Gillian Goodwin - quality improvement nurse
In the lead up to International Nurses
Day this Saturday, Gillian talks about her
nursing career at The Christie over four decades. Each day this week Gillian
will share her experiences by each decade.
I have worked at The Christie as a nurse for more than 34 years and have seen many changes along the way; not just the many patients and colleagues who have come and gone, but the changing fabric of the buildings and the ever advancing treatment technologies and nursing practices. What has not changed, however, is the Christie ethos of always putting patients at the centre of everything we do. I witnessed this myself as a Christie patient back in 1982 and realised that The Christie was where I wanted to launch my nursing career. So in September 1983 I arrived at the Christie as a newly qualified staff nurse and have been here ever since!
I have worked at The Christie as a nurse for more than 34 years and have seen many changes along the way; not just the many patients and colleagues who have come and gone, but the changing fabric of the buildings and the ever advancing treatment technologies and nursing practices. What has not changed, however, is the Christie ethos of always putting patients at the centre of everything we do. I witnessed this myself as a Christie patient back in 1982 and realised that The Christie was where I wanted to launch my nursing career. So in September 1983 I arrived at the Christie as a newly qualified staff nurse and have been here ever since!
The 1980s
So what was
The Christie like back in 1983? The hospital was managed by the local (South
Manchester) health authority along with Withington and Wythenshawe hospitals
and certainly did not enjoy the financial freedoms we have today.
This was eight
years before the advent of NHS trusts. There were a lot more inpatient beds
back then and there was just a fraction of the ambulatory activity we see
today. The wards in the older part of the building – 1, 2 (now OAU), 3, 4 and 5
(now endocrine unit) were all long ‘Nightingale’ style wards with beds running
along each side of the ward. The bed spaces still bore the wooden and brass
plaques on the wall in recognition of the group or individuals that funded the
first bed in the particular space in pre-NHS days. Ward 4 bore a plaque at the
ward entrance to commemorate the ward being opened by the Duchess of York
(later to become The Queen Mother), all sadly lost in
subsequent refurbishments.
Every ward had a cupboard somewhere for storing the
nurses’ paper hats which invariably tumbled out every time the cupboard door
was opened!
Back in 1983,
the ‘nursing process’ (holistic model of nursing care) was just six years old and
was the nursing model used only on the Christie wards that had students. Other
wards still operated a task orientated style of nursing which seemed archaic to
my novice eyes. I thought ‘back rounds’ (backs and bottoms washed, rubbed,
powdered one after the other) were a thing from the distant past
Much of the
trust activity in 1983 centred on radiotherapy and surgery, with chemotherapy a
much smaller service in its relative infancy. While the risks associated with
radiation were well known, and we all had the inverse square law (distance) and
time drilled into us, the same cannot be said for chemotherapy where personal
protective equipment was unheard of!
Advances in
cancer therapies have, in subsequent decades, seen the demise of some of the
treatments offered to patients in the 1980s. Caesium needles (inserted into
either tongue or rectum) and cobalt moulds (worn externally) have long gone and
patients having abdominal CT scan no longer have the indignity of a warm water
enema prep. Better anti-sickness medications have replaced the use of sedatives
to enable patients to cope with chemotherapy regimens, allowing them to eat and
drink properly. Our young men with teratoma had a difficult time back then.
In 1983 the
hospital had one specialist nurse for delivering chemotherapy on ward 12 – that
was it! Even the stoma nurses who visited wards 9 and 10 on certain days were
based in another hospital. Research nurses were unheard of.
During the early
1980s most nurses lived in dread of ‘The Change List’. Staff nurses were
routinely moved around the wards each month on a completely ad hoc basis and
each month I would scan the list anxiously to check that my name wasn’t on it.
Alas after six months working at The Christie my name appeared. During the 1980s I
gained nursing experience in a number of areas – Ward 4, Ward 1, Ward 3, Ward
5&6, Ward 10 and Radiotherapy Theatre. It was to Ward 4 however that I
returned as senior sister in 1988.
Movement from one ward to another would, in
those days, often be accompanied by a dunking in the ward bath on your last day
on duty. I had the dubious pleasure of this ritual when I left Ward 10 to take
up my promotion on Ward 4!
Tomorrow - the 1990s
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