Nurse Practitioner - Paediatric Neurosurgery

Medical Directive ID: 
Lead Contact Person: 
Andrea Neufeld, Nurse Practitioner
Physician/Nurse Lead: 
Dr. Andrew Parrent
Dr. Adrianna Ranger
Dr. Sandrine de Ribaupierre
Paediatric - Neurosurgery
Approval By: 
Medical Advisory Committee
Original Effective Date: 
Wednesday, April 9, 2014
Revised Date: 
Wednesday, April 9, 2014
To Be Reviewed Date: 
Saturday, April 9, 2016
This Medical Directive Applies to the following sites: 
This Medical Directive Applies to the following patient population: 

Nurse Practitioner (NP) Diagnostic and Prescriptive Authority:

NPs in Ontario are authorized to order the following diagnostic tests: 

  •  X-rays of the chest, ribs, arm (includes shoulder and elbow), wrist, hand, leg (includes hip and knee), ankle and foot, as well as mammography –– includes specific views (e.g. coned)
  • Diagnostic ultrasound of the abdomen, pelvis and breast –– includes specific views (e.g. of a specific organ), techniques (e.g. transvaginal) or indications (e.g. pregnancy) within these anatomical regions
  • Electrocardiograms in non-urgent, non-acute circumstances
  • Spirometry

Due to advanced specialty scope of practice, NP’s in Paediatric Neurosurgery at London Health Sciences Centre - Victoria Hospital (LHSC-VH) require medical directives only for additional diagnostic and prescriptive authority which falls outside this jurisdiction, to provide timely and appropriate care as outlined in Appendix 1.

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


SurnameKnown ByDate Signed
BoultonMelApr 17 2014 02:44:59:940PM
De RibaupierreSandrineApr 20 2014 10:40:34:030PM
DuggalNeilAug 5 2014 08:29:05:720AM
HebbMatthewApr 30 2014 04:42:15:253PM
LownieStephenMay 22 2014 01:08:59:687PM
MacDougallKeithApr 25 2014 11:26:50:403AM
MegyesiJosephMay 5 2014 12:56:48:647PM
NgWaiApr 17 2014 05:37:14:370PM
ParrentAndrewApr 18 2014 09:26:33:543AM
RangerAdriannaMay 5 2014 10:24:36:513AM
SiddiqiFawazApr 17 2014 09:59:06:907AM
StevenDavidApr 17 2014 09:22:20:833AM