ZippyGBR BSN, RN

Spinal Cord injuries, Emergency+EMS

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All Content by ZippyGBR

  1. ZippyGBR

    Admissions Unit

    ZippyGBR replied to MunoRN's topic in General Nursing

    the UK experience with admissions / assessment Units comes from 2 main factors 1. the culture of direct admissions in the UK where Family Doctors see patients at home or in the Surgery and then...
  2. ZippyGBR

    Question for those who hire, regarding reference checks

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

    If the content of the reference is truthful ( and can br proven) there is no potential for a successful action against the
  3. ZippyGBR

    NRB & COPD your input please

    ZippyGBR replied to crb613's topic in Emergency

    CPAP improves oxygenation by increased alveolar recruitment BiPAP encourages gas exchange and helps to remove CO2 CPAP for type 1 resp failure or pulmonary odema BiPAP for type 2 resp failure...
  4. ZippyGBR

    Lift recommendations for patients following flap repair

    ZippyGBR replied to JoanKayRNBSN's topic in General Nursing

    which is fine for SOME paraplegics but a 'standing hoist' is not a standing frame
  5. ZippyGBR

    amp of D50

    ZippyGBR replied to happyRN21's topic in Nursing Student Assistance

    none 'emergent' use of D50 D50 and insulin for hyperkalaemia anyone ? drug guides are written by freaks - if you aren't meant to use smaller than a 10 ml syringe into IVs how can i give 10mg / ml...
  6. ZippyGBR

    Anyone with Oncology/Lung Cancer/Palliative Care Info? Please help!

    ZippyGBR replied to TazJ's topic in International Nursing

    staging http://www.macmillan.org.uk/Cancerinformation/Cancertypes/Lung/Symptomsdiagnosis/Staging/Staging.aspx the fact that there are pathological fractures i.e. the collar bone fracture , plus...
  7. ZippyGBR

    Lift recommendations for patients following flap repair

    ZippyGBR replied to JoanKayRNBSN's topic in General Nursing

    how much experience do you have with SCI patients ? how much experience do you have the SCI population of patients who were injured 30 -50 years ago, rehabbed at the that time on the assumption of a...
  8. ZippyGBR

    NRB & COPD your input please

    ZippyGBR replied to crb613's topic in Emergency

    the question is why intubate someone who it is futile to intubate because you know you will not be able to wean them ... forget 'death panels' and the other male bovine excrement talked by the...
  9. ZippyGBR

    Does he need to be intubated??

    ZippyGBR replied to InmyblooD's topic in Emergency

    the issues is is that by the cookbook medic fire monkey with a half assed RSI protocol and limited assistance on scene or by an Anaesthetist or suitably skilled EM doc in the ED or at scene
  10. ZippyGBR

    Is anyone else annoyed by the expectations of male nurses in transferring patients?

    ZippyGBR replied to WillRegNurse's topic in Men in Nursing

    if it saves them one payout to a member of staff who has to medically retire or one payout to a patient who is dropped by the negligence of staff they will have paid for it many times over ......
  11. ZippyGBR

    amp of D50

    ZippyGBR replied to happyRN21's topic in Nursing Student Assistance

    bonkers that you can't push D50 .... as usual teaching hospitals marginalising Nurses in favour of the fact they think they have on tap Juniors still how long out of clinical practice was the clippy...
  12. ZippyGBR

    Is anyone else annoyed by the expectations of male nurses in transferring patients?

    ZippyGBR replied to WillRegNurse's topic in Men in Nursing

    PPE is the last resort in the hierarchy of risk control , the first resort is task redesign which means a suitable number and range of pieces of lifting equipment . there are no excuses from an...
  13. ZippyGBR

    Saline flush without a physician order?

    ZippyGBR replied to stephenfnielsen's topic in General Nursing

    don't forget the main component by mass and volume of a flush is dihydrogen
  14. ZippyGBR

    Learn To Say It Correctly!!

    ZippyGBR replied to SheriLynnRN's topic in General Nursing

    Are you sure that isn't just a French influenced pronunciation as of 'centime' , the fractional unit of the Franc Anyway just to add to the fun; a metre is measure of length , a meter is a device...
  15. ZippyGBR

    Saline flush without a physician order?

    ZippyGBR replied to stephenfnielsen's topic in General Nursing

    However, that ( and any legally mandated mechanism for you to administer the medicines / use the medical devices in question) will be incorporated in your policies and procedures and if an...
  16. ZippyGBR

    Question about nurses and prescriptions?

    ZippyGBR replied to rondo341's topic in General Nursing

    how does the Nurse Anaesthetist obtain, possess and administer the medication without the presence of a physician anaesthetist? there must be some mechanism in place to generate a direction to...
  17. ZippyGBR

    Question about nurses and prescriptions?

    ZippyGBR replied to rondo341's topic in General Nursing

    you still need prescriptive authority to generate the direction to administer the drugs given in practicing Anaesthesia, - who else is going to generate those directions to administer ...
  18. ZippyGBR

    Enough nurses or not?

    ZippyGBR replied to dottavi's topic in International Nursing

    i see skylark still hasn't learnt her lesson about defaming the entire profession ... we are still waiting for proof of some of your ludicrous assertions
  19. ZippyGBR

    Can I have two nursing specialties?

    ZippyGBR replied to rondo341's topic in Advanced Practice

    i'd have to disagree with that as someone who maintains active clinical practice in two areas - Spinal Injuries in the in hospital acute and rehab settings and pre-hospital and event medical...
  20. ZippyGBR

    Question about nurses and prescriptions?

    ZippyGBR replied to rondo341's topic in General Nursing

    to obtain and then administer prescription only and controlled drugs required for his/her practice as an anaesthetist ... ? the only none prescription-only drugs i can think of in use in anaesthesia...
  21. ZippyGBR

    Medication/Pharmacy errors...

    ZippyGBR replied to ObtundedRN's topic in Patient Medications

    transcription errors is the principle reason the NHS retains a system where in -hospital drug charts are completed by a prescriber not by transcribing off 'orders' written
  22. ZippyGBR

    I need help returning after long term sickness

    ZippyGBR replied to bekib86's topic in General Nursing

    Disability discrimination provisions of the Equality Act would cover you , assuming that any adaptations you require are reasonable - this would need an Occ Health and OT assessment to determine -...
  23. ZippyGBR

    RN student and asking about personal meds?

    ZippyGBR replied to ilovemicrobiology's topic in General Nursing

    1. If aspects of your health history disclosed on an occupational health form are discussed out with that setting , that is a breach of confidentiality ... just because the managers in healthcare...
  24. ZippyGBR

    What do you do with motorcycle helmets after a motorcycle accident?

    ZippyGBR replied to LegzRN's topic in Emergency

    this I want the helmet (and any other PPE) to come with the patient to the ED - for biker the state of the helmet and PPE is part of 'reading the wreck' as much as a scene photos and a photo of...
  25. ZippyGBR

    RN student and asking about personal meds?

    ZippyGBR replied to ilovemicrobiology's topic in General Nursing

    this is information for Occupational Health not for your tutors HIPAA is not the issue if this info is mismanaged is the implications under the Equality / disability discrimination legislation