ZippyGBR BSN, RN

Spinal Cord injuries, Emergency+EMS

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All Content by ZippyGBR

  1. ZippyGBR

    2nd job drawing blood-will i be held accountable as a RN if something were to happen?

    ZippyGBR replied to HickoryRN's topic in General Nursing

    Interestingly in the UK it;s the reverse if you work in a non-registered Role your employer must be informed you have registration and that you are professionally obliged to act to that level should...
  2. ZippyGBR

    Bands- what does it mean?

    ZippyGBR replied to Caninen's topic in International Nursing

    to add to what silverdragon said , job descriptions across the NHS are bended by scoring the job requirement against levels in 13 domains , this creates a point score , points mean prizes, the higher...
  3. ZippyGBR

    How to advance to middle management in nursing

    ZippyGBR replied to rngreenhorn's topic in General Nursing

    step 7 be prepared to earn less than your underlings ... ( to earn what i earned in 2010-11 in a management role i'd need to be 4 or 5 increments up band 7 and I haven't topped out band 5
  4. ZippyGBR

    Difference between EKG and telemetry?

    ZippyGBR replied to stellaRN1983's topic in General Nursing

    telemetery or wired monitoring will only be 3 or 5 lead vs the routine 12 lead ecg and additional views that you can do with a 12 lead ( e.g. V4r or full Right sided 12 , posterio views '15-lead'...
  5. ZippyGBR

    Not scared of the doctors

    ZippyGBR replied to noyesno's topic in General Nursing

    Doctors behave as badly as Nurses let them ... leaving aside the doctor = earner - nurse = cost BS that perpetuates in the US , if Doctors are tardy, rude or plain unnecessary on the phone /in...
  6. ZippyGBR

    Patients dead from infected IV's....

    ZippyGBR replied to MassED's topic in General Nursing

    i have some woosh for you here, the comment was to address the casual racism of the person who assumed that the bags must have been made and sterilised by dirty natives in the third world because...
  7. ZippyGBR

    Patients dead from infected IV's....

    ZippyGBR replied to MassED's topic in General Nursing

    but where are they cleaned and sterilised ? i would suspect it may be more cost effective to ship them in bulk non sterile then clean and disinfect before filling and sterilise
  8. ZippyGBR

    Nurses with C-diff?

    ZippyGBR replied to Cat_RN's topic in General Nursing

    exactly, the biggest risk is 'picking it up' literally when you have an outbreak in the clinical area you work in
  9. ZippyGBR

    Frontline staff to lose jobs

    ZippyGBR replied to XB9S's topic in International Nursing

    HR are an essential support service , the cuts in management need to be 'assistant patient services managers' on band 7 'service management assitants' on bands 5 and 6 i.,e. the clipboard...
  10. ZippyGBR

    Frontline staff to lose jobs

    ZippyGBR replied to XB9S's topic in International Nursing

    the Dear Leader ( Bliar) and the Glorious Leader (bottler Broon) are morons, what they did in 13 years of liarbore mis-rule created the unsustainable situation we are in today, it's the political...
  11. ZippyGBR

    Carry a stethoscope without hanging it on neck

    ZippyGBR replied to jalainec's topic in General Nursing

    cargo packet on my trousers when doing the pre-hospital care / EMS stuff, tunic pocket or at the station when doing the hospital
  12. ZippyGBR

    I hate what's happening to nursing...

    ZippyGBR replied to nyteshade's topic in Patient, Colleague Relations

    a lot of people seem to have missed the point i was making 'scripts' in the broadest sense do have their place in healthcare - as do Call and Response checklists etc. what does not have a place in...
  13. ZippyGBR

    I hate what's happening to nursing...

    ZippyGBR replied to nyteshade's topic in Patient, Colleague Relations

    the fundamental issue with scripting interactions is that when how closely you adhere to the script becomes part of the metric it's a broken idea. yes Doctors use scripts but it's not the sum total...
  14. ZippyGBR

    Differences between Canadian and USA nursing?

    ZippyGBR replied to Cinquefoil's topic in General Nursing

    CCU is a critical care area , single rooms in critical care areas are for infection control reasons or billing not necessarily for safe and appropriate care define' fancy' beds, I'm sure they were all...
  15. ZippyGBR

    Differences between Canadian and USA nursing?

    ZippyGBR replied to Cinquefoil's topic in General Nursing

    saying neither , much as in the NHS is it an emergency ? can it wait for the first available ?, is it urgent ? or routine ? PCI is a classic example or any surgical procedure ... if you are infarcting...
  16. ZippyGBR

    Another Five Star Management Decision!

    ZippyGBR replied to Ruby Vee's topic in General Nursing

    and sit back with the popcorn, watch the damagement try and squirm out of a improvement notice to buy a load of hoists ...
  17. ZippyGBR

    Another Five Star Management Decision!

    ZippyGBR replied to Ruby Vee's topic in General Nursing

    it's what slide sheets are for and things like the rotherham roamer http://www.johnpreston.co.uk/pictures/items/4/8/5/100584/slippy_mattress_covers_rotheram.pdf and making use of all the adjustments...
  18. ZippyGBR

    Another Five Star Management Decision!

    ZippyGBR replied to Ruby Vee's topic in General Nursing

    you ring whale and dolphin rescue
  19. ZippyGBR

    Another Five Star Management Decision!

    ZippyGBR replied to Ruby Vee's topic in General Nursing

    yep we've got tracking hoists that serve 32 of our 34 beds on the unit i work on and 3 ordinary hoists, a scoop hoist and 2 standing hoists ... but then again that's part of the problem of working...
  20. ZippyGBR

    Do CNAs make for better nursing students?

    ZippyGBR replied to kool-aide, RN's topic in General Nursing

    as long as they can get their head into 'RN' mode then yes having direct care experience can and does help especially in the early placements because you are not grossed out by a bed full of poop...
  21. ZippyGBR

    Wound Vac Tips and MRSA sterile dressing

    ZippyGBR replied to garciadiego's topic in Wound, Ostomy, Continence

    KCI make the best vac out there, simple as ... the trust i work for has tried the others and we've struck with KCI simply because any thing you save with other machines is lost in the cost of...
  22. ZippyGBR

    use of liquid adhesive with wound vac drape?

    ZippyGBR replied to Chris81's topic in Wound, Ostomy, Continence

    have you tried the gel strips that KCI produce for use with their VAC drape, I've used them on that kind of area and it works , if you are going to use anything not specifically designed for the...
  23. ZippyGBR

    who should do the ambubagging during xray and ctscan procedures?

    ZippyGBR replied to ian04's topic in General Nursing

    when I worked in theatres if we xrayed in theatre and it didn't need the operating team to be by the patient we'd be across the other side of the OR even if scrubbed and wearing lead and anyone not...
  24. ZippyGBR

    Is nursing "care" a thing of the past?

    ZippyGBR replied to AnneBlunnRN's topic in General Nursing

    which demonstrates yet another reason why the US system is failing and how the absence of the 'earner' vs 'cost' divide in UHC systems allows for a fuzzier system where quality of all aspects of care...
  25. ZippyGBR

    Is nursing "care" a thing of the past?

    ZippyGBR replied to AnneBlunnRN's topic in General Nursing

    our Housekeepers will answer the class especially if they are in or aobut to go into the room and will do definitely none clinical things ( pass the remote control, pass a book or packet or sweets,...