ZippyGBR BSN, RN

Spinal Cord injuries, Emergency+EMS

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All Content by ZippyGBR

  1. ZippyGBR

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

    ZippyGBR replied to vampireslayer's topic in Emergency

    what exactly do your other majors and resus patients get examined and cared for on ? 40 'bed' ED = 40 ( or more) ED trolleys surely unless you are counting 'consulting rooms' as a 'bed' and/or...
  2. ZippyGBR

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

    ZippyGBR replied to vampireslayer's topic in Emergency

    pre-hospital practice is emphasising the following 1. the long EXTRICATION board is an extrication tool and if transport time is prolonged a vac mattress should at least be be considered 2. that...
  3. ZippyGBR

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

    ZippyGBR replied to vampireslayer's topic in Emergency

    well you have put them in fear of immediate harm without a lawful excuse ... you have used physical force against a person without lawful excuse ... would you ? or would the weeks if not months of...
  4. ZippyGBR

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

    ZippyGBR replied to vampireslayer's topic in Emergency

    systems design/ education issue , not a reason to unnecessarily restrain patients and cause iatorgenic injury - as radiographer is accountable for his / her omissions and the mossions or actions of an...
  5. ZippyGBR

    IV size

    ZippyGBR replied to danger's topic in Emergency

    is there no medical radiation control legislation in the USA ? as for abdo CTs what happened to USS or dignostic laproscopy as lower impact diagnostic
  6. ZippyGBR

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

    ZippyGBR replied to vampireslayer's topic in Emergency

    perhaps the british orthopaedic assocations vierws on the subject wll enlighten http://www.library.nhs.uk/neurological/ViewResource.aspx?resID=154867&tabID=288&catID=12032 such as " Skin...
  7. ZippyGBR

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

    ZippyGBR replied to vampireslayer's topic in Emergency

    thanks canoe head - exactly the kind of approach which balances sipnal immobilisation wit hthe prevention of iatrogenic injury .... then of course there's the people who try and pressure relieve...
  8. ZippyGBR

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

    ZippyGBR replied to vampireslayer's topic in Emergency

    so patient with a correctly fitted collar, with head blocks and base in place on a trolley ( with straps or remaining in a vac mattress if necessary) in a static building is not immobilised .......
  9. ZippyGBR

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

    ZippyGBR replied to vampireslayer's topic in Emergency

    so you advocate the assault and battery of all patients in case someone who is intoxicated might possibly make an injury worse. is physically restraining a person on a hard surface and causng them...
  10. ZippyGBR

    IV size

    ZippyGBR replied to danger's topic in Emergency

    18 or 20 depending onpatient size preferably in a forearm vein unless you've got huge hands when a 20 in a metacarpal vein might just work out save the ACFs for crashing emergencies when you want a 14...
  11. ZippyGBR

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

    ZippyGBR replied to vampireslayer's topic in Emergency

    except it is dangerous and clinically negligent what benefit does the patient remaining on the Long EXTRICATION board have above a patient with correct immobilsation applied on a modern Emergency...
  12. ZippyGBR

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

    ZippyGBR replied to vampireslayer's topic in Emergency

    reove all restraints other than the Collar and document your clinical justification for doing so, alternative get a senior doctor to anaesthetise them and send them for a CT scan of head and C spine...
  13. ZippyGBR

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

    ZippyGBR replied to vampireslayer's topic in Emergency

    as an Emergency Care ( ED, assessment unit and pre-hospital) background Nurse who currently works on a regional Spinal injuries Unit get the patient off the damn EXTRICATION board ASAP! if someone...
  14. ZippyGBR

    Am I limiting my options?

    ZippyGBR replied to Cheeky_Monkey's topic in International Nursing

    is this BFG postings? - if so you are forgetting that 'civilian' jobs with BFG directly, defence education , SSAFA etc
  15. ZippyGBR

    Canadian nurse thinking UK

    ZippyGBR replied to alianeco's topic in International Nursing

    if her husband is a british citizen she may well have a right to work becasue of that rather than work permit ... perioperative nurses are /were on the shortage list ... also if you have a work...
  16. ZippyGBR

    UK Bachelor's Degree in Nursing Curriculum

    ZippyGBR replied to hardheaded22's topic in International Nursing

    as suzanne says the Uk has branches of nursing the common foundation programe is now 12 months giving 24 months in branch the majority of Students in the Uk undertake Dip HE . advanced DipHE...
  17. ZippyGBR

    Propofol used for palliative sedation

    ZippyGBR replied to 64rcs's topic in General Nursing

    seen Ketamine used in palliative care but never
  18. ZippyGBR

    what do nurses hate about doctors?

    ZippyGBR replied to futureMD's topic in General Nursing

    wait until US labour legislation catches up with the UK and the Juniors / hospitalists are on full shift rotas like the ED
  19. ZippyGBR

    The title of "nurse"

    ZippyGBR replied to HeyLush3's topic in General Nursing

    valid point aobut the student nurse title ... you should only be referred to as a student Nurse when you are explicitly working as one and not if you are doing CNA
  20. ZippyGBR

    Stop Foreign Nurses

    ZippyGBR replied to StopForeignNurses's topic in Activism, Healthcare

    part of what makes the NHS so good is the diversity of backgrounds of staff... part of managing the import of of foreign staff is good national rules on Terms and Conditions of Service. the Uk...
  21. ZippyGBR

    Stop Foreign Nurses

    ZippyGBR replied to StopForeignNurses's topic in Activism, Healthcare

    or blame US nurses for s not sticking together and the US for not having a decent union system ... in the UK talking to three or four unions (RCN, unison, amicus, RCM etc...) covers the majority of...
  22. ZippyGBR

    Stop Foreign Nurses

    ZippyGBR replied to StopForeignNurses's topic in Activism, Healthcare

    if you look at the situation in the UK where none specialised Nurses are now no longer on the list for work permits it's a three fold issue 1. more Nursing pre-reg plaes 2. better retention pre-reg...
  23. ZippyGBR

    Do you start your own IVs?

    ZippyGBR replied to FireStarterRN's topic in General Nursing

    up to a point depends on the hospital, certainly it;s spreading bnut it's an attitude issue as well the old ' it would take too much time up ' line doesn't hold water , i can get a line in...
  24. ZippyGBR

    AMA House of Delegates Considers Limits on on Nursing Education and Practice

    ZippyGBR replied to NRSKarenRN's topic in Activism, Healthcare

    the point being the power relationship issues in physician vs . Nurse or physician vs any other Helath professional is total loss of control and oversight ... UAP have a function to work as...
  25. ZippyGBR

    AMA House of Delegates Considers Limits on on Nursing Education and Practice

    ZippyGBR replied to NRSKarenRN's topic in Activism, Healthcare

    leaving aside the fact the USA has not got to grips with education for rather than training and registration rather than certification for paramedics if by UAP we are referring to CNA/ Healthcare...