I manage a MIU in the Victoria Hospital in Lewes. I visit about once a
week. I agree all the protocols and procedure manuals. The comunity trust
then approved them thus giving vicarious liability to the nurse
practitioner's working there. it is staffed by four NP's grade F. I audit
samples of the notes on a regular basis. Some twenty sets of notes every
two weeks to see adherence to protocol and any problems. The NP's are
supported from the parent A&E Dept by telephone. They ring the consultant
bleep holder for advise. The unit is open for 12 hours 9 to 9 pm. So far
aftre more than six years of operation we have had no problems with
litigation. Carlos
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