ZippyGBR BSN, RN

Spinal Cord injuries, Emergency+EMS

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All Content by ZippyGBR

  1. ZippyGBR

    We may need fewer nurses in the hospital...

    as they are in the Uk where even if someone delivers in a consultant led unit their primary professional caregiver will be a midwife and on discharge from hospital themidwifery service is...
  2. ZippyGBR

    looking up a patients arrest records?

    nice to see that the land of the 'free' is it's usual small minded petty self as usual, the land of the free, if you can afford it and 'fit in' with the views of the bigot in the street ? with...
  3. ZippyGBR

    U.k nurse employment

    you'd need to have demonstrable current experience and quals to get in under shortage
  4. ZippyGBR

    Registration with NMC

    outside the two subspecialities which remain on the Shortage occupations list you would have to be an exceptional candidate ( and better than any EU or existing work permit holder) to get tier 2...
  5. ZippyGBR

    U.k nurse employment

    Qualified Perioperative Registered Nurses are still a shortage occupation
  6. ZippyGBR

    working on Guernsey Channel Island

    I believe it's residential permits rather than work permits per se - iirc single / unaccompanied staff aren't limited if they stay in hospital accomodation
  7. ZippyGBR

    Frontline staff to lose jobs

    there are more neurosurgery units than Spinal injuries centres and then when you add in the Orthopods who do spines we cast far and wide - who does 'necks' in your trust neurosurg or ortho
  8. ZippyGBR

    Frontline staff to lose jobs

    have they or are you forgetting that many of the patients we currently see would already have been dead in the old days ? the acutiy of the average inpatient unit today is ten or more times...
  9. ZippyGBR

    Frontline staff to lose jobs

    welcome to the house of fun ... although i don't work on a neurosurgery unit i see plenty of patients who have been through neurosurgical units please please please 1. realise that neurological...
  10. ZippyGBR

    Verbal orders vs Telephone orders

    attack is the best form of defence - incident form it before the doc gets his spin on
  11. ZippyGBR

    Verbal orders vs Telephone orders

    in the UK there is always a middle grade presence on site in an acute hospital ... even the smallest site in our trust which as only about 60 overnight beds has a middle grade available via it;s...
  12. ZippyGBR

    We may need fewer nurses in the hospital...

    put the shrouds down a moment ... If you look at the UK for a moment there has been a steady decrease in Acute hospital beds and consequently staff to staff those beds, but this is countered with...
  13. , why do you think they never swab staff? unless you are due to have an invasice procedure or are admitted I suspect a lot of people working in healthcare are colonised ... but how much MRSA is...
  14. ZippyGBR

    Anti-Intellectualism/Autonomy in nursing

    Perioperative Nurses and Neonatal ICU are still on the Shortage occupation list for tier 2 sponsorship ......
  15. ZippyGBR

    Anti-Intellectualism/Autonomy in nursing

    in the evil Socialist NHS, Nurses can order lab tests and we can order imaging if we are IR(ME)R trained
  16. ZippyGBR

    Anti-Intellectualism/Autonomy in nursing

    depends on the legal basis of standing orders for medications, as in the UK if you are working to a PGD it is your accountability for making the clinical decision to initiate
  17. ZippyGBR

    Blood transfusion

    30 minutes from the fridge to infusing , max of 4 hours to infuse, realistically the time from fridge to vein is less than that even if you have to go to the fridges 4 floors from the
  18. often this is going to be for people who've had a catheer for a while and/or have neurological issues step one - explain the process and gain consent ! step two - put a catheter valve on step three...
  19. ZippyGBR

    Accidentally gave an IM intradermally

    intradermally ? or sub-cut ? an unknown proportion of IM injections are given as deep SC injections in people who are not skinny ... becasue you never really know how think the SC fat is
  20. ZippyGBR

    UK Cost of Living and Band 5 Salary

    1. UK salaries are quoted as basic salaries i.e. excluding Unsocial hours payments. 2. if you are looking in the south east some places have London weighting or a long term recruitment and...
  21. ZippyGBR

    Questionable decision

    not in the USA becasue if Doctors and adminstrators waited for simple test results they wouldn't bew able to deliver 'the standard of care' required to line their pockets from unnecessary...
  22. tube tie / conforming bandage .... handle and blade choice are to some degree a provider dependent option
  23. ZippyGBR

    Coding visitors?

    Try that it's BOHICAWOKY time, you have a professional responsibility to give emergency care, yes you'd call 911/999/112 or whatever the local number for accessing EMS is but meanwhile you should act...
  24. ZippyGBR

    Tips for a band 6 interview

    probably better posted in the UK nursing
  25. ZippyGBR

    Nursing Priority vs First nursing action

    management priorities of the unwell patient Airway- Breathing- Circulation Oxygen is a 'breathing' intervention it's also quicker than going and drawing up the furosemide and administering it...