Asthma and Chronic Obstructive Pulmonary Disease (COPD)

Medical Directive ID: 
EMG-2012-012
Lead Contact Person: 
Craig W. Watkin
Physician/Nurse Lead: 
Vico Dagnone
Christine MacDonald
Program: 
Emergency Medicine - Emergency Services
Approval By: 
Medical Advisory Committee
Original Effective Date: 
Wednesday, July 20, 2016
Revised Date: 
Wednesday, July 20, 2016
To Be Reviewed Date: 
Saturday, July 20, 2019
This Medical Directive Applies to the following sites: 
LHSC-UH
LHSC-VH
This Medical Directive Applies to the following patient population: 
Out-Patients
Adults
Paediatrics
Order: 

Registered Nurses (RNs) in the Emergency Services Program and Registered Respiratory Therapists (RRT’s) working in the Adult Emergency Departments may:

  • Initiate supplemental oxygen, administer salbutamol, and ipratropium.

  • Perform spirometry on patients who present with shortness of breath, inspiratory and/or expiratory wheezes.

Click the link to view the entire medical directive in detail: 

Signatures

SurnameKnown ByDate Signed
AguannoAlainaFeb 14 2017 04:12:11:297PM
AndersonScottFeb 14 2017 11:27:37:900AM
ArbeauRyanAug 25 2016 11:45:28:390AM
BhimaniMunsifMar 14 2017 11:50:25:510PM
BrineMegganSep 12 2016 11:04:29:990PM
ChurchKaralynMar 3 2017 03:05:42:890PM
CoomeGrantDec 8 2016 01:07:37:570PM
CunninghamChristyMar 30 2017 08:24:36:733AM
DagnoneRobert VicoAug 19 2016 08:51:57:390AM
DavisMatthewAug 22 2016 10:20:00:163AM
DonovanKeithFeb 6 2017 04:37:37:253PM
DreyerJonSep 26 2016 04:35:17:440PM
DukelowAdamSep 1 2016 08:03:53:687AM
EdmondsMarciaAug 19 2016 08:54:08:440PM
El-HalabiWaseemNov 21 2016 09:08:21:507AM
ElsadiSalmanFeb 14 2017 01:27:13:973PM
FotheringhamMaryApr 4 2018 11:04:47:750AM
FoxcroftLauraAug 21 2016 03:44:34:000PM
FussJeffreyNov 16 2016 09:54:53:713AM
GiffinDawnSep 12 2016 09:21:46:693PM
HamesHeatherSep 8 2016 01:19:46:393PM
HaneyElizabethAug 28 2016 09:00:05:197PM
HassaniBehzadMar 1 2017 10:22:23:160AM
JonesAndrewSep 21 2016 05:21:29:767PM
LewellMichaelFeb 14 2017 12:07:15:233PM
LoubaniTarekAug 28 2016 03:32:05:900AM
MacDonaldChristieSep 8 2016 10:05:21:990AM
MalSameerAug 23 2016 01:49:17:107PM
MaxwellH BrentFeb 16 2017 11:18:50:620AM
McCauleyWilliamSep 22 2016 10:23:19:623AM
McConnellAllisonMar 13 2019 08:04:40:587PM
MeiwaldAllisonSep 19 2016 09:39:29:643AM
MillardWandaDec 12 2016 05:42:14:243PM
MosdossyGregoryAug 21 2016 02:47:08:690AM
MurphyDavidSep 5 2016 03:27:30:937PM
NgVictorAug 28 2016 04:37:41:040PM
OuelletteDavidOct 17 2016 02:35:03:440AM
PeddleMichaelFeb 14 2017 09:30:29:847AM
PillonSylviaOct 17 2016 08:25:54:963AM
PriceLauraSep 5 2016 08:55:40:487AM
PringleDerrickMar 29 2017 03:42:16:147PM
ReddyRameshHave Not Signed
ReganKellyAug 29 2016 03:06:44:817PM
RichardsonChristineFeb 20 2017 11:00:52:953AM
RigganMorganSep 13 2016 09:51:46:393AM
RoebothamRoySep 29 2016 04:18:37:240PM
SedranRobertNov 13 2016 12:44:40:007PM
ShahAmitSep 6 2016 10:38:56:433AM
ShepherdLisaSep 13 2016 11:21:51:340PM
SkoretzTerryMar 2 2017 02:52:01:497PM
TanakaPeterMar 15 2017 05:05:27:687PM
TheakstonKarlMar 3 2017 10:07:56:650AM
ThompsonDrewAug 21 2016 07:55:51:910PM
ValdisLaurenAug 28 2017 01:50:56:023PM
WoolfreyKarenMar 28 2017 02:26:36:307PM
YanJustinAug 19 2016 11:35:29:283AM