ZippyGBR BSN, RN

Spinal Cord injuries, Emergency+EMS

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All Content by ZippyGBR

  1. ZippyGBR

    uk banding

    pay bands depend on the Job you are employed in rather than on the qualifications you hold i.e. being qualified in 'excess' of those required for a role will not get you upgraded unless the job is...
  2. the entire debate revolves around a few key factors 1. the 'need' to create a language of diagnosis that is entirely seperate from the language the rest of the professional team use . 2. the male...
  3. 2300 hours in clinical practice as a Student and no hours as a rostered contribution to Auxiliary provision ... I'm not sure that any suggestion of transferring skills lab hours from theory to...
  4. ZippyGBR

    Surgical consent forms- using layman terms

    the UK guidance is that ideally the Practitioner performing the operation should get consent, and if not it should be a Practitioner who can perform the procedure - which in most cases means Higher...
  5. ZippyGBR

    the term "animal nurse"

    didn't do a lot of this to death over in a thread about 'Pet Nurses' , where it was pointed out that in some places (e.g. the UK ) Veterinary Nurses are called exactly that, and have professional...
  6. ZippyGBR

    The "dirty" side of nursing...

    at least his toe wasn't left in his sock ... not seen that happen my self but have nearly had that in that i did a dressing on a chap in the ED and when cleaning the foot i noticed that his toe...
  7. ZippyGBR

    Terminology and nurse prescriber

    Yes ordinary degree or 'advanced diploma of higher education' - due to funding arrangements - it's at level 6 120 @level 4 120 @level 5 60 @level 6 level 5 120 @level 4 120 @level 5 DipHE ,...
  8. ZippyGBR

    My hospital is breaking the law...

    the issue of the medication administration is just a focus for the whole debate over the utility of the 'second level' Registered Nurse whether that's the US LPN/LVN, the Canadian RPN or the UK...
  9. ZippyGBR

    Pay scale for nurses udnergoing ONP

    I suspect that will probably be the case, as it;s quite common for newly qualified Nurses to be paid as band 3 / (in the past whitley B) until they get their PIN through - a lot of trusts used to...
  10. ZippyGBR

    Terminology and nurse prescriber

    a first Level Nurse is an RN regardless of the academic award they hold ... Second level Nurses are the increasingly defunct Enrolled Nurses ( defunct in that there are fewer and fewer 'unconverted'...
  11. ZippyGBR

    Flow Charge Nurse

    flow management in the ED - the person who has that role is there to expedite and trouble shoot , chasing ward beds, chasing results + getting those that will impact on patient care / progress through...
  12. ZippyGBR

    The "dirty" side of nursing...

    i struggle wuith vomit , because, the smell of vomit makes me want to throw up as well , most other things i can cope with ... but vomit is my nemesis , everyone has something they can't deal with
  13. ZippyGBR

    Caring for paraplegic patients?

    The pulses should be normal regardless of ASIA score , however some paraplegics do have vascular problems which may not show symptoms in the same way that they would in someone with normal neurology...
  14. ZippyGBR

    Held Coreg w/ BP of 100/55

    'Just following orders' is not a defence , why do you think that Medication Adminstration is an activity restricted to Health Professionals in settings where patients are deemed to require Nursing...
  15. just as i'm sure that Green Day or Iron Maiden wouldn't be appreciated by some, but it;s often what's on in the car on the way into work ... go the whole hog and play Queen's 'Another one Biutes...
  16. ZippyGBR

    Sleeping is an observation, not an assessment!

    equally should we wake patients given Benzos as a sleeping tablet ? once again 'narcotic panic' has struck
  17. ZippyGBR

    Sleeping is an observation, not an assessment!

    it's not 'your superiors' you need to worry about it;s the PR conscious lay manager responsible for complaints that you need to worry about ... It really suprises how many US Nurses are concerns...
  18. ZippyGBR

    Sleeping is an observation, not an assessment!

    which is where as Professional you should be able to articulate why you would or wouldn't maintain a certain level of observations on that patient ... rather than hiding behind 'Just following...
  19. *throws PMFB-RN a rope to pull them out the Sarchasm* there are so many people on AN - reflecting the view of the USAn population who have swallowed the right wing propaganda who are so convinced of...
  20. ZippyGBR

    Time to call a duck a duck?

    i have a big serving of 'whoosh' for you as the point seems to haver shot straight past you , the fact is that where there is a service group each practitioner , despite being independent of the...
  21. This sums it all up, while Health professionals in the USA are concerned with 'orders' and 'billing' being the driver for who can do what and when then the system will continue to be creaking...
  22. ZippyGBR

    Time to call a duck a duck?

    the partnership , or the company which they are employed by and hold shares in .... it's not rocket science is it - economy of
  23. ZippyGBR

    Time to call a duck a duck?

    there seems to be an assumption that there is only ever 2 ways of managing working time , either a punch the clock b be 'salaried' and have no allowance for working time in excess of contracted...
  24. personally no, unless it was meant to stay in ( for community IV pathway) but have had colleagues who have ... it's not a big deal - ask them to return to the unit / nearest ED or send Community...
  25. ZippyGBR

    what's a 23 hour observation unit is like?

    in the surgical setting it's what we in the Uk would call 'level 1' beds i.e. increased staffing both ratios and in terms of skills / education (i.e. critical care nurses) and monitoring