Injection of Hyoscine Butylbromide in Medical Imaging

Medical Directive ID: 
DIA-2020-001
Lead Contact Person: 
Karen Kennedy, Coordinator MR/CT, University Hospital
Physician/Nurse Lead: 
Dr. Gary Brahm
Program: 
Medical Imaging
Approval By: 
Medical Advisory Committee
Original Effective Date: 
Wednesday, January 11, 2017
Revised Date: 
Friday, June 5, 2020
To Be Reviewed Date: 
Monday, June 5, 2023
This Medical Directive Applies to the following sites: 
LHSC-UH
LHSC-VH
This Medical Directive Applies to the following patient population: 
In-Patients
Out-Patients
Adults
Paediatrics
Order: 

** This directive is a renewal and replaces directive #DIA-2016-003

"Nurses ( RNs and RPNs) and Medical Radiation Technologists (MRTs) working in Diagnostic Radiology may inject patients referred to London Health Sciences Centre for a diagnostic imaging exam of the small bowel, colon, pelvis, pancreas or other adjacent structures with hyoscine butylbromide intravenously to reduce motion artifact from peristalsis.

Dosing as follows within the appendix.

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

Signatures

SurnameKnown ByDate Signed
AbdelrazekMohamedJul 7 2020 09:21:17:720AM
AkinciogluCigdemJul 7 2020 10:50:47:953AM
BachDavidJun 19 2020 07:46:07:827AM
BhaduriMousumiJul 5 2020 10:10:36:493AM
BrahmGaryJun 21 2020 08:58:58:423PM
CarstensenHeinrichHave Not Signed
ChanIanHave Not Signed
ChungJonathanHave Not Signed
CoolDerekJul 14 2020 11:31:47:673PM
Etemad-RezaiRoyaHave Not Signed
GoelaAashishHave Not Signed
GulkaIreneHave Not Signed
HoDerekHave Not Signed
JurkiewiczMichaelJun 20 2020 02:01:21:867PM
KribsStewartOct 28 2020 09:40:06:710PM
LeeDonaldJul 21 2020 10:17:01:863AM
LeungAndrewJun 19 2020 01:41:45:750PM
LeungStephanieJun 19 2020 08:45:00:093AM
LumAndreaOct 13 2020 07:51:08:430AM
MayichMichaelHave Not Signed
McKillopScottJul 27 2020 04:19:10:120PM
MujoomdarAmolJun 19 2020 03:58:42:677PM
O'RiordanA.Aug 11 2020 01:21:03:837PM
PandeySachinJul 7 2020 08:44:58:453AM
PapoffWayneJun 20 2020 04:03:26:550PM
PaulNarinderHave Not Signed
PeckDavidJun 19 2020 10:40:34:643AM
PelzDavidJul 28 2020 12:40:40:680PM
PritchettStephanyJun 19 2020 08:25:43:403AM
RachinskyIrinaJul 22 2020 11:47:08:397AM
RachinskyIrinaJul 22 2020 11:47:08:397AM
RamsewakDarrylJun 19 2020 12:24:59:803PM
ReidRobertHave Not Signed
RomsaJonathanJun 19 2020 09:43:43:167AM
RossIanJun 19 2020 02:07:43:340PM
SamargandyLinaHave Not Signed
SharmaManasJun 19 2020 10:56:36:823AM
SpougeAlisonJul 7 2020 09:47:09:763AM
TanKiatHave Not Signed
TayKengJul 7 2020 08:58:47:143AM
VezinaWilliamAug 7 2020 12:17:51:313PM
WarringtonJamesAug 25 2020 02:52:15:650PM
WisemanDanieleJun 19 2020 08:17:33:857AM
YoshyCatherineJun 19 2020 11:03:14:060AM
ZaleskiWitekJul 10 2020 09:03:56:033AM