ZippyGBR BSN, RN

Spinal Cord injuries, Emergency+EMS

Member

  • Content

    1,038

  • Visitors

    11,475

  • Followers

    0

  • Likes

    15

All Content by ZippyGBR

  1. ZippyGBR

    Can you piggyback critical meds like IV Potassium or Mag at your hospital?

    ZippyGBR replied to UM Review RN's topic in Patient Medications

    Once again i am amazed that people are still routinely mixing or piggybacking Potassium solutions rather than using pre-mixed , it is extremely rare outside of critical care in the UK for anything...
  2. ZippyGBR

    My patient takes ibuprofen for sinus congestion!

    ZippyGBR replied to Blackheartednurse's topic in Patient Medications

    Ibuprofen and Pseudephedrine is a routine combination in most places , it' what i take for sinus pain + congestion well sometimes i use decongestant sprays instead ... i'm not sure what the OP's issue...
  3. ZippyGBR

    Our new hire, new grad charge nurse

    ZippyGBR replied to kimbo9's topic in General Nursing

    do you actually mean Charge Nurse ? or just Nurse in charge
  4. ZippyGBR

    Restraint-free facility = FALLS GALORE

    ZippyGBR replied to TheCommuter's topic in Geriatric, LTC

    side rails are and yet are not restraints the USA remains unique in the acceptability of tying people up for the sake of 'safety' or lawsuit avoidance, as has been seen with previous discussions...
  5. ZippyGBR

    Is this the beginning of the end of the NHS?

    ZippyGBR replied to XB9S's topic in International Nursing

    It's not a disciplinary in policy i am aware of ... although eventually the attendance management process can result in a capability hearing over attendance which may result in dismissal, and...
  6. ZippyGBR

    Is this the beginning of the end of the NHS?

    ZippyGBR replied to XB9S's topic in International Nursing

    the key issues with private run provider units is that the contracts with the commissioners need to be written properly - this is where the issue arises most of the time financial decisions will...
  7. ZippyGBR

    post code icu stay mandatory?

    ZippyGBR replied to RN2B123's topic in General Nursing

    last cardiac arrest i had patient arrested on the unit, pulseless VT shock and one 2 minute set of CPR - ROSC, and attempts as ROSR then , assisted vents until ROSR - Emergency transfer for PCI then...
  8. ZippyGBR

    rotating shifts

    ZippyGBR replied to BettyBoop01's topic in General Nursing

    i agree with that rotating shifts however needs the majority of staff to be working rotating shifts and it needs staffing to be determined by skill mix i.e. safe staffing on all shifts rather...
  9. ZippyGBR

    morphine,dilaudid,demerol

    ZippyGBR replied to EJSRN's topic in Patient Medications

    from the UK perspective Morphine is the opiate that is usually prescribed as a strong opiate - primarily because in relative terms it is very very cheap ( pennies per 10 mg ampoule) also MR...
  10. ZippyGBR

    What do you say to depressed/anxious patients?

    ZippyGBR replied to gymnut's topic in General Nursing

    often being able to take the time to stop and sit and listen to someone can be very valuable, especially if the unit is high in acuity and often people are buzzing around job to job with a broom...
  11. ZippyGBR

    did a bad check ruin everything?

    ZippyGBR replied to maas's topic in General Nursing

    once again 'the land of the the free' demonstrates it's ridiculous obsession with the minutiae of process... and why on earth is a in depth credit check part of the 'background' checks ... it's not...
  12. ZippyGBR

    Pain Management - Is It An Important Focus Of Medical Care?

    ZippyGBR replied to ParamedicFNPwantabe's topic in General Nursing

    I don't know what planet or century you are posting from, but health professionals make determinations of patient condition all the time, it's pussyfooting around the issue to suggest that only...
  13. ZippyGBR

    Pain Management - Is It An Important Focus Of Medical Care?

    ZippyGBR replied to ParamedicFNPwantabe's topic in General Nursing

    I'd be interested to note what 'critical symptomology' is masked by appropriate pain relief ( vs snowing the patient to next february) From my right-pondian perspective it seems that pain...
  14. ZippyGBR

    respiratory arrest

    ZippyGBR replied to krissy29RN's topic in General Nursing

    in the anaesthetic room perhaps ? although it would be a brave or stupid practitioner that waited 10 minutes before intervening ... or as others have said free diving etc
  15. ZippyGBR

    Tape on the ET tube tearing skin

    ZippyGBR replied to canesdukegirl's topic in General Nursing

    what happened to tying the the ET with a proper ET tube tape or a 2in conforming bandage
  16. ZippyGBR

    is a BSN going to soon be required?

    ZippyGBR replied to JeniRN's topic in General Nursing

    famous last words, especially as the UK will be graduate entry only in the 5 years
  17. ZippyGBR

    NRB & COPD your input please

    ZippyGBR replied to crb613's topic in Emergency

    i've fixed some of the dangerous statements the fact is that if someone's po2 is dangerously low they need oxygen hypoxaemia will kill before hypercapnia someone in this much respiratory...
  18. ZippyGBR

    ER. A Clinic?

    ZippyGBR replied to JSlice.'s topic in Emergency

    this is a significant issue for the USA , it doesn't however mean that ED misuse is eliminated in a 'free at the point of delivery' system. but at least in the UK we have the option to triage into...
  19. ZippyGBR

    On a spousal visa, treated as any other UK/EU citizen?

    ZippyGBR replied to babyNP.'s topic in International Nursing

    3 year degrees are the norm in the UK, none healthcare subjects will do a 30 something week academic year though A levels probably are more intense than some places school leaving exams primarily...
  20. ZippyGBR

    On a spousal visa, treated as any other UK/EU citizen?

    ZippyGBR replied to babyNP.'s topic in International Nursing

    that's entirely realistic, because that's exactly what we do 156 week programme, 21 weeks of leave , 67 weeks of placements, 68 weeks of Classes
  21. ZippyGBR

    Nurse full time means?????

    ZippyGBR replied to Darkpk55's topic in General Nursing

    we do that on nights, but we are a tertiary unit and usually we are fairly settled from 0000- 0200 and 0200- 0600 so it;s tolerable if you can sleep in the day , i find 3 12 hour days hard work and...
  22. ZippyGBR

    Suggestions for giving Pentasa via G-Tube

    ZippyGBR replied to brandik's topic in General Nursing

    i think jerzytechs idea has some merit, as i recall doing similar before with that kind of med large enteral syringe , pour the med in , then replace the plunger expel the air fill, with water and...
  23. ZippyGBR

    Difference between nursing in the UK vs nursing in the US?

    ZippyGBR replied to Skwidward's topic in International Nursing

    status in what sense ? a lot of the stuff that was seen as 'new' 4 years ago when the thread was started is more and more normal now unless you are an EU passport holder you have a fairly slim...
  24. ZippyGBR

    RN to Paramedic in the UK

    ZippyGBR replied to Harold1981's topic in International Nursing

    most of the Nurse to Paramedics i know in the UK made the switch to working for an ambulance service or doing a pre-reg paramedic degree as their 'main' role and then did bank / agency as an RN...
  25. ZippyGBR

    I need two people to respond to this question about nurses and attire.

    ZippyGBR replied to Spikey9001's topic in General Nursing

    i suspect like me (and in my previous post agreeing ) the post who said none of the above feels that a pressed uniform which is not necessarily all in white but is common across the facility and...