ZippyGBR BSN, RN

Spinal Cord injuries, Emergency+EMS

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All Content by ZippyGBR

  1. ZippyGBR

    what to know @ scene of accident

    multiple casualties - do the least for the most to prevent deterioration traumatic arrest ABC = amen, bag'em, call the florist... , seriously, traumtic arrests have a really dismal prognosis even if...
  2. ZippyGBR

    what to know @ scene of accident

    whole variety of options present here.... if you just want to be confident in your first aid management go and do a first aid course ... if you aren't working in emergency care and don't have...
  3. hyoscine hydrobromide is the Uk approved name, it;s probably very similar if not the same as hyoscyamine hydrobromide and it;s the different generic nameing conventions striking again it's going...
  4. some hyoscine hydrobromide may have helped to dry up some of the secretions and reduce 'death rattle' as well as providing some sedation. Uk practice sees various concoctions given by syringe driver...
  5. ZippyGBR

    The worst or strangest orders you have seen...

    if you are going to do significant diuresis it could be a valid consideration ... certainly i'd rather catheterise someone that needs significiant diuresis than some of the pointless...
  6. ZippyGBR

    IS it ok to wear scrubs to an interview?

    yes onthe provisoes 1. it's in the facilty you currently work in 2. it's during or immediately before / after the completion of a
  7. ZippyGBR

    LPN or MN? Thoughts please......

    thecommuter having re read the posting by the OP the options considered are pre-reg MN vs LPN and then LPN -RN while earning as an LPN i will restate my main point again - will a pre-reg MN...
  8. ZippyGBR

    The worst or strangest orders you have seen...

    given recent discussion about how "nurses can't do anything without a valid medical order (for billing purposes) " does this perhaps not indiciate the level of bureaucratic idiocy that has been...
  9. ZippyGBR

    Could I be in trouble? (New nurse)

    depending on the clinical assessment of the professionals between scene and the ED doc... Skull X rays are only rarely indicated in this day and age the otions generally being watch and CT if the...
  10. ZippyGBR

    LPN or MN? Thoughts please......

    what specifically would a pre-registration MN graduate RN offer over and above any other new graduate RN? manager will look at the resume note the MN but note it was a pre-reg one and the next...
  11. ZippyGBR

    is this legal?

    i see you nicely avoided the issue i raised there traumasRus ... i really do wonder why there is such an acceptance from those practising in the US of the need to get a Physician's permission to...
  12. ZippyGBR

    is this legal?

    to be honest this whole thread sounds like a crock ... i still find it amazing that theUSA sees it as perfectly normal to have to get permission from physicians to do Nursing care for patients or to...
  13. ZippyGBR

    LPN or MN? Thoughts please......

    a post-grad pre-reg route will NOT pay off any more in the long run ... becasue you won't have the additional skills knowledge and experience of someone who has doen a psot graduate degree as a...
  14. ZippyGBR

    Degree Vs Diploma!

    ah the finest claire rayner rhetoric, hmm, luvvie, ... placing nursing firmly back into the past whenre kissing orifices and mopping doctor's brow were the order of the day... define truely stupid...
  15. ZippyGBR

    Degree Vs Diploma!

    given the number of personalised attacks made against people becasue they don't fit the percieved correct mould for being a nurse , which sadly in the UK is a white, female traditionally trained...
  16. ZippyGBR

    Working with interns...can you help?

    it's probablysomething to ask us brits aobut as unless we work in private areas only a lot of our time is pent interacting with juniors, epsecially given that the shortest speciality training i nthe...
  17. ZippyGBR

    CNA's calling in/writing prescriptions

    i really dont see what the issue is the prescription was checked andsigned by someone who is a prescriber ... do you have to be an RN to send a script to pharmacy? i think not given the script is...
  18. ZippyGBR

    Days off guidelines

    depends what the next shift is i would suggest that you need at least the 'night off' following the shift (as you've worked somewhere between 6 and 9 hours that day depending on how your shifts are...
  19. ZippyGBR

    Degree Vs Diploma!

    so someone who isn't capable of gaining an NQF level 3 qualification is suitable to train/ educate as a health Professional? sorry this is utter rubbish ... most of the people ihave met in Nursing who...
  20. ZippyGBR

    Degree Vs Diploma!

    I doubt it - it will mainly be changing marking criteria for academic work - a far smaller jump than from traditional training to current education and preparation for practice I don't see many...
  21. ZippyGBR

    Any French, English, or Canadian Nurses Here?

    the standard working week in the UK is 37.5 / week the standard working woeek i nthe NHS for everyone except doctors, dentists and directors is now 37.5 or will be by next year (the working week...
  22. how long ago ? we've had IV paracetamol for a couple of years now and there were some mega -expensive pro drug injectable paracetamol preparations available about 5 years
  23. ZippyGBR

    Change in IV Phenergan Policy

    zofran = Ondansetron ? if so it's off patent i nthe Uk now and suddenly a lot cheaper as the generic makers bring their product to
  24. ZippyGBR

    The price of healthcare

    the simple answer is a hybrid system tax funded emergency care - so emergency admissions, cancer invesigations ( current NHS standard = 2 week target to be seen often much quicker, 4 week target for...
  25. ZippyGBR

    Do you know guys, we ARE an action figure!

    trauma shears WOOt! essential badge of office for ED ( and displaced ED)