I agree with everything that Natalie has said. One other thought is if the polyclinic is not available or able to change its policies, there is also the chamber facility that could be used. Dr. Lerida has a functional ER as well and maybe could make it available to an on call staff.So, basically it means 1 full time nursing position 6 pm to 6 am, radio ability and a rolling on call system with the docs. Also there would need to a radio to be carried by the doc on call. Acers know who to call (nurse), nurse knows who is on duty.Acers can give nurse good accounting of patient status so he/she knows whether or not to have the doc waiting for patient to arrive