Do they still have acute medicine at Mexborough? I'm interested in the
effect of closing the unit to 999 ambulances once it was Nurse Led.
Ray McGlone
----- Original Message -----
From: "Claude Chikhani" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Friday, February 01, 2002 10:04 PM
Subject: John Ryan - By Pass
> Doncaster is responsible for the MIU in Mexborough (11 miles) away. The
unit
> was staffed by a full time medical pratitioner until Decmebr 2000. Since
> then it has become a Nurse-led MIU.Few years before the transition, I
> negotiated with the local ambulance system to bypass the MIU since the
> hospital in Mexborough does not have acute intake for surgery,
orthopaedics,
> O & G, paediatrics and has no anaesthesia cover after 5 pm. The only
> speciality with acute take was General Medicine..
>
> The ambulance agreed on certain criteria:
> -Any Trauma requiring ambulance transport
> -Established cardiac arrests
> -Patients with abdominal pain
> -Pregnant women
> -Patients with back pain
> -Paediatric patients requiring ambulance transport.
>
> Initially it took some time to insure that the protocols were followed
> as -after all- there was a medical presence in the MIU. Since becoming
Nurse
> led, our ambulance system has adhered more strictly to the agreed
protocols.
> In 2001, I am aware of only 3 occasions when a patient was taken to the
MIU
> by ambulance and then transferred again to Doncaster. We have regular
> meetings with the ambulance system to monitor the situation. The MIU still
> sees about 19,000 patients per year!
>
> Claude Chikhani
>
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