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History of ET Nursing

History of ET Nursing. CAET Academy ETNEP. Early history . References to fecal diversion in Old Testament. Early Surgery. 1776 – French surgeon performed first documented ostomy surgery for bowel blockage. A sponge was attached to the opening with a bandage to absorb any effluent.

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History of ET Nursing

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  1. History of ET Nursing CAET Academy ETNEP

  2. Early history • References to fecal diversion in Old Testament

  3. Early Surgery • 1776 – French surgeon performed first documented ostomy surgery for bowel blockage. A sponge was attached to the opening with a bandage to absorb any effluent.

  4. 1950 - Preparing supplies • Nurse preparing bandages • Ostomy supply cart behind • Frequent dressing changes part of care at Cleveland Clinic, since there were no ostomy pouches

  5. 1950’s • Rags or a tin cup held in place by a leather belt to contain effluent • Patients housebound

  6. 1950’s • Dr. Turnbull enlists Norma as a “stoma technician” to help patients with an ostomy. • Norma Gill enters Cleveland Clinic with ulcerative colitis, meets Dr. Rupert Turnbull and discusses an ileostomy to save her life. • After 9 weeks and several surgeries, Norma begins a new life with an ileostomy.

  7. Bertha Okun First Canadian Enterostomal Therapist • 1957 Ileostomy Surgery for UC • Founder United Ostomy Assoc • Became an ET with Norma Gill • Served 17 hospitals & Clinics in Montreal • Established Montreal Ostomy Center with her Husband • Founded North American Association for Enterostomal Therapists (now WOCN) • Member of CAET in 1982

  8. 1960’s • School of Enterostomal Therapy opens at Cleveland Clinic • Students must have an ostomy but RN not necessary • Development of post-operative pouch, • light weight, low cost, odor barrier plastic ostomy pouches are adapted from the food industry • Skin barriers developed • North American Association for Enterostomal Therapy founded in Cleveland. • Membership 33 therapists

  9. 1960’s • Start of ETs developing expertise in wounds: • ETs asked to consult for veterans returning from Viet Nam with ostomies and wounds. • Wounds next to stomas found to heal under ostomy skin barriers • Dr. Winters investigates moist wound healing

  10. 200th person graduated from ET School 3 Canadians graduated from Cleveland Clinic as ETs German ET School started with help of Dr. Turnbull and Norma Gill Representatives from 32 countries met in 1978 for first WCET meeting 1970’s

  11. 1980’s • 1980 - First Canadian ET School started in Vancouver • Canadian ETs split from IAET to form C AET to address Canadian issues • U of T and Université de Montréal open ET nurse certificate programs • 1982 - Scope of practice expands to include acute and chronic wounds • 1986 - Scope of practice expanded to include continence care

  12. 1990’s • Programs at U of T and Montreal close • Nurses go to the USA for ETN training • 1995 – 55 countries recognize Stoma Therapy Nursing with schools in 21 countries • 1996 - CAET starts bilingual ETNEP

  13. 2000 + • 2007 - CAET- ETNEP goes online • 2008 - ET nursing is 50 years old – one of the oldest nursing specialties! • 2008 - CNA recognition as a Nursing specialty • 2009 – 60 ETNS write the 1st Certification Exam • 2014 – 2nd Canadian Certification Exam • 2016 – Competency redevelopment

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