ZippyGBR BSN, RN

Spinal Cord injuries, Emergency+EMS

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All Content by ZippyGBR

  1. ZippyGBR

    Nurses taking patient's off backboards without doctor clearnce?

    ZippyGBR replied to the big nurse's topic in Emergency

    rthis statement has been made a number of times by a number of people in such threads but is never referenced with statue law or professional regualtions to back this assertion up and your point...
  2. ZippyGBR

    Nurses taking patient's off backboards without doctor clearnce?

    ZippyGBR replied to the big nurse's topic in Emergency

    have you read the thread ? and all the discussion about 1. over use of the long extrication board by 'cookbook' and 'mother may I' ems - when like so many parts of the USA your EMS are 110 hour...
  3. ZippyGBR

    Nurses taking patient's off backboards without doctor clearnce?

    ZippyGBR replied to the big nurse's topic in Emergency

    as you've seen across the whole thread, unfortunately Nurses in some settings in some geographical locations cannot or will not exercise their professional skills , instead hoping that deferring...
  4. ZippyGBR

    Anyone use Ntrous Oxide in their ED?

    ZippyGBR replied to EDMISSYRN's topic in Emergency

    entonox (50/ 50 nitrous /oxygen pre mixed) has been used successfully for many years in the UK with few if any adverse events. It is successfully used by first aiders with limited extra training (...
  5. ZippyGBR

    Anyone use Ntrous Oxide in their ED?

    ZippyGBR replied to EDMISSYRN's topic in Emergency

    the current generation of demand valves are very easy to trigger , if you were speaking of the old ohmeda sets i've agree with you about demand valve triggering but the current kit takes a fraction...
  6. ZippyGBR

    Anyone use Ntrous Oxide in their ED?

    ZippyGBR replied to EDMISSYRN's topic in Emergency

    i would suggest if you are sedating people with nitrous you are using too much ... the main reason is that entonox ( 50 % nitrous 50% O2) works really well and that's self administered via demand...
  7. ZippyGBR

    What gauge IV to use?

    ZippyGBR replied to Hilinenursegrl's topic in Emergency

    IVs in the dorsal veins of the hand suck for the patient and blow for the nurse far too easily ... 18 (or 20) in the forearm is the weapon of choice rationale against going in the dorsum of the...
  8. ZippyGBR

    wanting to work in the uk

    ZippyGBR replied to nicolelynn26's topic in International Nursing

    Laure - are you a french citizen (or for that matter a citizen of any other EU member state )? - if so, other than getting registered with the NMC all you have to do is apply for jobs in the UK as...
  9. ZippyGBR

    Please provide insight into nationalized health care.

    ZippyGBR replied to 1Tulip's topic in International Nursing

    as for council tax being 'ridiculous' price up each individual aspect ofthe service offered by local authorities and then tell me it's ridiculous - even if you are paying 20- 40 gbp / week ... exactly...
  10. ZippyGBR

    DUMB QUESTION re: NP attire in UK

    ZippyGBR replied to carolinapooh's topic in International Nursing

    why are you diagreeing with the point i've just made when you make exactly the same point immediately below
  11. ZippyGBR

    Please provide insight into nationalized health care.

    ZippyGBR replied to 1Tulip's topic in International Nursing

    with regard to the aforementioned report as usual it demonstrates what happens when pursuit of a business target i.e. getting and keeping foundation trust status gets in the way of providing good...
  12. ZippyGBR

    Charge nurse with less than a year RN experience???!!

    ZippyGBR replied to RNpandoraRN's topic in Nurse Management

    is this 'nurse in charge' i.e. shift leading as a staff nurse or the actual first line manager role of Charge Nurse
  13. ZippyGBR

    I cant start IV's!

    ZippyGBR replied to Creamsoda's topic in Emergency

    practice , practice and more practice ... a lot of good advice has been given ... release tourniquets sooner rather than later , shallow approach etc ... but nothing beats practice - I don't claim...
  14. ZippyGBR

    DUMB QUESTION re: NP attire in UK

    ZippyGBR replied to carolinapooh's topic in International Nursing

    from a boy point of view trousers ( tailored or chinos) and a shirt quite possibly open necked as opposed to a suit or a uniform ... you might well also get away with less smart ( and none black)...
  15. ZippyGBR

    DUMB QUESTION re: NP attire in UK

    ZippyGBR replied to carolinapooh's topic in International Nursing

    in acute settings the NPs are usually in the same uniforms as first and second line line nursing management ( i.e. sisters /CNs , ward managers and Matrons) i.e. navy blue uniforms . the exception...
  16. ZippyGBR

    Please provide insight into nationalized health care.

    ZippyGBR replied to 1Tulip's topic in International Nursing

    Social care = local authoirties (i.e. 'city hall' for the left pondians ) also there seems to be a habit among the campaignersf or these drugs to concertrate solely on prolonged life , rather...
  17. ZippyGBR

    KSF Second gateway question

    ZippyGBR replied to scared'o'needles!'s topic in International Nursing

    you could be stopped from passing through a gateway if your performance was such that you didn't perform to the KSF profile for your role at the gateway i.e. the foundation KSF profile forthe role at...
  18. ZippyGBR

    Please provide insight into nationalized health care.

    ZippyGBR replied to 1Tulip's topic in International Nursing

    are you sure ? is that your final answer ? phone a friend?
  19. ZippyGBR

    KSF Second gateway question

    ZippyGBR replied to scared'o'needles!'s topic in International Nursing

    band 5 foundation gateway is at the second increment new entrants can be progressed to this point at one year with the first increment at 6 months on successful completion of preceptorship
  20. ZippyGBR

    morphine IV

    ZippyGBR replied to breaking_dawn's topic in Emergency

    morphine as an IV push - dilute to 1 mg / ml with a diluent approved by the supplier / your pharmacy and give slowly and titatre to effect .... how big your inital bolus will depend on a number of...
  21. ZippyGBR

    Reamed for ordering an ethics consult

    ZippyGBR replied to WalkieTalkie's topic in General Nursing

    the chief resident is a prat of the highest order 1. s/he is NOT the Medical Practitioner in Charge of the patient's case . 2. s/he obviously doesn't understand DNAR however the Nurse 1. shouldn't...
  22. ZippyGBR

    Physicians Assistant Doesn't know what FEMA is?

    ZippyGBR replied to KarynicaRN's topic in General Nursing

    there are certain common abbreviations that you'd expect people to know the BNF example for us rightpondians is one - it;s the British National Formularly and it's one of if not THE most commonly...
  23. ZippyGBR

    Physicians Assistant Doesn't know what FEMA is?

    ZippyGBR replied to KarynicaRN's topic in General Nursing

    i find it hard to beleive that someone working in healthcare in the USA wouldn't be aware of the Federal Emergency Management Agency ... but the ignorance of some never ceases to amaze
  24. ZippyGBR

    Physicians Assistant Doesn't know what FEMA is?

    ZippyGBR replied to KarynicaRN's topic in General Nursing

    i think the Op is wondering whether the claimed to be PA is in fact a PA or is in fact a "Walter Mitty" .... things likeasking someone who claims to be in the USA what FEMA is or asking someone in...
  25. ZippyGBR

    Support the Lift Team Bill, SB1151!

    ZippyGBR replied to newgrad916's topic in Activism, Healthcare

    i'd suggest that no one support thids bill and instead support legislation to require employes to have policies and equipment to promote a minimal lifting policy - take a look at the best...