ZippyGBR BSN, RN

Spinal Cord injuries, Emergency+EMS

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All Content by ZippyGBR

  1. the simple fact is people will take the jobs , they deem the lower pay to be worth it for the regular hours ( and lack of nights, weekends, early starts and late finishes), lack of moving and...
  2. i agree and have never worn any of the options described. when i worked in the OR and one of the emergency depts I worked in i wore scrubs ( plain colours - the OR was green and the ED was mid...
  3. ZippyGBR

    Enough nurses or not?

    save the martyr act , take off the rose tinted spectacles and step away from the keyboard , i've had the misfotune to work with Nurses who adopt this holier than thou attitude and oddly enough they...
  4. ZippyGBR

    Enough nurses or not?

    sounds about right, especially on certain medical wards or certain surgical subspecialities - especially those which kept their own dedicated junior rotas as long as the EWTD allowed it oddly...
  5. ZippyGBR

    Low Census??

    be interested to see how increasing access and roping in the early discharge excesses of some of the insurers will reduce bed days ? this assumes that you aren't in an area with an excess of acute...
  6. that sounds about right bottled water or the stand alone 5 gallon chillers for potable water, wetwipes and spray foam for any essential hygiene and no routine bathing ... you could probably work...
  7. we use the alaris across the trust i work for , sadly the site i work on doesn't have the drip counter ones - the site i used to work at did and to be honest go for the drip counter ones everytime as...
  8. ZippyGBR

    Would you work a shift as an aide?

    exactly the issue arises if you are prevented from acting as an RN when undertaking that role , as you rightly say it's a break/ change/ bit of 'fun' just to be able to do basic nursing care really...
  9. ZippyGBR

    O2 Sat 88%-90%, MD no action, opinions.

    what was the patient's gases ? specifically their PCO2 were there any other subjective or objective signs of respiratory distress or compromise ? if the patient is a known CO2 retainer and known to...
  10. ZippyGBR

    Why bolus with a high BP?

    I agree with Esme high BP does not mean overload, equally low BP does not mean dry as the size of the vessel is variable as well as the pump and the volume of lquid
  11. ZippyGBR

    Residential hospices - open door policies?

    the original Hospice model is based around small, 'homely' inpatient units ... depending on layout there are issues, but there is no reason why a large house could not form the core of an inpatient...
  12. ZippyGBR

    How many nurses?

    a 16 bed ICU should have 16 or 17 nurses - assuming the beds are are level3 critical care beds , or has the issue of the different naming of Critical care beds and levels raised it's head again and...
  13. ZippyGBR

    How do you relax after a hectic shift?

    currently very much liking Glen Ord ( when i can get it ) or Dufftown , though the TCP freaks won't like them as they are low phenol - the glen ord is v low phenol
  14. ZippyGBR

    Can we get rid of the sugar in nursing?

    and the relationships you develop will depend on your field of practice , in a longer term setting you are going to have a different and deeper relationship than in a fast moving setting, we'll not...
  15. ZippyGBR

    How do you relax after a hectic shift?

    a selection of loud music to put inthe CD player i nthe car the love of mrs Zippy and the zippy household cat posting here and a few other places a sensible amount of single malt whisky a comfy bed...
  16. ZippyGBR

    Time to call a duck a duck?

    that's a symptom of the messed up system of healthcare management in the USA ... elsewhere in the civilised World Doctors don't write Orders, they write plans or requests as part of a collaborative...
  17. ZippyGBR

    How many nurses?

    30 beds Spinal injuries unit inc acutes but not ventilatory support earlies 5 to 7 or even 8 RNs + 4 HCAs afters 4or 5 RNs 1 or 2 occasionally 3 HCAs nights 3RNs and 2 HCAs can't go below 4 or...
  18. ZippyGBR

    Time to call a duck a duck?

    the irony of course being Surgery faced exactly the same issues and got over them
  19. first thing to establish is what is meant by 'charge' in this scenario are we talking about a 'shift leader' of what ever grade / rank/ job title - whose responsibility is to coordinate how the unit...
  20. ZippyGBR

    does any nurse do EJ's in the ER

    " medically delegated act " and because of the messed up way in which most US states place restrictions on different groups of health professionals from undertaking interventions regarldess of...
  21. ZippyGBR

    Time to call a duck a duck?

    which is why there are issues with Associates Degree RNs from the USA getting registered in the EU becasue they don't have enough education hours and may not have enough practical hours the EU...
  22. ZippyGBR

    Time to call a duck a duck?

    looking at this from the persepctive of a Uk educated RN who practises in the UK , at least some of the issue is the way in which Nursing i nthe USA is constructed within the Healthcare world, the...
  23. ZippyGBR

    RN to Paramedic Bridge Course

    the issue with intubation is sufficient practice under supervision while acquiringthe skill and then maintaining currency, this is an issue for everyone but anaethestists really, in the Uk there is a...
  24. ZippyGBR

    I am an American.

    nurses have halos , yes, but the are diamond tipped tungsten carbide saw blade edged halos ... like oddjob's bowler hat in the Bond film
  25. totally not a strange request from a tetraplegic patient , especially one whose SCI is at a high level (C5 or