ZippyGBR BSN, RN

Spinal Cord injuries, Emergency+EMS

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All Content by ZippyGBR

  1. ZippyGBR

    Foul Smelling Urine

    ZippyGBR replied to RN BSN 2009's topic in General Nursing

    the answer here is 1. bin the current urine bags and swap to fresh ones - as even with good washign reusablt bags can get pretty manky ... I have a habit of all fresh bags if anyone with a long...
  2. ZippyGBR

    Why dont YOU wear a helmet??

    ZippyGBR replied to Crux1024's topic in General Nursing

    the simple answe r to this, bike helmets and setbelts is pig headed ignorance and /or sheer arrogance in the Uk motorcycle helmet wearing is mandated by law but still you get the idiots in helmet,...
  3. ZippyGBR

    Explanation of job titles?

    ZippyGBR replied to maggijo's topic in General Nursing

    no matter how many extra roles and interventiosn you add to Nursing support worker staff roles it doesn't make any difference and what fancy titles you give them it doesn't changethe overall...
  4. ZippyGBR

    is permission required?

    ZippyGBR replied to GingerSue's topic in General Nursing

    Nurses and other health professionals are expected to conduct full and comprehensive assessments , patients can refuse these assessments , however a refusal of an assessment can in some cases be...
  5. ZippyGBR

    Nursing In England

    ZippyGBR replied to pengoo2008's topic in International Nursing

    modern matron is just a fancy name for a divisional / directorate nurse manager (i.e. 2nd line manager after charge /sister posts and unit nurse manager/ senior sister) political spin pure and simple,...
  6. ZippyGBR

    My Pet-Peeve - Priming IV's

    ZippyGBR replied to Nurse_FF_EMT's topic in General Nursing

    another issue with this can be getting it prescribed ( and one would assume billed for) - we work on the basis of the prescription for the antibiotics covers the standard ways of giving it - some...
  7. ZippyGBR

    Vancomycin..first choice drug??

    ZippyGBR replied to lsyorke's topic in General Nursing

    UTI what the hell happened to trimethoprim / co-amoxiclav / cefwhatever.... that's whats in our rightpaondian formularly as first to second lines then add gent or go to an AMG type regime if they...
  8. ZippyGBR

    My Pet-Peeve - Priming IV's

    ZippyGBR replied to Nurse_FF_EMT's topic in General Nursing

    this is one of the stupid things aobut the price of everything value of nowt managers in my trust one hospital has alarises with drop counters , the other hospirtal saved a few quid by getting ones...
  9. ZippyGBR

    Circular vs. Traditional Patient Care Units

    ZippyGBR replied to abbaking's topic in General Nursing

    UK based most ofthe recent builds (30 years ago up till about 5 years ago) used varieties of the 28 bedded 4*6 + 4 side rooms layout - either the paired 'nucleus' wards or quarter/ semi circular...
  10. ZippyGBR

    Hgb level

    ZippyGBR replied to shock-me-sane's topic in General Nursing

    the guidelines we us (not sure ifthey are UK wide) generally transfuse at 7point something if cardiovascualrly well and 9 if cardiovascular comorbidity, we'll make sure that any abnormal bloods are...
  11. ZippyGBR

    What would you call "Practicing Medicine"

    ZippyGBR replied to RADONC-RN's topic in General Nursing

    at best it's a semantic arguement like the whole 'nursing diagnosis' bag of poop .... nurses do 'diagnose' and do 'prescribe '... except of course i nthe USA where for billing reasons you are...
  12. ZippyGBR

    Mophine IM vs IV

    ZippyGBR replied to MrsMommaRN's topic in General Nursing

    spot on the only uses for IM as a route - vaccines - a few Abx in GUM /STD settings - if you absolutely can't get an IV ( but equally then there's SC/Oral/IN/SL routes for various meds) - a very...
  13. ZippyGBR

    what to know @ scene of accident

    ZippyGBR replied to NurseNature's topic in General Nursing

    Have you actually read this thread? all the way through posters have suggested to the OP that either they 1. do a first aid course and stick to first aid but apply a bit of Nursing knowledge if they...
  14. ZippyGBR

    NO weekends,puhleaseee!

    ZippyGBR replied to rxrn's topic in General Nursing

    a lot of it will depend on how pay structures work where you are from my right pondian viewpoint - not working unsocial hours but satill wanting a good paypacket at the endof themonth - only one way...
  15. ZippyGBR

    The worst or strangest orders you have seen...

    ZippyGBR replied to MadisonsMomRN's topic in General Nursing

    thought it was called a 'pillow tolerance test' ... or maybe that;s just what we call
  16. ZippyGBR

    Why have 2 20-hour positions rather than one 40?

    ZippyGBR replied to Guitar_Heroine's topic in General Nursing

    how aobut ask the 20 hour nurses to work extra hours if they can - at plain time rates where your 40 hour nurses would want overtime? even during the frequent 'overtime bans' employed by management i...
  17. ZippyGBR

    Comparison of US and UK pay

    ZippyGBR replied to biteme's topic in United Kingdom

    depends on your role - if you were a staff nurse in a none specialist area you would be a maxxed out on increments band 5 , if you were a specialist staff nurse , sister/ charge nurse -6 , senior...
  18. ZippyGBR

    Deciphering the MD follow-up report

    ZippyGBR replied to RPN_2006's topic in General Nursing

    o/e - on examination ? especially alone with a slash or dash between P for plan
  19. ZippyGBR

    Witnessed a terrible death last night--pls help me...

    ZippyGBR replied to Annebug's topic in General Nursing

    comfort care is I suppose a subset of palliative care... for someone with a diagnosis of Ca. that is not going to be 'curable' or the end stages of other life limiting diseases palliative care should...
  20. ZippyGBR

    Triage Quailifications

    ZippyGBR replied to Kidrn911's topic in Emergency

    i've used non RNs to triage at events , but that's a different case mix and the none RNs have been student health professionals and /or experienced EMTs - the acuity and waits are lower and usually...
  21. ZippyGBR

    Adenosine & Defib...

    ZippyGBR replied to ERRNTraveler's topic in Emergency

    a little bit of overkill , certainly where i 've worked in ED and assessment settings the middle grade or staff specialist/ consultant (generally ED seniors in the ED) needs to be present even if...
  22. ZippyGBR

    Adenosine & Defib...

    ZippyGBR replied to ERRNTraveler's topic in Emergency

    general UK practice in the ED - adenosine only given in resus areas monitored via defib monitoring cable and 12 lead ecg generally will also have spo2 and niBP from the monitor ( and if the leads...
  23. ZippyGBR

    new grad wishing to migrate in uK

    ZippyGBR replied to cutiehotie's topic in International Nursing

    it doesn't matter to whom you apply and whethet you do if before or after the nMC has made a decision the IND will NOT grant you a work permit unless you are a highly specialist
  24. ZippyGBR

    new grad wishing to migrate in uK

    ZippyGBR replied to cutiehotie's topic in International Nursing

    as a recently qualified nurse you will not get a work permit in the UK at present if you aren't an EU citizen or perhaps the spouse of someone coming into the UK working in a demand area of...
  25. ZippyGBR

    differences in moving and handling

    ZippyGBR replied to nightmare's topic in International Nursing

    the obvious first question is what is the manual handling statute law situation in the US ...? it's obviously different as if you look at EMS - the US is generally using Ambulance trollies that the...