ZippyGBR BSN, RN

Spinal Cord injuries, Emergency+EMS

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All Content by ZippyGBR

  1. ZippyGBR

    Time off (PTO) for full time vs. part time nurses

    ZippyGBR replied to cands04's topic in General Nursing

    the easiest answer for sick days is - as is the case i nthe UK there is NO allocation , however for sickness absence of less than 7 days you are required to provide self certification and for more...
  2. ZippyGBR

    Wait for D/C after narcs/benzos?

    ZippyGBR replied to Miss Mab's topic in Emergency

    the other thing is what sorts of opates and benzos ? Benzos for procedural sedation or for fitting you are going to want to keep them until they are upright coherent etc .... same with parenterla...
  3. ZippyGBR

    Staff medications

    ZippyGBR replied to kdmcook's topic in Camp

    key information should be i nthe staffmember's personal or occ health file ... the only reason i can think of for such a policy is concern that staff accomodation is not secure enough for them to...
  4. ZippyGBR

    ccu, icu, acute care

    ZippyGBR replied to charlies's topic in General Nursing

    trauma team - from a nursing point of view Emergency Dept or Flight/PHRN CCU - is Cardiac Care Intensive care is patients who require invasive ventilation or multi organ system support ( right pond...
  5. ZippyGBR

    nurses in combat areas

    ZippyGBR replied to dm22's topic in Government, Military

    however the military nurse when deployed on land or flying over non friendly territory stil requires basic soldiering, survival and fieldcraft skills... you are not going to be a trained...
  6. ZippyGBR

    Pet Nurse??

    ZippyGBR replied to Fuzzy's topic in General Nursing

    from a right-pondian perspective the title 'Nurse' is not enclosed but a variety of titles including Nurse as a main part are ... e.g. Registered Nurse and the historic titles Such a State Registered...
  7. ZippyGBR

    Salary vs. Hourly?

    ZippyGBR replied to luvnursing2007's topic in General Nursing

    how about a 'mixed economy' of salary and hourly like the UK we have salaires which assume all out hours are worked weekdays between 0600 - 2000 , if we work outside of thsoe times there are...
  8. ZippyGBR

    shift/weekend differentials and weekend options

    ZippyGBR replied to cheryn's topic in General Nursing

    Uk system +30% after 8pm or on a designated 'night ' shift in the week +30% all day saturday +60% all day Sunday and bank
  9. ZippyGBR

    Does anyone work the 3 weekend 72 for 80 shift?

    ZippyGBR replied to NurseyPoo's topic in General Nursing

    worked 4 *12 and 7*10 as nights working 3*-12 as days is a lot more tiring though - worked it a few times - then told the NM in question don't ever schedule that again i chose 12s to get away from...
  10. ZippyGBR

    Chronic COPD'er, 1 lung, 02 @ 6L/min. What would you do?

    ZippyGBR replied to DutchgirlRN's topic in General Nursing

    yes given the clinicla picture of a a COPD patient on LTOT who is - febrile - SpO2 lower than usual - more wheezy that usual that starts ringing 'emrgency' bells in my
  11. ZippyGBR

    Chronic COPD'er, 1 lung, 02 @ 6L/min. What would you do?

    ZippyGBR replied to DutchgirlRN's topic in General Nursing

    except of course there is a strong chance they are dead to all intents and purposes the moment you decide to go with invasive ventilation on a patient with this clinical picture he will be a hard wean...
  12. ZippyGBR

    How the heck does this happen?

    ZippyGBR replied to Jesskanurse's topic in General Nursing

    do you have to be an RN to give a medication , all ready prescribed by a doctor (or other independent prescriber) to someone else - especially when it';s their drugs from their packet prepared by...
  13. ZippyGBR

    Acls

    ZippyGBR replied to StillBelieveRN's topic in Emergency

    no but are required to have the immediate / interemediate life support qualification - which includes defib rilattion competence and can include advanced airway
  14. ZippyGBR

    Nurses Clearing spine

    ZippyGBR replied to dmay4's topic in Emergency

    two answers - laziness OR paramedics 'read the wreck' decided you had a low index of suspicion but had to board you becasue the ED want everyone from RTCs on boards for ass coverage
  15. ZippyGBR

    Nurses Clearing spine

    ZippyGBR replied to dmay4's topic in Emergency

    asssesment of anal
  16. ZippyGBR

    Pt demanded a stronger pain med

    ZippyGBR replied to AstrosFan's topic in Emergency

    the previous poster was referring to not analgesing 'belly pains' until they had had a surgical / gynae consult regardless of who had seen them in the Ed ( even senior Ed
  17. ZippyGBR

    Hey ER, what takes so long???

    ZippyGBR replied to RunningWithScissors's topic in Emergency

    from my point of view ( as a rightpondian Emergency Dept and Admissions/ assessment unit type bod) System failures all round 1. while not a 'failed discharge' it's pretty obvious this patient will...
  18. ZippyGBR

    Lowest blood sugar you have seen

    ZippyGBR replied to AfloydRN's topic in General Nursing

    seen a blood sugar of 1.1 mmol and had a sensible conversation with the patient ... not sure what the conversion factor between mmol and the common unit on the other side ofthe water
  19. ZippyGBR

    Private vs. Semi-private rooms

    ZippyGBR replied to starryx2's topic in General Nursing

    y'all better hope you don't get ill in the UK then where the current standard for new build is 25% single rooms 25 % small bays (2 or 3 beds) and 50 % 'large ' bays (4 -6 beds) patient safety - the...
  20. ZippyGBR

    Nurses Clearing spine

    ZippyGBR replied to dmay4's topic in Emergency

    eric - thanks for posting that link still amazes me that you will imomobilise any and every patient who presents with neck pain and then keep them immobilised until reviewed by a senior doctor... yet...
  21. ZippyGBR

    Nurses Clearing spine

    ZippyGBR replied to dmay4's topic in Emergency

    question for all those saying doctors only - what happens with self presenters? do they get immobilised and face the iatrogenic problems of being boarded only to be log rolled bum poked and let...
  22. ZippyGBR

    Nurses Clearing spine

    ZippyGBR replied to dmay4's topic in Emergency

    in terms of 'clearing' spines define the situation ? are we talking aobut removing immobilisation applied by pre hospital providers or deciding whether to immobilise self presenters? from the Uk...
  23. ZippyGBR

    RN/Sonographer Marketability?

    ZippyGBR replied to jollyjenny's topic in General Nursing

    increasing number of Midwife sonographers in the UK - however mainly working in obs +gynae settings i suppose cardiology could be another area ? doing echos
  24. ZippyGBR

    Pt demanded a stronger pain med

    ZippyGBR replied to AstrosFan's topic in Emergency

    the responses seen are proportionate, although interestingly no one mentioned involving the shift leaders ( medical and /or nursing) as well as Doc who saw the patient ( though if the doc who saw the...