Suspected Ortho Injury

Medical Directive ID: 
Lead Contact Person: 
Christina Scerbo
Alyson Wilson
Physician/Nurse Lead: 
Dr. Rod Lim, Site Chief Paediatric Emergency Medicine
Emergency Medicine - Paediatric Emergency Department
Approval By: 
Medical Advisory Committee
Original Effective Date: 
Thursday, June 23, 2016
Revised Date: 
Thursday, June 23, 2016
To Be Reviewed Date: 
Sunday, June 23, 2019
This Medical Directive Applies to the following sites: 
This Medical Directive Applies to the following patient population: 


Registered Nurses (RN) within the Children’s Emergency Services Program may administer analgesic and order x-ray in patients with a history of direct trauma or injury to an extremity / joint, greater than 1 year up to and including 17 yrs of age.




Dosing as follows:  Ibuprofen 10 mg/kg/dose oral q6h PRN, max single dose 400 mg; or


                               Acetaminophen 15 mg/kg/dose oral q4h PRN, max dose 65mg/kg/day or 4gm/day


                              whichever is less


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


SurnameKnown ByDate Signed
EdmondsMarciaJul 14 2016 09:21:49:023PM
HellemanKristaMar 8 2017 07:22:56:547AM
IstasyVictorSep 27 2016 09:20:02:907AM
JoubertGaryJul 7 2016 09:45:53:813AM
KilgarJenniferMar 25 2017 05:17:42:753PM
LimRodrickJul 10 2016 02:43:48:263PM
LoubaniEmanFeb 15 2018 11:44:37:673AM
LynchTimFeb 25 2017 03:21:55:507AM
MehrotraShrutiJul 14 2016 04:16:21:330AM
MisirAmitaSep 12 2016 08:19:56:070AM
MosdossyGregoryJul 8 2016 03:02:50:307AM
PoonaiNaveenHave Not Signed
RiederMichaelOct 24 2016 08:34:16:947AM
SanghaGurinderMar 21 2017 01:22:48:897PM
WarrenDavidJul 18 2016 01:29:37:603PM