ZippyGBR BSN, RN

Spinal Cord injuries, Emergency+EMS

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All Content by ZippyGBR

  1. ZippyGBR

    Capturing Charges on Nursing Units

    ZippyGBR replied to themurseman's topic in General Nursing

    do they have a barcode ? - 'check 'em out ' with a zapper ! our supplies on top up are 'zapped' from a ordering list either in a folder or on the shelf / draw same for pharmacy stock items - the...
  2. ZippyGBR

    How easy is it to lose your nursing license?

    ZippyGBR replied to Ted D's topic in Nursing Career

    Oxynorm = Oxycodone 'immediate release' , Oxycontin Modified relase , the ONLY meds that are allowed to be prescribed by Brand name in the trust i work for . the regular script should be Oxycontin...
  3. ZippyGBR

    What age will you retire?

    ZippyGBR replied to phlox's topic in General Nursing

    unless they substantially change the NHS pension system i'll be working to 64 to get full
  4. ZippyGBR

    Time to call a duck a duck?

    ZippyGBR replied to eriksoln's topic in Nursing Professionalism

    - Controlled by others ? is this really the case or is this only the case in the USA where who can bill rules all ? In the UK we have executive Directors of Nursing on the board of the vastest...
  5. ZippyGBR

    intravenous diazepam

    ZippyGBR replied to rjrule's topic in Emergency

    emulsion or the oily IM only stuff ? the policy ofthe trust i work for and of others in the locality aswell as the JRCALC paramedic guidelines is that only Daizempan emulsion should be given IV...
  6. ZippyGBR

    What are some reasons to restrain a patient?

    ZippyGBR replied to Poi Dog's topic in General Nursing

    The one and only acceptable answer in a civilised world is as a last option to prevent someone from harming themselves or others. Provider convenience is not a valid reason and it is notable that...
  7. ZippyGBR

    Let's keep grandma/grandpa alive until after the holidays

    ZippyGBR replied to dzadzey's topic in General Nursing

    I thin ruby's post immediately above just sums it all up ... futility is best decided by clinicians, if you want a cross check then you mandate that the decision on futility is confirmed by another...
  8. ZippyGBR

    questions about hoist and hook

    ZippyGBR replied to comnursesall's topic in General Nursing

    this may sound facetious but how about the documentation supplied by the manufacturers of the hoists and slings in use
  9. ZippyGBR

    questions about hoist and hook

    ZippyGBR replied to comnursesall's topic in General Nursing

    even though they are missing out on a billing opportunity ? we haver single patient use slings that are binned on discharge or if contaminated / damaged just to rub it in 6 out of 8 single rooms and...
  10. ZippyGBR

    Cop to Nurse resume questions

    ZippyGBR replied to bds165's topic in General Nursing

    teamwork communicating with the public at times of high stress for them - e.g death messages and other breaking bad news
  11. ZippyGBR

    questions about hoist and hook

    ZippyGBR replied to comnursesall's topic in General Nursing

    sling sizing depends on the build, body habitus and size of the patient - too small a sling and they simply won't fit - too large a sling or misplaced sling you can slide out bottom first again...
  12. ZippyGBR

    How to resign

    ZippyGBR replied to dixiebelleRN's topic in General Nursing

    brief to the point and professional, if you have genuine praise for the team and your supervisors a brief mention of this in your resignation letter is fine. If there's (legitimate) dirt to dish do...
  13. ZippyGBR

    nurse vs number of employees

    ZippyGBR replied to hannor's topic in General Nursing

    health and safety manager ? emergency and major incident policies ? what is the process that is so hazardous ? does come under the local equivalent of COMAH ( control of major accident hazards) ?...
  14. ZippyGBR

    To digitally disempact or not?

    ZippyGBR replied to TonyaM73's topic in General Nursing

    as nurse who works with SCI patients, the ignorance of other healthcare providers over manual evacuation is sometimes shocking , despite the existance of the NPSA alert and ther requirements that...
  15. ZippyGBR

    Are there any camps that hire student nurses?

    ZippyGBR replied to SingDanceRunLife's topic in Camp

    from a clinical you are only a 'Student Nurse' when you are on placement .... as other posters have suggested there may be roles which being a student health professional give a good preparation for...
  16. ZippyGBR

    Older nurses taking forever to computer chart

    ZippyGBR replied to Giga's topic in General Nursing

    I'm in my early- mid 30s and perhaps towards the 'leading edge' age wise of ' kids who grew up with computers' certainly the computer ( BBC B or Master) in the class room was routine part of my...
  17. ZippyGBR

    Prescription narcotics or benzodiazepines while working?

    ZippyGBR replied to FireStarterRN's topic in General Nursing

    rationale, with evidence based supporting a total ban please ? or doesn't that apply becasue it's about
  18. ZippyGBR

    Prescription narcotics or benzodiazepines while working?

    ZippyGBR replied to FireStarterRN's topic in General Nursing

    Addiction is extremely rare in those taking opiates for pain - especially over short to medium term use vs recreational users, and even then the physical addictiveness potential of opiates used...
  19. ZippyGBR

    Prescription narcotics or benzodiazepines while working?

    ZippyGBR replied to FireStarterRN's topic in General Nursing

    this all part of a sensible and balalnced risk assesment based post , and don't forget i'm the one posting from the place with very good sick benefits and need ( i.e. per medical recommendation and...
  20. ZippyGBR

    Prescription narcotics or benzodiazepines while working?

    ZippyGBR replied to FireStarterRN's topic in General Nursing

    does it actually say you cannot take them if you are an RN ? no it doesn't .... does it ? final answer ? go 50/50 ? ask the audience ? ring your dealer ? it's about recognising your own...
  21. ZippyGBR

    Prescription narcotics or benzodiazepines while working?

    ZippyGBR replied to FireStarterRN's topic in General Nursing

    aaaaggggghhhh! once again complete and utter ignorance of risk assessment as a concept and the advice of Occupational Health NPs /Docs. no doubt some of you would ban me from working becasue i take a...
  22. ZippyGBR

    Looking for a hospital with units that have multiple levels of acuity

    ZippyGBR replied to nurse nancy k's topic in General Nursing

    As a regional Spinal injuries unit we have the full range of patients from new acutes or newly post op following big sore repairs / urology/ intrathecal pump insertions through to the independant...
  23. ZippyGBR

    Nursing in the next 10 years

    ZippyGBR replied to linguine's topic in General Nursing

    as it is already in parts of the Uk (wales) and will be i nthe next few years across the whole Uk quite possibly, makes me glad that the Uk hasn't gone down the pyxis machine route for meds and...
  24. ZippyGBR

    Let's keep grandma/grandpa alive until after the holidays

    ZippyGBR replied to dzadzey's topic in General Nursing

    at what point does the futility of prolonging treatment and clinical best interests of the patient come second to the wishes of family ? the ultimate accountability for the decision making process...
  25. ZippyGBR

    Worried about other than honorable discharge after 20 years.

    ZippyGBR replied to NurseJZ's topic in General Nursing

    the OP is not a deserter ... AWOL but not a deserter it's only desertion if you leave the field of battle , although latterly it's extended to include those warned off for deployment. OP when if ever...