ZippyGBR BSN, RN

Spinal Cord injuries, Emergency+EMS

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All Content by ZippyGBR

  1. ZippyGBR

    Biggest Misconception about nurses you've heard

    ZippyGBR replied to dinah77's topic in General Nursing

    and that boy nurses are all homosexual
  2. ZippyGBR

    Biggest Misconception about nurses you've heard

    ZippyGBR replied to dinah77's topic in General Nursing

    the assumption that Nurses whave no autonomy and cannot make clinical decisions, order tests or act in an emergency without a doctor's order, and that there are doctors on tap across the hospital...
  3. ZippyGBR

    Missed fingerstick

    ZippyGBR replied to CC918's topic in General Nursing

    a sliding scale is based on the blood sugar that hour regardless of
  4. ZippyGBR

    Mad cow disease- how can you get it??

    ZippyGBR replied to Epona's topic in General Nursing

    although there is a suggestion that it's any spinal tissue and possible lymph nodes and tonsils /
  5. ZippyGBR

    Anyone have a Bachelor of Arts in Nursing?

    ZippyGBR replied to smartnurse1982's topic in General Nursing

    there are BA pre-reg degrees in the UK but there are also BN/BNurs and BSc pre-reg degrees and at least one Uni did it's 'top up ' from DipHE / advanced Dip HE to a BMedSci the relevance i nthe case...
  6. ZippyGBR

    CNA doing Rectal Stimulation for Fecal Evacuation?

    ZippyGBR replied to protrend's topic in General Nursing

    odd, assuming there is faeces in the rectum even doing a manual evacuation should only be a matter of a couple of minutes and depending on the bowel management plan for the individual if you 'pre...
  7. ZippyGBR

    CNA doing Rectal Stimulation for Fecal Evacuation?

    ZippyGBR replied to protrend's topic in General Nursing

    the irony being that a full rectum is one of the top causes of an episode of AD ( along with over full bladders
  8. ZippyGBR

    Physical exam for pressure ulcers with people without risk factors

    ZippyGBR replied to 4treasures's topic in General Nursing

    risk assessment anyone ? pressure risk scores consideration of bed rest etc if that is not in the pressure risk score you use ( it is in Waterlow, along with things like diabetes, steroid use , neuro...
  9. ZippyGBR

    Generally, are there more R.N. shifts available for night or day shift?

    ZippyGBR replied to Elizabeth 123's topic in General Nursing

    2 factors 1. round the clock staffing - there may be more physical staff rostered on day shifts but whether people can acess those shifts depends on ... 2. fixed shift, fixed rota or rotational...
  10. ZippyGBR

    APAP Supp?

    ZippyGBR replied to nursesaurus's topic in Patient Medications

    because Tylenol is a Brand Name , not the Generic name which depending where in the world you are will be Paracetamol or Acetaminophen. you need to know both the generic and brand names of the drugs...
  11. ZippyGBR

    CNA doing Rectal Stimulation for Fecal Evacuation?

    ZippyGBR replied to protrend's topic in General Nursing

    perfectly normal and acceptable bowel regime for for someone with an SCI, i doubt it needs revising , unwillingness on behalf of care givers ( regaardless of registration status) to perform...
  12. ZippyGBR

    CNA doing Rectal Stimulation for Fecal Evacuation?

    ZippyGBR replied to protrend's topic in General Nursing

    stick to your nice clean speciality , or go away and read about neurogenic bowel , there are some Neuro /SCI patients who will only get a good bowel result and empty rectum with digital stimulation...
  13. ZippyGBR

    CNA doing Rectal Stimulation for Fecal Evacuation?

    ZippyGBR replied to protrend's topic in General Nursing

    that is the practice we adopt as a regional SCI unit micro enema or suppositories first and then digital stimulation / man evac if needed once the enema / supps have worked
  14. ZippyGBR

    How many times do you try to start an IV before calling in reinforcements?

    ZippyGBR replied to belgarion's topic in General Nursing

    2 or 3 times then get someone else to have a look or leave it for an hour or two .... there is no excuse for frantic stabbing ,alternatively if the patient is sick enough they need an IO , EJIV or...
  15. ZippyGBR

    what do you think of this pain med schedule?

    ZippyGBR replied to Ms.RN's topic in General Nursing

    assuming that the patient is actually requiring this amount of analgesia - i.e. they are not over sedated etc etc ... the patient could do with a proper pain management review and a rationalisation...
  16. ZippyGBR

    Alert patients who refuse meds.

    ZippyGBR replied to Caffeine_IV's topic in General Nursing

    as others have said unless your patient is sectioned and the med is one which they can be forcibly given under their section there is little you can do if the patient is adamant. even if the patient...
  17. ZippyGBR

    Common practice for any ER??

    ZippyGBR replied to BAMARN09's topic in Emergency

    two main reasons to put a drip through a pump 1. drug / pharmacological/ pharmodynamic reasons 2. volume sensitive patients and a third relative reason 3. volume sensitive vascular access e.g....
  18. ZippyGBR

    Total hip replacement and leg length.

    ZippyGBR replied to 33-weeker's topic in Orthopedic

    it can be permanent, but a noticable difference could be indicative of poor surgical technique or the wrong choice of
  19. ZippyGBR

    Paramedic or Pre-Hospital RN?

    ZippyGBR replied to djd7101986's topic in Men in Nursing

    the answer for everywhere other than the UK and perhaps OZ /NZ is go RN .... in the Uk and Oz/ NZ there is more parity between Nurses and paramedics, particularly in the UK where paramedics are...
  20. ZippyGBR

    slow code?

    ZippyGBR replied to pbmnms2's topic in General Nursing

    being rightpondian and not knowing the exact legalities where you are does someone have a power of attorney for the patient who is able to 'force' the not getting a DNAR order ? or is it just...
  21. ZippyGBR

    Answering "YES/NO" to contacting current employer?

    ZippyGBR replied to SoClose!'s topic in General Nursing

    AIUI , based on UK practice it usually can we contact your referees before we interview (i.e. after shortlisting) you or only after interview if we are seriously thinking about
  22. ZippyGBR

    You Might Be a Neuro Nurse If. . .

    ZippyGBR replied to Lola77's topic in Neurological

    from a spines side point of view you have no qualms about a indepth discussion about how to achieve optimum stool qualities
  23. ZippyGBR

    When you arrive on an accident scene

    ZippyGBR replied to canoehead's topic in Emergency

    manual in-line stabilisation - the core underpinnin technique of anything to do with C spine
  24. ZippyGBR

    Paramedic/EMT vs RN?

    ZippyGBR replied to mcknis's topic in General Nursing

    interestingly in the UK where Paramedics are seen by the law as a 'proper' health professional and registered and educated as such the pay is the same. it also helps that EMs in the UK is not used to...
  25. ZippyGBR

    how can we fix healthcare if ppl keep abusing the system?

    ZippyGBR replied to johnnyDoGood's topic in General Nursing

    :idea:which if you had a properly funded and provided urgent care and out of hours primary care system simply wouldn't happen or they would be streamed there from triage... Not having / not having...