ZippyGBR BSN, RN

Spinal Cord injuries, Emergency+EMS

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All Content by ZippyGBR

  1. ZippyGBR

    Nursing in France

    ZippyGBR replied to bambi007's topic in General World

    and a reasonably experienced RN in the UK working a rotating shift pattern will make 1500 GBP / month , and at the top of band 5 you are making just short of 1500 gbp/ month on plain time
  2. ZippyGBR

    Condition H

    ZippyGBR replied to LaNorteBellaRN's topic in General Nursing

    this is absolutely bonkers, but a symptom of the world wide phenomena that 'quality hospital care' is what the patient ( or more importantly sometimes i nthe eyes of damagement the patient's...
  3. ZippyGBR

    Nurses taking patient's off backboards without doctor clearnce?

    ZippyGBR replied to the big nurse's topic in Emergency

    you have failed dismally to demonstrate a rationale relying solely on an anecdote and misapplication of that anecdote .... 1. the cord injury was dicovered some hours after the initial incident,...
  4. ZippyGBR

    Nurses taking patient's off backboards without doctor clearnce?

    ZippyGBR replied to the big nurse's topic in Emergency

    craig nice to see someone else who can look beyond the dogma, just a shame that others allow the dogma to be reinforced - especially when others have done the leg work and taken the 'risk' in...
  5. ZippyGBR

    Nurses taking patient's off backboards without doctor clearnce?

    ZippyGBR replied to the big nurse's topic in Emergency

    rationale? given that even with gold standard extrication at scene there is far more movement of the patient at scene than there is doing a controlled move in the emergency department , - one...
  6. ZippyGBR

    Nurses taking patient's off backboards without doctor clearnce?

    ZippyGBR replied to the big nurse's topic in Emergency

    exactly , especially if the person remains in a collar and head restraint pending clinical or radiological clearnace. exactly also for those who rely on radiological clearance consider the...
  7. ZippyGBR

    Nurses taking patient's off backboards without doctor clearnce?

    ZippyGBR replied to the big nurse's topic in Emergency

    A further issue to consider is the implication by some that 'clearance' of the C sipine can only be achieved radiologically , selective immobilisation guidelines suggest other wise as does UK practice...
  8. ZippyGBR

    Nurses taking patient's off backboards without doctor clearnce?

    ZippyGBR replied to the big nurse's topic in Emergency

    in 'English' UK civil law / tort law there are 2 principles which have become known as the 'Bolam test ' and the 'Bolitho test' after the cases where the case law was established , " The Tests of...
  9. ZippyGBR

    Protocols regarding extrication of potential spinal injury patients from POV's showin

    ZippyGBR replied to JJEDRN's topic in Emergency

    they did not depart fro mthestandard of care, the current teaching in the Uk is that in a none time critical situation the standard of care is that the patient does not come out the side it is...
  10. ZippyGBR

    Nurses taking patient's off backboards without doctor clearnce?

    ZippyGBR replied to the big nurse's topic in Emergency

    is there something magical that happens to a doctor's hands during the course of their professional education which makes it less risky for them to undertake a clinical examination than oany other...
  11. ZippyGBR

    Help, ER getting swamped.

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

    again one where the evil excesses of socialised healthcare chalks up some points in the Uk we have an 98 % of patients should be seen and either admitted or discharged from the ED within 4 hours...
  12. ZippyGBR

    Protocols regarding extrication of potential spinal injury patients from POV's showin

    ZippyGBR replied to JJEDRN's topic in Emergency

    i'll see if i can find the picture of the new that week police vehicle which was roof and door chopped because a police officer was daft enough to sit someone from an RTC in his vehicle rather...
  13. ZippyGBR

    Nurses taking patient's off backboards without doctor clearnce?

    ZippyGBR replied to the big nurse's topic in Emergency

    i'dbe inclinced to agree with S.T.A.C.E.Y that this is a sensible approach rather than blindly stating that the patientremians o nthe board until cleared by the physician following radiologicial...
  14. ZippyGBR

    Nurses taking patient's off backboards without doctor clearnce?

    ZippyGBR replied to the big nurse's topic in Emergency

    okay what is the corrspondance between spinal immobilisation being applied by EMS and proven Spinal cord injury... if you leave someone on a board long enough you will cause them iatrogenic...
  15. ZippyGBR

    Nurses taking patient's off backboards without doctor clearnce?

    ZippyGBR replied to the big nurse's topic in Emergency

    i don't have a Masters, does a Nurse need to be a Nurse-Academic to apply some critical thinking and look at the evidence base behind something ARE YOU? becasue if the patient remains on the...
  16. ZippyGBR

    Nurses taking patient's off backboards without doctor clearnce?

    ZippyGBR replied to the big nurse's topic in Emergency

    how in that cvase do you counter the accusation of gorss negligence nad professional incompetencne as well as the financial losses the patient without a cord injury suffers due to the pressure sores...
  17. ZippyGBR

    Nurses taking patient's off backboards without doctor clearnce?

    ZippyGBR replied to the big nurse's topic in Emergency

    point being - a reply in the thread said ' if EMS have immobilised then they ought to stay immobilised until cleared by adoctor' if the USAn EMS system wasn't based around a significant number of...
  18. ZippyGBR

    Protocols regarding extrication of potential spinal injury patients from POV's showin

    ZippyGBR replied to JJEDRN's topic in Emergency

    interesting no one has mentioned the 'gold standard' of extrication , which involves firefighters and heavy machinery .... which given the amount of EMS based Fire services i nthe states is suprising...
  19. ZippyGBR

    Scope of Practice?

    ZippyGBR replied to lblondie1128's topic in Emergency

    pretty much like it is in the UK, where there are few cast in stone rules aobut scopes of practice and for registered health Professionals , the biggest determinant is your education, training and...
  20. ZippyGBR

    Nurses taking patient's off backboards without doctor clearnce?

    ZippyGBR replied to the big nurse's topic in Emergency

    at which point you've broguht them a potentially fatal condition or at the very least a much prolonged stay in hospital which we heal and/or surgically repeair th iatrogenic pressure ulcers why...
  21. ZippyGBR

    Nurses taking patient's off backboards without doctor clearnce?

    ZippyGBR replied to the big nurse's topic in Emergency

    as a TNCC provider ( and a PHTLS provider FWIW) that's not quite the truth is it... a collar alone does not provide C spine immobilisation a collar and manual immobilsation OR a collar and properly...
  22. ZippyGBR

    Nurses taking patient's off backboards without doctor clearnce?

    ZippyGBR replied to the big nurse's topic in Emergency

    assuming the restrictive and prescriptive way in which the US works in generla doesn't get in the way ( thank chosen deity for the attitude in the UK where it;s the training , education and...
  23. ZippyGBR

    NArcan drip

    ZippyGBR replied to sharann's topic in General Nursing

    also if people have taken big ODs of Modified release Morphine or something like a big OD of methadone - - so very long half lives compared to narcan - practice in the Uk has tended to be infusions...
  24. ZippyGBR

    What is a trauma nurse clinician?

    ZippyGBR replied to labcat01's topic in Emergency

    running the trauam lists for the ORs or liasiing with the planning bods in the OR to get room s for the trauma surgeons and trauma ortho unplanned patients that aren't Stat to theatre Open a room /...
  25. ZippyGBR

    Got any funny acronyms at your ER???

    ZippyGBR replied to RNin92's topic in Emergency

    vit H - haloperidol vit L - librium -