ZippyGBR BSN, RN

Spinal Cord injuries, Emergency+EMS

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All Content by ZippyGBR

  1. ZippyGBR

    No wonder people abuse the ER...

    ZippyGBR replied to hoppermom3's topic in General Nursing

    how can a referrer even attempt to make a legitimate and approrpaite request for an X rays without examining the patient? the Admin person was absolutely correct no referrer is going to make an...
  2. ZippyGBR

    Salary in the US vs salary in Sweden

    ZippyGBR replied to swedishnurse's topic in General Nursing

    huge amount of different factors at play here basic salary for a newly qualified Nurse in the UK is 19 454 GBP (38 591 USD according to google on the day of posting) there are 9 increments to Band 5...
  3. ZippyGBR

    neurogenic bladder not a good reason to have a foley?

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

    a history of urosepsis is a very good reason not to have an indwelling catheter giventhe hugely increased risk of uti with an indwelling catheter... simple
  4. ZippyGBR

    High care area

    ZippyGBR replied to XB9S's topic in International Nursing

    staffing is an issue are there already any level 1 areas in your trust ( and does your trust consider CCU acutes L1 or L2 ) ... 7 beds for L1 is a lot on one unit even with 2 RN + HCA ( +any...
  5. ZippyGBR

    Missing NMC card

    ZippyGBR replied to cheshirecat's topic in International Nursing

    they won't becasue the card is meaningless , your manager / matron will have acess to employer verifications with the NMC
  6. ZippyGBR

    A few practice questions

    ZippyGBR replied to 9309's topic in Emergency

    one advantage of being i nthe dark ages and only having premixed those that come premixed - even in the inpatient environment i bolus a lot of the ABx that can be bolused - but that reflects my...
  7. ZippyGBR

    Wage

    ZippyGBR replied to mattyuk's topic in International Nursing

    level on the pay scale ... 'first job' equals first substantive band 5 point if it;s first job i nthe NHS as an RN where - depends if the OP is in an area which attracts a HCAS supplement (london...
  8. ZippyGBR

    Wage

    ZippyGBR replied to mattyuk's topic in International Nursing

    flat wage ... 19454/ 12 = 1621.17 basic expect 400 and summat GBP of deduction Income tax / NI / Pension take home around 1200
  9. ZippyGBR

    shift diff

    ZippyGBR replied to jennifers's topic in General Nursing

    Uk shift differetials at present for Nursing staff hours worked - before 0600 and after 2000 as part of a day shift - hours worked as part of a night shift regardless of when it starts - hours...
  10. ZippyGBR

    Nightmare Families and Hospital protocols

    ZippyGBR replied to annmariern's topic in General Nursing

    in the UK critical care units and paeds units ususally have open visting for family ... in the trust i work none immediate family visiting to critical care areas is at the discretion of the Charge...
  11. ZippyGBR

    Has anyone licenced in the US moved over seas to live and work?

    ZippyGBR replied to Katie91's topic in International Nursing

    no job freezes here anymore ... also a great deal of the 'redundancies' in the NHS have been paper ones ... that would be the people whose jobs disappeared but weren't actually made redundant as...
  12. ZippyGBR

    Has anyone licenced in the US moved over seas to live and work?

    ZippyGBR replied to Katie91's topic in International Nursing

    that would be less than third of income in direct taxation and before anyone plays the VAT card =consider what is zero rated and 5 % rated rather than 17.5 % rated. waiting times that would seen...
  13. ZippyGBR

    We can't go on divert!

    ZippyGBR replied to RNcDreams's topic in Emergency

    the 4 hour emergency care operational standard is admitted or discharged within 4 hours for 98% of emergency dept attendances ... despite high occupancy figures it is extreely rare that there are NO...
  14. ZippyGBR

    Medication administer through the colostomy?

    ZippyGBR replied to Hopice's topic in General Nursing

    it appears that mr carpenter through alakco fknowledge doesn't seem to think Registered Nurses as in depdent ,accountable Healthcare Professionals have any madicines management knowledge ......
  15. ZippyGBR

    We can't go on divert!

    ZippyGBR replied to RNcDreams's topic in Emergency

    up to a point it depends where you are and how many sites there are in the trust and what each site can take we go on 'internal' divert on a reasonably regular basis between the sites usually to send...
  16. ZippyGBR

    Lavage and the GI bleed

    ZippyGBR replied to olddog1's topic in Emergency

    as someone who works in an Acute Assessment Unit ( who take more than our fair share share of GI bleeds becasue one of the three hospitals n the trust doesn't have OOH scoping and doesn't do any...
  17. ZippyGBR

    RN vs. PA

    ZippyGBR replied to TraumaNurseRN's topic in Emergency

    while you shouldn't be distracting them from other tasks ... if they are present why not? especially if they wish to go and speak to / examine/ undertake an
  18. ZippyGBR

    Medicare: "Hospital-Acquired Conditions" and "Present on Admission"

    ZippyGBR replied to NRSKarenRN's topic in Activism, Healthcare

    skin or Upper resp tract carried? skin carried- skin eradication regime doesn't need isolation unless they have a nasty dry skin condition - i forget what the active ingredient in the washing product...
  19. ZippyGBR

    what should men wear to an interview

    ZippyGBR replied to mitch8lem's topic in General Nursing

    suit and tie unless it;s for a job in the facility you already work in and in working hours when uniform would be acceptable
  20. ZippyGBR

    I am a male RN, now bow down.

    ZippyGBR replied to Trauma1RN's topic in General Nursing

    m ight that be becasue the men have been yelled at in the past and just front ed up to the doc and told them to 'behave' ... i've been known to slightly misquote michael caine in the original Get...
  21. ZippyGBR

    Pulse Oximetry

    ZippyGBR replied to Keepstanding's topic in General Nursing

    the importantthing to remember is while the pulseoximeter is an analogue and NI substitute for the PaO2 it doesn't tell you anything else aobut the respiratory status normal values are to a point...
  22. ZippyGBR

    RN and EMT

    ZippyGBR replied to iscandan's topic in General Nursing

    it will depend on the way in which the qualifications interact, here in rightpondia a Nurse who works as an EMT equivalent could peoptentially be held to RN standards of practice with the EMT...
  23. ZippyGBR

    red leg ?

    ZippyGBR replied to student-with-no-life's topic in General Nursing

    nancy hit the first two options that most of us would think of there are also issues related to neuropathy and/or circulation to consider, but for someone withot those kind of concerns celluitis and/...
  24. ZippyGBR

    Do you let ambulances drop off in triage?

    ZippyGBR replied to Anagray's topic in Emergency

    regardless of p method of transport peopel should get the same initial assessment process , however if you can trust your crews you can short cut this upto a point becasue they can decide waiting...
  25. ZippyGBR

    Abuse?

    ZippyGBR replied to weirdRN's topic in Correctional

    is there a documented assessment of the inmate / patient's (mental )capacity . iuf the inmate / prisoner is found of proper assessment to have capacity to refuse then any unwanted physical contact...