ZippyGBR BSN, RN

Spinal Cord injuries, Emergency+EMS

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All Content by ZippyGBR

  1. ZippyGBR

    Phlebotomy: 25 Gauge Needle Question

    ZippyGBR replied to pagandeva2000's topic in General Nursing

    also depends on what you want the samples for ... our haematolgy analyzers seem to cope reasonable well with when the samples taken at the same time from the same stick for biochemistry analysis come...
  2. ZippyGBR

    What exactly is respiratory excursion

    ZippyGBR replied to cowboy_carl's topic in General Nursing

    what emmanuel said it's the 'look' and 'feel' of look , listen and feel (or observe, auscultat, palpate if you are feeeling
  3. ZippyGBR

    Peripheral IV lab draws

    ZippyGBR replied to kimmie518's topic in General Nursing

    taking blood from a peripheral line is do able - how often do we take the initial samples when we cannulate... taking blood froman existing line is often frowned up but it is entirely possible if...
  4. ZippyGBR

    How many hours is legal ?

    ZippyGBR replied to Janey's topic in International Nursing

    EU working time directive is law , as are holidays ... try the DWP / HMRC? HSE all of whom will take anonymous tip offs where the law is broken, people are put at risk there;s the slightest sniff...
  5. ZippyGBR

    How many hours is legal ?

    ZippyGBR replied to Janey's topic in International Nursing

    european working time directive saysan averageof 48 hrs / week - but you cna opt out ... however what you can't opt out of is the 11 hours between shifts ( can be monkied with a bit)and the weekely...
  6. ZippyGBR

    Permanent Charge Nurses

    ZippyGBR replied to ReadyforChange's topic in General Nursing

    in the UK the charge nurse / sister role is a permanent one, but equally there are more experienced staff nurses who do take charge on a regular basis ... the primary difference being that as a...
  7. ZippyGBR

    Hospice Oxygen Therapy

    ZippyGBR replied to MarcusKspn's topic in General Nursing

    spot on - this isn't necessarily 'hospice' stuff , just sensible care of someone in the termainl phase or an illness, even though i work on an acute assessment unit in a acute generaland specialist...
  8. ZippyGBR

    NO Pain medicines for my Mom!

    ZippyGBR replied to Hospice RNCM's topic in General Nursing

    the son should not be involved as a prescriber - simple as ... here in right pondia the professional guidelines for prescribers ( whether doc, dentist, nurse or pharmacist) frown on prescribing for...
  9. ZippyGBR

    What is a "nursing conversion program"?

    ZippyGBR replied to londonbridge's topic in International Nursing

    hours the EU directive requires 2300 theory and 2300 practice hours in a pre 0registration programme conversion courses generla 2nd registrations or EN to RN 'adaptation programmes' seem to be...
  10. ZippyGBR

    What is NS NOT compatible with?

    ZippyGBR replied to 2blessed2Bstressed's topic in General Nursing

    cyclizine - as it can
  11. ZippyGBR

    Will it improve

    ZippyGBR replied to XB9S's topic in International Nursing

    and -D grades ( and basic grade therapists) - Enrolled Nurses who haven't converted - those who were Staff Nurses and got banded as 6 reflecting their roles... plus of course the general move...
  12. ZippyGBR

    Will it improve

    ZippyGBR replied to XB9S's topic in International Nursing

    LOL under whitley hospitals could fudge grading and also kept many able nursies salaries deliberately down by maintaining a numbers based approach to D to E Agenda for change pay banding...
  13. ZippyGBR

    2 pts in the same OR room?!?!?!

    ZippyGBR replied to Nursonegreat's topic in Operating Room

    of course having decently designed Operating theatres with anaesthetic rooms and out-bays means you can do this almost seamlessly if enough ofthe perioperative team can collect/ prep / circulate and...
  14. ZippyGBR

    Least infectious floors

    ZippyGBR replied to Epona's topic in General Nursing

    elective only ortho perhaps? as the patients should have been on eradication prior to admission
  15. ZippyGBR

    U.S. Nursing Salary CHANGES?!

    ZippyGBR replied to Future-nurse's topic in General Nursing

    that's a fact you wish to sate - fine while the NMC does not have a specific registerable section for all NPs, some Practitioner roles are registerable (specialist public health Nurse etc) and...
  16. ZippyGBR

    U.S. Nursing Salary CHANGES?!

    ZippyGBR replied to Future-nurse's topic in General Nursing

    additionally single payer even on an item of service basis is cheaper to adminster and cheap still if you move to single payment for a procedure rather than billing for every item opened, consumed...
  17. ZippyGBR

    Eye care on ED intubated patients

    ZippyGBR replied to kmoonshine's topic in Emergency

    don't forget 'taping shut' isn't actually taping shut ... a firm tape (i.e. not paper micropore) placed as a strip across the top lid does very well
  18. ZippyGBR

    U.S. Nursing Salary CHANGES?!

    ZippyGBR replied to Future-nurse's topic in General Nursing

    war against drugs ... target where the damage is - disrupt dealers and supply networks ... possession (unless it's stolen legit pharma stuff and you stole it) isn't all that big a deal - hence the...
  19. ZippyGBR

    U.S. Nursing Salary CHANGES?!

    ZippyGBR replied to Future-nurse's topic in General Nursing

    # the Government does NOT control Nurses play in the UK ... you want a raise greater than 2.6 % the 2.5 % cost of living rise this year is for those employed by the NHS ... it also doesn't take...
  20. ZippyGBR

    U.S. Nursing Salary CHANGES?!

    ZippyGBR replied to Future-nurse's topic in General Nursing

    this is a further advantage to a system like the NHS, there is one set of pay negotiation and people know where they stand... however it also requires the union system to be set up for such...
  21. ZippyGBR

    U.S. Nursing Salary CHANGES?!

    ZippyGBR replied to Future-nurse's topic in General Nursing

    Are you sure, while this might be the case in London and the southeast ( and reflected in the agenda for change pay scales by the London allowance and /or recruitment and retention premia) can you...
  22. ZippyGBR

    Paramedic on Medical Surgical Units outside of just the ER

    ZippyGBR replied to ParamedicGuy's topic in General Nursing

    several isues strike fro mthe rightpondian point of view US hospitals use paramedics becasue they are cheap, this wouldn't happen for cist reasons in the Uk as Ukparamedics arepaid the same as...
  23. ZippyGBR

    Patients without insurance who self prescribe from livestock supply catalogues

    ZippyGBR replied to FireStarterRN's topic in General Nursing

    it has to be paid for , but there is no worry aobut 'messing up' and ordering an investigation that won't be covered - either it's clinically justified or it isn't ... out of hours primary care have...
  24. ZippyGBR

    Patients without insurance who self prescribe from livestock supply catalogues

    ZippyGBR replied to FireStarterRN's topic in General Nursing

    equipment is a reflection of market size , a lot of medical equipment has a world wide market of afew hundred thousand to a few million units across all the manufacturers... somethign like an ipod...
  25. ZippyGBR

    Patients without insurance who self prescribe from livestock supply catalogues

    ZippyGBR replied to FireStarterRN's topic in General Nursing

    from thje point of acute and emergency care - a universal system is great no worrying about who is going to pay and what for - the patient gets wheat they need clinically... a universal system...