ZippyGBR BSN, RN

Spinal Cord injuries, Emergency+EMS

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All Content by ZippyGBR

  1. ZippyGBR

    Privilges and other policies in adult in-pt acute care units

    ZippyGBR replied to epg_pei's topic in Psychiatric

    from the right pondian point of view , if a patient is on a section i.e. detained they aren't going to be allowed out unsupervised on an acute section, once of a different section later on in their...
  2. ZippyGBR

    Patients without insurance who self prescribe from livestock supply catalogues

    ZippyGBR replied to FireStarterRN's topic in General Nursing

    the US health industry is 2 industries the actual provision of healthcare and a huge money go round attempting to bill for the minutiae of equipment and supplies used and chasing payment for...
  3. ZippyGBR

    Patients without insurance who self prescribe from livestock supply catalogues

    ZippyGBR replied to FireStarterRN's topic in General Nursing

    and you're evidence base for that beyond the tabloids? a system that sucks so much that 98% of people are seen and admitted / discharged from the ED in under 4 hours a system where ED holds are so...
  4. ZippyGBR

    Patients without insurance who self prescribe from livestock supply catalogues

    ZippyGBR replied to FireStarterRN's topic in General Nursing

    Us taxpayers are already 'socked' for healthcare for others and 'socked' again for insurance IF they can afford it , leaving the gap of peopel who pay tax but earn too much for govt assitance , yet...
  5. ZippyGBR

    Change of shift admissions

    ZippyGBR replied to kittymom's topic in General Nursing

    for many years hospitals worked worldwide on the ED pushing patients into the system ... in some places this has been changed andthe push is now out the 'back door' via discharge planning , allowing...
  6. ZippyGBR

    Blended pediatric/med/surg adult units?

    ZippyGBR replied to withasmilelpn's topic in General Nursing

    the biggest problem is the child protection issues with nursing Adults and children on the same units .. this has killed any mixed age units virtually stone dead in the UK ... the exceptions seem to...
  7. ZippyGBR

    U.S. Nursing Salary CHANGES?!

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

    back to the question of salaries anyone care to compare payslips with mine (as seen earlier i nthe
  8. ZippyGBR

    U.S. Nursing Salary CHANGES?!

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

    there' is going to be some element of profit control and in certain areas less transparency of price to the consumer - most people in the Uk couldn't tell the price of medicines other than either...
  9. ZippyGBR

    U.S. Nursing Salary CHANGES?!

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

    emmanuel mentioned insurance payments i pay 185 gbp/ year before tax relief for my RCN membership as well as the union representation this gives me it also provides 3million GBP professional...
  10. ZippyGBR

    U.S. Nursing Salary CHANGES?!

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

    monthly 37.5 hour week 29 days leave (27 10 years service) , 8 public holidays, 6 months full pay 6 months half pay sick pay Uk average wages http://www.statistics.gov.uk/cci/nugget.asp?id=285...
  11. ZippyGBR

    U.S. Nursing Salary CHANGES?!

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

    the question is why would it , unless the US government suddenly nationalises providers there's no real reason that salaries or terms and conditions would change immediately, although over time there...
  12. ZippyGBR

    Mandatory CNA!!!!

    ZippyGBR replied to henryswife's topic in General Nursing

    why reinvent the wheel ? CNA competencies are a good way of ensuring peopel have a levle of basic nursing skill. here in rightpondia peopel working as HCAs with level3 NVQ can get acccreditation of...
  13. ZippyGBR

    Urine Dip question

    ZippyGBR replied to fancee free's topic in General Nursing

    depends on your patient presentation in abdominal pain you'd be looking for blood (urinary tract pathology) and considering does a fertile female need a prenancy test, you'dalso be looking for signs...
  14. ZippyGBR

    What MD speciality do you find the most difficult to work with?

    ZippyGBR replied to nurturing_angel's topic in General Nursing

    in the OR baby surgeons get reminded Our procedure the anaesthetist's patient the theatre Sister's Room! generally surgeons will behave as poorly as their ward nurses let them
  15. ZippyGBR

    MDs should obtain & have patients sign consent

    ZippyGBR replied to riley50's topic in General Nursing

    rightpondian persepctive - the provider who is going to do the procedure should take the consent - ideal world reality a provider who could do the procedure takes the
  16. ZippyGBR

    New director is a nazi

    ZippyGBR replied to olddog1's topic in Emergency

    equally there are managers put into units to try and 'sort out' teams who are too competent and too powerful for senior management to influence , or even where the team shows up other teams in the...
  17. ZippyGBR

    Ways I have heard Metoprolol pronounced...by medical personnel.

    ZippyGBR replied to stillpressingon's topic in General Nursing

    the answer with pronouncing Anaesthetist , paediatrics, haemoglobin etc is to pronounce them as ifthey were spelled properly and oringinally i.e. with the
  18. ZippyGBR

    part-time work

    ZippyGBR replied to marc_rn's topic in International Nursing

    given MS is from the netrherlands ( and assuming he is a Dutch passport holder ) is an EU citizen ... it might not be as expensive for him to study in the UK as someone none EU ... I don't know how...
  19. ZippyGBR

    Family present during code of patient

    ZippyGBR replied to sharonhayes's topic in Emergency

    the answer is a case to case approach assume that generally , if you have staff available, that family will be allowed in , who the member of staff is is immaterial, as long as they have enough...
  20. ZippyGBR

    Help, ER getting swamped.

    ZippyGBR replied to MAISY, RN-ER's topic in Emergency

    sounds like a lot of the ideas from the 'evil ,socialised medicine' world of the NHS are making it across the water , specifically - patient group directives or equivalent systems for medication to...
  21. ZippyGBR

    Why shift diff nights when days are so busy?

    ZippyGBR replied to Johnny Moo Man's topic in General Nursing

    i'm going to make you sick over differentials , the nasty evil socialised monolith that is the NHS pays 30% uplift after 2000 ( or if more than half your shift is after 2000 the whole shift - so 7-7...
  22. ZippyGBR

    Off label use

    ZippyGBR replied to crissrn27's topic in General Nursing

    in the uk IIRC metformin ins now 'on label' for Polycystic overay syndrome
  23. ZippyGBR

    Nurses taking patient's off backboards without doctor clearnce?

    ZippyGBR replied to the big nurse's topic in Emergency

    as craig and ERbunny have stated there need be no issue with the decision to remove a patient from a longboard ( an extrication device) once they are in the Emergency department, even if theiry are...
  24. ZippyGBR

    Condition H

    ZippyGBR replied to LaNorteBellaRN's topic in General Nursing

    funinsun i don't think anyone disputes the value of rapid response / critical care outreach where it's initiated by Nursign staff or junior medicla staff , the concenr is with it's misuse if...
  25. ZippyGBR

    The Trauma trainwreck

    ZippyGBR replied to Granted Fal's topic in Emergency

    i'd echo other posters in saying that the team leader(s) needs to get a grip of the situation and if that means yelling " Stop, there are too many f***ing baby doctors (i.e. House officers and SHOs...