We have three MIU's until the PCT decides to change two of them into walkin centres
(they haven't said they will but they haven't talked to us apout anything yet!and
they take over on the first april)
Patients will self present to the unit in collapse, we get a cardiac arrest
at Bridlington (16000 new attenders per year)3 times per month. one is self
presenting per month the others by ambulance due to travel times (20mins+) and
the presence of admitted medical patients in two wards in the hospital.
We have written trauma bypass rules for the ambulance but beware of local practices
that make ambulances take the patient where the GP says not where the protocols
say. The GP's can screw up the bypass (?inadvertently??)
Good ENP's with ALS training can hold the fort but for maximum saftey make sure
you have a "no ambulance" rule at an MIU. This is our biggest current problem
and is due to ancient history and local politics.
AP Volans
>In Glasgow we are generating more heat than light over the idea of >creating
minor injury units as part of restructuring our A&E service. >One very legitimate
concern that has been raised is what happens if >something serious/major turns
up by mistake at one of these units.
>
>What experiences do members of the list have? Is this a common problem? >Do
patients quickly start triaging themselves away from MIUs as has been >suggested?
Are we asking for trouble if we have nurse-led MIUs at stand >alone sites in
an urban area?
>
>Unable to find much to inform this debate.
>
>Phil Munro
>A&E Consultant
>Glasgow
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