of Perioperative

Nursing
Leg Surgery Performed
in the Kitchen Eye Surgery in the
City Plaza

Hand Washing & Boiling of Instruments Practiced Much Later


Women Go To War
• Early recognition of
the importance of
hand washing.
• Gradually, cloths,
instruments and
dressings were
meticulously
cleaned.
• The practice of
asepsis was
advanced.
Due to the Influence of Louis Pasteur, Various Types of
Sterilizers Were Developed and Asepsis Became the
Standard
Civil War Nursing
• Anesthetics
allowed for more
complicated
surgeries.
• Fatal infections
occurred in more
than 30% of
patients.
• Draining of
incisions began
around 1860 to
treat infections.
In 1891, rubber gloves were introduced
and later the face mask was adopted

Spanish-American
War 1899
Positioning Patients in the
1800s

Gyne Chair 1878 OR Table 1850


OR Nursing Late 1800s
Operating Room Theatre
1898

Operating Theatre 1897

In 1901 the four blood groups were identified for blood transfusions.
OR Nursing in the 1890s
• The student nurse was responsible
for sterility of equipment.
• She prepared the room, scrubbed the
floor and walls with antiseptics.
• Dressings were boiled, soaked and
wrapped in antiseptic towels or large
glass jars.
• She prepared everything that was
needed including….
Surgical Supplies
• Hot water bottle • Ice
• Stimulants • Pins
• Clean towels • Needles
• Soft rags • Silk
• Lint • Petroleum jelly
• Basins • Soap
• Pails • Oil silk
• Hot and cold water • Sponges
• Bran • Rubber blanket
• Sticking plaster • Pillow
• Carbonized water • Sheet to cover patient
OR Nursing Education
• The nurse was to read
no medical books.
Nursing texts did not
exist.
• “If she wishes to be a
physician, she should
go to medical school.”
• “Nurses who read
medical books are
overburdening their
brains.”
• “In any case, any
information read
would not be
remembered
overnight.”
OR Nursing France 1918
• Administered
Anesthesia

• Sutured and Tied

• Placed Drains

• Removed Dead and


Devitalized Tissue
OR & Anesthesia-First Nursing
Specialties
Surgical Gloves

Recycling Gloves

Choosing gloves for an Appy


1941
Surgery Prep 1940s
X-ray Department 1940s
Instrument Nurses 1950s
Surgery Team 1960s
Student Nurses in the OR
Most nursing curricula offered 12-
16 weeks perioperative
experience

Students were exposed to


the practice of
perioperative nursing
Welcome To Perioperative
Nursing!

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