ZippyGBR BSN, RN

Spinal Cord injuries, Emergency+EMS

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All Content by ZippyGBR

  1. ZippyGBR

    Meperidine vs Morphine for Pain, Acute pancreatitis

    ZippyGBR replied to JP Salting's topic in Medical-Surgical

    rarely see Pethidine in the Uk any more either, due to the side effect profile, the fact that 100mg of diclofenac PR is as or more effective for renal colic and the madwives rules medicine act...
  2. ZippyGBR

    Professional dilemma

    ZippyGBR replied to gdc67's topic in United Kingdom

    which is generally easily achieved that is incorrect an ODP is registered with the HPC and is therefore a Health professional , this has been the case for a good few years now. as a HPC...
  3. ZippyGBR

    Lpn and RN at the same time??

    ZippyGBR replied to Nursejoymariea27's topic in General Nursing

    I would check this carefully with the relevant registration Authority. because in some places the reverse is the case and you will be held to the standards of your 'highest'
  4. ZippyGBR

    Help with PRN medications

    ZippyGBR replied to belle005's topic in Patient Medications

    WHO analgesia ladder anyone ? also multiple different prescriptions of the plain med and compounds containing them is not really good practice ... in the scenario posted above instead of huge...
  5. ZippyGBR

    Should I be worried about back problems?

    ZippyGBR replied to austriancrystal's topic in General Nursing

    and work in an environment that takes moving and handling seriously ... it needs to got across to management that refuse to provide adequate training and handling equipment that the costs of paying...
  6. ZippyGBR

    Is it true? BS + RN does not = BSN?

    ZippyGBR replied to Cathylady's topic in General Nursing

    being a Registered Nurse is due to meeting the pre-reg education and training requirements and passing the examinations required by the licencing organisation - for the US this means the state board...
  7. ZippyGBR

    Protonix use

    ZippyGBR replied to laughingtoe's topic in Patient Medications

    as few as possible for as short a period as is
  8. ZippyGBR

    Patients should ALL be swabbed tested for HIV

    ZippyGBR replied to Cathylady's topic in General Nursing

    doing a HIV test is much much more than just drawing the bloods there are requirements for pre and post test counselling ... who is going to do that for every inpatient ... what about people who can't...
  9. ZippyGBR

    Transcript for ENB courses?

    ZippyGBR replied to misswoosie's topic in International Nursing

    Did you try contacting the University that now covers the hospital(s) where you trained
  10. ZippyGBR

    Is this for real??

    ZippyGBR replied to Btdthat08's topic in International Nursing

    Across top the new grade and up one increment is the standard on promotion for AfC unless you get promoted when your previous salary is below the lowest increment when it;s the lowest increment in...
  11. ZippyGBR

    Morphine Authorization

    ZippyGBR replied to Tropigirl05RN's topic in Patient Safety Issues

    don't forget the OP is in the USA therefore Acute on Chronic Narcotic Panic will prevent good patient
  12. ZippyGBR

    Noncompliant parents. Do I have any rights to protect my license?

    ZippyGBR replied to RNC-NIC's topic in General Nursing

    incident forms , raise your concerns with your nurse manager and the Senior doctor responsible for the child and the clinical director, if necessary (and as a joint MDT decision ) you may have to go...
  13. ZippyGBR

    Nitrous Oxide in the ED...

    ZippyGBR replied to miss81's topic in General Nursing

    Nitrous Oxide for 'sedation' is probably not a good idea , although i can see why some might want it as quick and dirty conscious sedation especially if your anaesthetists are jumpy about propofol...
  14. ZippyGBR

    Is this backwards or is it just me?

    ZippyGBR replied to abbaking's topic in General Nursing

    In my opinion number of beds = minimum number of flowmeters and suction set ups plus the set up on each crash
  15. ZippyGBR

    Trach/PEG special

    ZippyGBR replied to KittyLovinRN's topic in General Nursing

    as has been stated the trach is very much reversible - you also don't need to continue sedating ( or alternatively as is deemed acceptable in the USA tie them to the bed) someone once they have a...
  16. ZippyGBR

    Night Shifters: Does your hospital have cafeteria hours for night shift?

    ZippyGBR replied to AZO49008's topic in General Nursing

    this is what most hospitals in the UK out of pharmacy hours but we do generally hold stock drugs on the units as well ( so if you haven't got it a relevant speciality unit might have it ) , plus as...
  17. ZippyGBR

    Diazepam IV - clarification

    ZippyGBR replied to Nrscass's topic in Patient Safety Issues

    Oily diazepam injection should not be diluted it's really only meant to be given IM, for IV diazepam the emulsion is far better
  18. ZippyGBR

    Good Samaritan Law

    ZippyGBR replied to Kyasi's topic in General Nursing

    in answer to those demanding 'proof' of a professional or legal requirement to assist , this is the scenario for anyone with Uk registration...
  19. ZippyGBR

    Night Shifters: Does your hospital have cafeteria hours for night shift?

    ZippyGBR replied to AZO49008's topic in General Nursing

    (in the UK ) we have vending machines for out of hours - but they are freezer machines and have ready meals etc in them to microwave ... as well as sandwiches / salads in some machines and the...
  20. ZippyGBR

    iv catheter recommendations

    ZippyGBR replied to sethmctenn's topic in General Nursing

    the trust i work for decided the 1633 was 'too expensive' at one point and started getting 9505w and a 'fake' 9505w ... we did an audit on AAU where i was working at the time and proved that the...
  21. ZippyGBR

    Advice for a new RN grad wishing toTravel Nurse to Germany

    ZippyGBR replied to KatieBrookeRN's topic in General World

    factors to consider Germany is part of the EU this means two things 1. 4600 hour pre-reg programs - which i suspect will rule out anyone from the USA without a BSN - as Diploma and ADN Rns...
  22. ZippyGBR

    iv catheter recommendations

    ZippyGBR replied to sethmctenn's topic in General Nursing

    Introcan safety W from BBraun , we've recently changed to the portless introcan from the ported vasofix but i've been using the BBraun safety cannualas for a good few years and they are a nice...
  23. ZippyGBR

    Good Samaritan Law

    ZippyGBR replied to Kyasi's topic in General Nursing

    ' good samaritan ' actions whether covered by a specific law or not fall into a couple of key issues ... 1. you don't all ready have an established duty of care 2. your actions are reasonable...
  24. ZippyGBR

    Which specialties are fast paced?

    ZippyGBR replied to teenmommy's topic in General Nursing

    good fast paced or bad fast paced ? a well managed ED is good fast paced , as is a well run Critical care area ... some rehab settings while not especially 'fast' are hard work in a 'good ' sense and...
  25. ZippyGBR

    new medical intern on the service.... need advice

    ZippyGBR replied to doc123's topic in General Nursing

    i'd echo the sentiment about answering bleeps " did you bleep me ?" is not the ideal way to begin the conversation ... where " its' Dr covering " or it's "Dr the " is clear and concise as to...