ZippyGBR BSN, RN

Spinal Cord injuries, Emergency+EMS

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All Content by ZippyGBR

  1. ZippyGBR

    Are we deskilling

    ZippyGBR replied to XB9S's topic in United Kingdom

    the problem there lays with university staff when i was pre-reg the diploma and degree were run by different HEIs - ironically ye more prestiguous HEI ran the diploma , but equally had inherited...
  2. ZippyGBR

    Are we deskilling

    ZippyGBR replied to XB9S's topic in United Kingdom

    yes, whatever... and the placement coordinators , lecturers and taff side are all complicit in it ? i did, well i lie slightly, i did with a modest amount of support from additional work and from...
  3. ZippyGBR

    Are we deskilling

    ZippyGBR replied to XB9S's topic in United Kingdom

    students are not 'unpaid workers' for the following reasons 1. if this were the case the placement area would be pulled 2. students should not replace staff once the minimum acceptable staffing...
  4. ZippyGBR

    Are we deskilling

    ZippyGBR replied to XB9S's topic in United Kingdom

    the average acute ward now is seriously and acutely ill patients ... the delayed discharges are housed on the delayed discharge unit and anyone remotely near well is either home or aobut to be...
  5. ZippyGBR

    Are we deskilling

    ZippyGBR replied to XB9S's topic in United Kingdom

    karen G - you didn't upset me ... i'm less than happy with the way in which we let some of the acute areas i run , in fact one of the reasons i am working where i work at present was due to a...
  6. ZippyGBR

    ICD's and DNR's

    ZippyGBR replied to Tait's topic in General Nursing

    i think the other replies show the sensible route valid DNAR and frequent shocks - the team and the patient if competent need to make a decision in the patient's best interests ... a competenent...
  7. ZippyGBR

    Are we deskilling

    ZippyGBR replied to XB9S's topic in United Kingdom

    are we or is down to the systems that Senior Nurses have allowed to be implemented ? nursing or residential ? that said Nursing homes generally provide little in the way of nursing as the RN :...
  8. ZippyGBR

    Are we deskilling

    ZippyGBR replied to XB9S's topic in United Kingdom

    'de skilling' or 'recognsing the limitations of your own practice ? ' there is also the habit of a some doctors to write random orders for catheters and NG tubes... we had a probem with a surgical...
  9. ZippyGBR

    Are nurses hourly or salaried?

    ZippyGBR replied to PopeJane3rd's topic in General Nursing

    as scary mary says in the Uk the NHs pays a salry plus special duty payments plus either overtime or plain time ( + special duty payments) as an additional job sopecial duty payments is the...
  10. ZippyGBR

    Student nurse gave IV pot, patient died.

    ZippyGBR replied to cheshirecat's topic in United Kingdom

    whisper mention s short synacthen ... it's not necessarily the drug adminstration that;s the issue - or maybe it i in the settings it;s done... it's the carefull time blood samples etc ... it's a...
  11. ZippyGBR

    Anyone use Ntrous Oxide in their ED?

    ZippyGBR replied to EDMISSYRN's topic in Emergency

    Nitrous ue is widespread in emergency care in the Uk ... However we use 'Entonox' ( the BOC tradename for the mixture) which is 50% nitrous and 50% oxygen pre mixed, the main concern ( pre hospital)...
  12. ZippyGBR

    Student nurse gave IV pot, patient died.

    ZippyGBR replied to cheshirecat's topic in United Kingdom

    which is in my opinion a faulty rationale as it;s another droute of drug adminstration, no one ever manages to provide any justification beyod the one above wy thisis the case
  13. ZippyGBR

    Student nurse gave IV pot, patient died.

    ZippyGBR replied to cheshirecat's topic in United Kingdom

    what is your evidence base for this statement ? what magically happens when you've been qualified 6 months ? Nursing needs to get a grip of pointless meaningless rituals and the creation of...
  14. ZippyGBR

    Student nurse gave IV pot, patient died.

    ZippyGBR replied to cheshirecat's topic in United Kingdom

    it's a matter of local policy, many places have removed the mystique and quite frankly male bovine excrement around IV drug adminstration ... however quite what IV potassium concentrates were doing...
  15. ZippyGBR

    TNCC and ENPC course

    ZippyGBR replied to suemsu's topic in International Nursing

    TNCC is offered in the UK, costs can vary the main facotr is that training is often externally run and may be on a commercial basis I know PHTLS can be run for half the price you'd pay commercially...
  16. ZippyGBR

    How do you convert from a staff nurse to a paramedic?

    ZippyGBR replied to UK-KIRSTY's topic in International Nursing

    agree with what the previous have posted ... however as paramedic education moves into higher education there may be some APL opportunities ... however funding may well bean issue for HE managed...
  17. ZippyGBR

    Pain is subjective?

    ZippyGBR replied to lena130's topic in General Nursing

    heron has extracted some important points holistic assessment rather than just following orders effective analgesia prescribing AND proactive adminstration (nothing annoys me more than those who...
  18. ZippyGBR

    ER's busy and a full triage

    ZippyGBR replied to TraumaNurseRN's topic in Emergency

    who said anything about Canada ? this is an international site, and will attract international view points from members who live and world across the world not just in North America , the messed...
  19. ZippyGBR

    ER's busy and a full triage

    ZippyGBR replied to TraumaNurseRN's topic in Emergency

    awsmom8's post shows that many of the 'problems ' facing emergency care in the USA are of US healthcare's own creation via the insurers, as are failures to develop systems to empower the...
  20. ZippyGBR

    ER's busy and a full triage

    ZippyGBR replied to TraumaNurseRN's topic in Emergency

    ED misuse with primary care problems is a symptom of primary care availability issues whehter that'ds simply not enough appointments in hours or because of patient ignorance of the out of hours...
  21. ZippyGBR

    I'm in a pickle!

    ZippyGBR replied to mondkmondk's topic in General Nursing

    again a rightpondian perspective, some disability benefits are meant to replace income others are meant to account for the higher costs that someone with a disability will incur (as does disabled...
  22. ZippyGBR

    CNM equivilant in EU?

    ZippyGBR replied to cerfurth's topic in General Nursing

    midwifery is an established professional in th EU , with variations of entry via Nursing or direct entry in differentplaces there's not a huge amount i can find in English about midwiferyin Sweden...
  23. ZippyGBR

    Medical Imaging, start 50k, leading to SIX FIGURES? Nursing v Rad/Sonography

    ZippyGBR replied to GilbertDaddy's topic in General Nursing

    it's definitely the preferred modality for finding limb VTEs and should be the preferred modality for quite a few general surgical, vascular surgery and renal/ urology things as well as quite a lot of...
  24. ZippyGBR

    What drives YOUR practice?

    ZippyGBR replied to CraigB-RN's topic in Emergency

    once again a wonderful dogmatic circular arguement is presented ... legislation is not a reason to restrict practice, if changes in practice are going to be beneficial for practice in terms of...
  25. ZippyGBR

    What drives YOUR practice?

    ZippyGBR replied to CraigB-RN's topic in Emergency

    autonomy is a bit of red herring here, as a body corporate we can abdicate autonomy e.g. by hiding behind ' doctor's orders' ... it doesn't change the fact that you are still accountable for things...