ZippyGBR BSN, RN

Spinal Cord injuries, Emergency+EMS

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All Content by ZippyGBR

  1. ZippyGBR

    What drives YOUR practice?

    ZippyGBR replied to CraigB-RN's topic in Emergency

    Craig is trying to extract an important point from a thread which turned into a bunfight from the dogma following , we can't think for ourselves , camp vs those who at least understand evidence...
  2. ZippyGBR

    What drives YOUR practice?

    ZippyGBR replied to CraigB-RN's topic in Emergency

    i don't work in those environments thank god , but it appears that many of the posters in a recent thread do and actively support that and the iatrogenic harm they cause becasue of their complicity in...
  3. ZippyGBR

    What drives YOUR practice?

    ZippyGBR replied to CraigB-RN's topic in Emergency

    however to ridicule , belittle and accuse people of mental illness and/or substance misue becasue they don't agree with the Dogma strikes me as an attitude that is best left in Stalin's USSR or...
  4. ZippyGBR

    What drives YOUR practice?

    ZippyGBR replied to CraigB-RN's topic in Emergency

    here in lays the problem the assumption that interventions sit in nice little pockets with names of professions on them ... they don't Nursing staff are often the main source of stability in an...
  5. ZippyGBR

    Pain is subjective?

    ZippyGBR replied to lena130's topic in General Nursing

    if only it was that simple 'just following orders' floats about as far in a modern courtroom as it did in
  6. ZippyGBR

    Pain is subjective?

    ZippyGBR replied to lena130's topic in General Nursing

    interesting given the nurse is accountable for the use of Controlled Drugs on the unit they work on and accountable for the administration of any medication theysign for as
  7. ZippyGBR

    Is a backboard for transport only, or immobilization while in the ER?

    ZippyGBR replied to vampireslayer's topic in Emergency

    the patient is immobilised with the board removed assuming that collar, blocks, base and straps remain in situ, the long extrication board is a useful 'spatula' which is is generally not practiable...
  8. ZippyGBR

    Anyone else feel like they don't know basic first aid?

    ZippyGBR replied to blondy2061h's topic in General Nursing

    define 'basic first aid course' as an RN you sould know what you'll be taught on a one day course - primary survey, unconcious casualt management, CPR , control of major bleeds and a few othr topics...
  9. ZippyGBR

    Is a backboard for transport only, or immobilization while in the ER?

    ZippyGBR replied to vampireslayer's topic in Emergency

    as soon as possible is NOT i) after imaging or ii) after a full documented medical plan is there it is during the initial assessment process when 'inspect the posterior' is reached. beyond that...
  10. ZippyGBR

    Is a backboard for transport only, or immobilization while in the ER?

    ZippyGBR replied to vampireslayer's topic in Emergency

    once again someone who proposes a course of action which is not justified and which will cause harm. take you tunnel vision glasses off ... the other factor is your 110 hour first aiders are...
  11. ZippyGBR

    Is a backboard for transport only, or immobilization while in the ER?

    ZippyGBR replied to vampireslayer's topic in Emergency

    once again YOU HAVE NOT PROVIDED ANY EVIDENCE TO SUPPORT THE STATEMENT that "a patient Must remain on a long extrication board until after Imaging, and only a physician has the skills to assessment...
  12. ZippyGBR

    Is a backboard for transport only, or immobilization while in the ER?

    ZippyGBR replied to vampireslayer's topic in Emergency

    so you advocate causing harm to patients ? the prevalence of significant bony injury in patients who are assessed for neck injuries is very small ( where applicable the CCR is very specific for...
  13. ZippyGBR

    Is a backboard for transport only, or immobilization while in the ER?

    ZippyGBR replied to vampireslayer's topic in Emergency

    just to add fuel to the fire - an article comparing the canadian C spine rules and NEXUS
  14. ZippyGBR

    Is a backboard for transport only, or immobilization while in the ER?

    ZippyGBR replied to vampireslayer's topic in Emergency

    and what exacxtly is that meant to mean ... even as a TNCC provider i don't see how that particular continuning education course justifies any of the dogma spouted in this thread vs current...
  15. ZippyGBR

    Is a backboard for transport only, or immobilization while in the ER?

    ZippyGBR replied to vampireslayer's topic in Emergency

    the point about CABC is that the 'accepted universal truth' that airway always comes first is wrong in certain situations, there arecivilian andeven none trauma situations where a CABC approach is...
  16. ZippyGBR

    Is a backboard for transport only, or immobilization while in the ER?

    ZippyGBR replied to vampireslayer's topic in Emergency

    TraumaNurseRN postings in this thread have not looked at the evidence, becasue quite simply anyone who does look at the evidence comes to the same conclusions as JRCALC which is that you cannot...
  17. ZippyGBR

    Restraints too Tight?

    ZippyGBR replied to laxxrickLPN's topic in General Nursing

    the simple answer is why is someone stil intubated when not anaesthetised ... if the plan includes stopping anaesthetic agents while the patient still needs invaisve vetilatory support why haven't...
  18. ZippyGBR

    Is a backboard for transport only, or immobilization while in the ER?

    ZippyGBR replied to vampireslayer's topic in Emergency

    so we've already seen one post deleted for missing the point and getting personal. if you are going to tell people they are wrong please don't do so on the basis of dogma, have some kind of...
  19. ZippyGBR

    The worst or strangest orders you have seen...

    ZippyGBR replied to MadisonsMomRN's topic in General Nursing

    transfer to or transfer from ? immaterial really mouth care is a part of good nursing care regardless of where or what the patient is /has (unless their only complaint is Pajama Induced Paralysis...
  20. ZippyGBR

    Restraints too Tight?

    ZippyGBR replied to laxxrickLPN's topic in General Nursing

    it might in respect of CPR but in the globabl assessment C for circualtion can include the neuro vascular status of an injured ( or forthe left pondians who insist of tying people to beds )...
  21. ZippyGBR

    Is a backboard for transport only, or immobilization while in the ER?

    ZippyGBR replied to vampireslayer's topic in Emergency

    the point which you seem to be unable to distinguish is that reevaluation of 'accepted truths' is an important part of developing Medicla / nursing / pre-hospital care ... maybe you'd like the...
  22. ZippyGBR

    Is a backboard for transport only, or immobilization while in the ER?

    ZippyGBR replied to vampireslayer's topic in Emergency

    or should they be transferred to a vacuum mattress by scoop stretcher in that scenario? not only does thevacuum mattress provide as good if not better spinal protec tion it substanially reduces the...
  23. ZippyGBR

    Is a backboard for transport only, or immobilization while in the ER?

    ZippyGBR replied to vampireslayer's topic in Emergency

    it's interesting you use that example especially when tactical teaching now uses a CABC approach approach where a catastrophic bleed is the first priority - can you prove your erroneous...
  24. ZippyGBR

    Is a backboard for transport only, or immobilization while in the ER?

    ZippyGBR replied to vampireslayer's topic in Emergency

    i see you didn't answer the question ref beds the amount of proof by assertion and absence of evidence supporting prolonged immobilisation on the long extrication board on this topic is unbelievable,...
  25. ZippyGBR

    Each job title wears it's own color.

    ZippyGBR replied to borzoilady's topic in General Nursing

    from a right pondian persepctive colour coded uniforms is the absolute norm - the exception sometimes being areas who were OR type scrubs because they generally come in one colour or one colour per...