ZippyGBR BSN, RN

Spinal Cord injuries, Emergency+EMS

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All Content by ZippyGBR

  1. ZippyGBR

    Where do you draw the line

    ZippyGBR replied to coontlh0's topic in Correctional

    up to a point it will depend on the policy and guidelines of the unit ... if you have a Doc on site and/or your standing orders cover staff then fill your boots , otherwise stick to life saving...
  2. ZippyGBR

    I'm for Socialized Medicine and elimination of private insurance and HMOs.

    ZippyGBR replied to FireStarterRN's topic in Activism, Healthcare

    'care on demand' is there in UHC system , just perhaps not what the USA is used to ... EMTALA came about to prevent WABC practices (wallet, airway breathing circulation) as well as religious...
  3. ZippyGBR

    can you add KCL to IVF?

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

    what's the first few rules of risk management ? " do we need to undertake the process ( giving IV fluids with potassium)?" YES " Can the risk be eliminated by changing the process/ plant ?" YES -...
  4. ZippyGBR

    Split Thread / Nurse workload ratio

    ZippyGBR replied to wtbcrna's topic in International Nursing

    not a fair comparision with those working on level 0 beds something that has struck me about discussions on acuity is that there doesn't seem to be the range of different acuity areas that the Uk...
  5. ZippyGBR

    I'm for Socialized Medicine and elimination of private insurance and HMOs.

    ZippyGBR replied to FireStarterRN's topic in Activism, Healthcare

    potentially the systemc could continue in the US as itis except it would all be single payer.... equally once it;s moved to single payer 'fixed price' procedures / admissions may become the norm...
  6. ZippyGBR

    I'm for Socialized Medicine and elimination of private insurance and HMOs.

    ZippyGBR replied to FireStarterRN's topic in Activism, Healthcare

    the only issue with a state rather than federal system would be a 'zip code lottery' based on the priorities of states ... it's seen as an issue i nthe UK where thedifferent PCTs fund / don't fund...
  7. ZippyGBR

    How difficult is it for US new grads to get jobs in London UK?

    ZippyGBR replied to CRASHT1224's topic in International Nursing

    more to the point over time the EU regulations for Nurse registration require 4600 hours program 2300 theory and 2300 practice the main issue for anyone without an EU passport will be work permits...
  8. ZippyGBR

    Socialized Medicine sure is scary.....

    ZippyGBR replied to HM2VikingRN's topic in Activism, Healthcare

    do you do charge ? are you mandated to do charge? as a band 5 we're techncially not manadated to do and can in theory refuse if a band 6 or band 7 Nurse is on duty ('management' band 6 being team...
  9. ZippyGBR

    Socialized Medicine sure is scary.....

    ZippyGBR replied to HM2VikingRN's topic in Activism, Healthcare

    as per the previous thread on socialised healthcare can't answer for the cheese eating surrender monkies but can answer for the UK here in the western edge of rightpondia Basic (pre tax but exlcuding...
  10. ZippyGBR

    Universal Health Care... what would this mean...

    ZippyGBR replied to nurseyNJNYC's topic in Activism, Healthcare

    tort reform is irreelvant thebiggest problem US healthcare faces is the fee for service ethos which has led to a lack of clinicla objectivtiy over investigations - becasue there is no need to...
  11. ZippyGBR

    Universal Health Care... what would this mean...

    ZippyGBR replied to nurseyNJNYC's topic in Activism, Healthcare

    Lets see, NICE http://www.nice.org.uk/ clinicians, PCT management when money is short... the issues are over cancer drugs which don't have NICE approval or have nice approval only for their licenced...
  12. ZippyGBR

    Universal Health Care... what would this mean...

    ZippyGBR replied to nurseyNJNYC's topic in Activism, Healthcare

    if money is tight are you going to pay the true price for a drug regime including newer agents? if you are going to be charged for your retinal screening - are you going to go ? how often are you...
  13. ZippyGBR

    Information on UK Nursing

    ZippyGBR replied to lyndajayne's topic in International Nursing

    while it may be eaiser for peopel from some commonwealth countrites to get toursit visas or not need tourist visas it doesn't change the situation over work permits etc ... hence the recent stuff...
  14. ZippyGBR

    As nurses do you see the need for medical assistants?

    ZippyGBR replied to pumpkin1984's topic in General Nursing

    interestingly if you look at the background of the ODP role in the UK it;s becasue Nurses couldn't wouldn't learn the technical side of being anaesthesia assistants ... the traditional pattern in...
  15. ZippyGBR

    can you add KCL to IVF?

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

    the problems with adding potassium to fluids are multiple the main two however are 1. 'layering' influids where the potassium is added at ward level 2. the risks associated with neat potassium...
  16. ZippyGBR

    Tech Refuses Patient

    ZippyGBR replied to UM Review RN's topic in General Nursing

    depends whether there was a valid reason or not AND that valid reason should have been provided to Occupational Health who can then inofrm the Nurse managers in question... if there's not a valid...
  17. ZippyGBR

    Universal Health Care... what would this mean...

    ZippyGBR replied to nurseyNJNYC's topic in Activism, Healthcare

    hence the graph i posed linked from the wikipedia entry aobut income tax in the UK why should mortgage interest be tax deductable? travel expenses can be offset against tax in the uk - assuming...
  18. ZippyGBR

    Universal Health Care... what would this mean...

    ZippyGBR replied to nurseyNJNYC's topic in Activism, Healthcare

    same situation in the UK - those with a right of residence in the UK get services free at the point of delivery - everyone else pays, what confuses people is that to the average american tourist who...
  19. ZippyGBR

    Universal Health Care... what would this mean...

    ZippyGBR replied to nurseyNJNYC's topic in Activism, Healthcare

    as a uk resident by choice and british citizen by birth, i think i can comment here ... depends on what you define as homogenous ... there is not a a tax on every purchase as in the uk at least...
  20. ZippyGBR

    Universal Health Care... what would this mean...

    ZippyGBR replied to nurseyNJNYC's topic in Activism, Healthcare

    in relation to what? i think that once again the ignorance of leftpondia strikes again confusing ideology with systems of government.. the warsaw pact and it's systems of control of the population...
  21. ZippyGBR

    Universal Health Care... what would this mean...

    ZippyGBR replied to nurseyNJNYC's topic in Activism, Healthcare

    there always has been and remains to be an outside the NHS service in the Uk ... particularly for investigations, elective surgery and up to a point for matenrity services, however for chronic...
  22. ZippyGBR

    Universal Health Care... what would this mean...

    ZippyGBR replied to nurseyNJNYC's topic in Activism, Healthcare

    VAT is not applied to everything sold in the UK notable exceptiuons include many foods, childrens clothes, workwear ... domestic fuels / energy is subject ot VAT at 5% odd then that all the new...
  23. ZippyGBR

    Universal Health Care... what would this mean...

    ZippyGBR replied to nurseyNJNYC's topic in Activism, Healthcare

    what does 'per capita' mean
  24. ZippyGBR

    Universal Health Care... what would this mean...

    ZippyGBR replied to nurseyNJNYC's topic in Activism, Healthcare

    just like the 'many' none UK citizens who come to the UL to recieve specialist care from internationally renowned highly specialist treams based in the Uk also there are a proprtion of the peopel...
  25. ZippyGBR

    Universal Health Care... what would this mean...

    ZippyGBR replied to nurseyNJNYC's topic in Activism, Healthcare

    i'd have a look at the MINAP data from the UK ( looking at pain to needle for MIs whether thromblysis or PCI is the method of choice in a locality) among other measures before stating that...