ZippyGBR BSN, RN

Spinal Cord injuries, Emergency+EMS

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All Content by ZippyGBR

  1. ZippyGBR

    Narcotic Administration in ER

    ZippyGBR replied to silver2009's topic in Emergency

    Esme the only concieveably relevant part of your dissertation there was the stuff about 'reckless service'. there's a slight difference between 'no opiates if there isn't someone to drive you home '...
  2. ZippyGBR

    Narcotic Administration in ER

    ZippyGBR replied to silver2009's topic in Emergency

    There is an assumption that everyone who attends an ED and requests opiate analgesia is a seeker, it is abundantly clear that this has become so ingrained into the culture of healthcare providers in...
  3. ZippyGBR

    Filter needles for glass vials?

    ZippyGBR replied to jrsmrs's topic in Patient Medications

    what is your rationale never to administer a medication out of a vial that wasn't drawn up with a filter needle ... if a vial's content has glass in it you wouldn't be using the damaged vial would...
  4. ZippyGBR

    Pyxis - The Ultimate Fomite

    ZippyGBR replied to Turtle in scrubs's topic in General Nursing

    given that the traditional drug trolley has been abandoned in some places ( in favour of bedside lockers) and being a massive fomite is one of the reasons given .... fingerprint scanner in...
  5. ZippyGBR

    Water Pitchers

    ZippyGBR replied to makes needs known's topic in General Nursing

    generally not with ice, but twice a day regardless by ward housekeepers ( we have housekeepers managed by the trust and cleaners managed by the FM provider) and on request by ward housekeepers /...
  6. ZippyGBR

    Filter needles for glass vials?

    ZippyGBR replied to jrsmrs's topic in Patient Medications

    minor point of terminology vials shouldn't need filter needles, ampoules might ... if your concern is material breaking off as you snap the ampoule open and it falling into the drug
  7. ZippyGBR

    Narcotic Administration in ER

    ZippyGBR replied to silver2009's topic in Emergency

    Policy isn't the issue , attitudes and belief are there appears to be a number of issues which are impeding discussion and it appears the provision of adequate care. 1. 'Narcotic panic' Yes...
  8. ZippyGBR

    Narcotic Administration in ER

    ZippyGBR replied to silver2009's topic in Emergency

    oh dear as usual for AN a combination of judgemental Posters and Narcotic panic
  9. ZippyGBR

    Giving LDR nursing a bad name........

    ZippyGBR replied to roser13's topic in General Nursing

    were her meds in labelled original packs as dispensed ? if so absolutely no reason why the couldn't be used - especially if they were 'patient packs' rather than loose tablets in pharmacy bottles...
  10. ZippyGBR

    VA Manager not allowing annual leave

    ZippyGBR replied to Chamae01's topic in General Nursing

    following on from my earlier post - getting the leave 'right' is should be one of the things unit managers are expected to get right and should be one of their metrics - having too few people on...
  11. ZippyGBR

    Please checkout "Mobbing" in Wikipedia

    ZippyGBR replied to rnbob's topic in Patient, Colleague Relations

    the problem with mobbing etc is that some Nursing workplaces in particular have remained emotionally and relationship wise stunted at the level of the high school , with the 'cool ' girls ( i.e....
  12. ZippyGBR

    VA Manager not allowing annual leave

    ZippyGBR replied to Chamae01's topic in General Nursing

    VA facility ? military terms creeping over ? although yes referring to annual leave does seem to bea habit of theUK influenced people on AN regardless of the type of facility or the location in the...
  13. ZippyGBR

    Diversity.. at what price?

    ZippyGBR replied to Been there,done that's topic in Patient, Colleague Relations

    it there room on / behind that sofa if i bring the popcorn
  14. ZippyGBR

    If YOU were the patient, would you feel comfortable...

    ZippyGBR replied to LifesAJourney's topic in Patient, Colleague Relations

    I am sick and fed up of the system I work in, it's outcomes , my education and my experience being bashed constantly , yet when i point out that the supposedly superior system i'm supposed to envy...
  15. ZippyGBR

    Immigrant Nurses

    ZippyGBR replied to englishhyacinth's topic in General Nursing

    misogynist ? i didn't realise all American's were humourless females who wore pubic wigs ... you really have fallen into the Sarchasm haven't you 'merkin' in reference to Americans is based on the...
  16. ZippyGBR

    Immigrant Nurses

    ZippyGBR replied to englishhyacinth's topic in General Nursing

    another 'merkin who has fallen in the sarchasm ... given the level of hostility towards anything to do with 'Socialised Healthcare' and the baseless belief that the USA is better accepted as the...
  17. ZippyGBR

    If YOU were the patient, would you feel comfortable...

    ZippyGBR replied to LifesAJourney's topic in Patient, Colleague Relations

    again another demonstration of how 'inferior' the NHS is where beds get cleaned every day and deep cleaned on discharge
  18. ZippyGBR

    If YOU were the patient, would you feel comfortable...

    ZippyGBR replied to LifesAJourney's topic in Patient, Colleague Relations

    yet more evidence of the superiority (not) of the US system ... in every NHS hospital i've worked in curtains are swapped for clean ones on a regular basis/ on discharge and extra changes after...
  19. ZippyGBR

    Preconcieved ideas about doctors

    ZippyGBR replied to MKS8806's topic in Patient, Colleague Relations

    Doctors behave as badly as they are allowed to
  20. ZippyGBR

    Nursing wife..cop husband..does it work?

    ZippyGBR replied to RKRobbins's topic in General Nursing

    I know a fair few Nurse / Emergency services worker couples as well as Nurse / nurses and ESW/ESW couples it goes with the territory while you might not always see a huge amount of each other...
  21. ZippyGBR

    Hypothermia Protocol

    ZippyGBR replied to jrodhuskers's topic in General Nursing

    given that a lot of these protocols require a level 3 critical care bed - because you are doing multisystem organ support it goes with the territory that they will be nursed 1:1
  22. ZippyGBR

    Immigrant Nurses

    ZippyGBR replied to englishhyacinth's topic in General Nursing

    the USA is 'Speshul' which is why a lot of people don't want to go there ... to the objective observer the USA has turned itself into a third world
  23. ZippyGBR

    can young,healthy,athletic men have heart attacks?

    ZippyGBR replied to Lurker011's topic in General Nursing

    yep - or as cindy mentioned long Q-t could also be a cause or coronary artery spasm - though that's usually provoked - you tend to see this more in clubbing / raves where the old' bolivian...
  24. ZippyGBR

    My manager went off on me!

    ZippyGBR replied to mh356's topic in Patient, Colleague Relations

    that is unacceptable full stop , there is no scenario where this is acceptable ... write her up as the bully s/he is. either to HR or to the next step in the chain of command ( for me in the UK...
  25. ZippyGBR

    Question for those who hire, regarding reference checks

    ZippyGBR replied to klone's topic in Job Search, Interview, Resume

    which sums up a great deal of what is wrong with the US legal system