Nurse Practitioner - Clinical Neuroscience - Neurosurgery Program

Medical Directive ID: 
Lead Contact Person: 
Pat Doyle-Pettypiece, Nurse Practitioner
Physician/Nurse Lead: 
Dr. Andrew Parrent
Clinical Neurological Sciences (CNS)
Approval By: 
Medical Advisory Committee
Original Effective Date: 
Thursday, September 4, 2014
Revised Date: 
Wednesday, July 20, 2016
To Be Reviewed Date: 
Saturday, July 20, 2019
This Medical Directive Applies to the following sites: 
This Medical Directive Applies to the following patient population: 

Nurse Practitioner (NP) DiagnosticandPrescriptiveAuthority:

NPsin Ontarioareauthorized to order thefollowingdiagnostictests:

  • X-raysofthechest, ribs, arm (includesshoulderand elbow),wrist,hand,leg (includeship andknee), ankle andfoot, as well asmammography ––includesspecific views(e.g.,coned)

  • Diagnosticultrasound ofthe abdomen, pelvisand breast–– includesspecific views(e.g., ofaspecificorgan), techniques(e.g., transvaginal)or indications(e.g., pregnancy)within theseanatomicalregions

  • Electrocardiogramsin non-urgent, non-acutecircumstances

  • Spirometry and-diagnostic-test-lists/

Due to advancedspecialtyscopeofpractice,NP’sin theClinicalNeurosciencesCentre(CNS) -NeurosurgeryprogramatLondonHealthSciencesCentre-UniversityHospital(LHSC-UH) requiremedicaldirectivesonlyforadditionaldiagnosticandprescriptiveauthority which fallsoutsidethisscope of practicetoprovidetimelyandappropriatecareasoutlinedinAppendix1and to perform specific procedures as outlined in Appendix 2.

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


SurnameKnown ByDate Signed
BoultonMelAug 30 2016 04:35:13:130PM
De RibaupierreSandrineAug 18 2016 09:31:05:267AM
DuggalNeilOct 25 2016 07:50:12:660AM
HebbMatthewSep 11 2016 01:08:36:467PM
LownieStephenMar 28 2017 11:29:41:513AM
MacDougallKeithAug 26 2016 11:52:24:443AM
MegyesiJosephSep 7 2016 05:35:41:550PM
NgWaiAug 18 2016 03:44:50:417PM
ParrentAndrewAug 28 2016 07:37:40:950AM
RangerAdriannaSep 13 2016 05:54:04:047AM
SiddiqiFawazAug 22 2016 05:09:17:190PM
StevenDavidAug 22 2016 11:59:40:263PM