Medical Directives

These medical directives have been created specifically for LHSC and may not be applicable for other centres. These documents are the intellectual property of LHSC. They are not to be shared or duplicated without permission.

Medical Directive ID Title Program
MED-2017-008 Heart/Liver Transplant Outpatient Clinic Preprinted Order Sheet Multi-Organ Transplant Program
MED-2018-001 Cardiac Arrest Interventions in the Cardiac Surgery Recovery Unit Critical Care University Hospital
MED-2018-002 Registered Dietitian (RD) Authorized to Order normalized Protein Equivalent of Nitrogen Appearance (nPNA) Renal Care Program
MED-2018-004 Ultrasound Guided Peripherally Inserted Central Catheter Insertion Medicine
MED-2018-006 Cardiac Care London Health Sciences Centre (LHSC) and Critical Care University Hospital (UH) Medical Directive for Temporary Pacing Cardiac Care Program
MED-2018-007 Kidney Transplant Program – Recipient Coordinator Multi-Organ Transplant Program
MED-2019-001 Urinary Catheter Removal and Post-Catheter Care – VH Medicine Medicine and Family Medicine Program / Inpatient Medicine Services
Med-2019-006 IV Initiation and Central Venous Line Access for Endoscopic Procedures Medicine Ambulatory-Endoscopy Program
MED-2019-009 Registered Dietitian (RD) Authorized to Modify the Dosing Regimen of Prescribed Phosphate Binders Regional Renal Program
MED-2019-010 Management of Anaphylaxis / Allergic Reaction by the Critical Care Outreach Team (CCOT) Critical Care Outreach Team (CCOT)
MED-2019-011 Altered Level of Consciousness - Suspected Hypoglycemia Protocol for Use by the Critical Care Outreach Team (CCOT) Critical Care - LHSC / CCOT
MED-2019-012 Adult Universal Directive for Use by the Critical Care Outreach Team (CCOT) Critical Care - LHSC / CCOT
MED-2019-013 Adult Shortness of Breath and Respiratory Distress Protocol for Use by the Critical Care Outreach Team (CCOT) Critical Care - LHSC / CCOT
MED-2019-014 Seizure Protocol for Use by the Critical Care Outreach Team (CCOT) Critical Care - LHSC / CCOT
MED-2019-015 Intravenous Access and Fluids and Phenylephrine Administration Protocol for Treatment of Hypotension for Use by CCOT Critical Care - LHSC / CCOT
MED-2019-016 Electrolyte Disturbance Protocol for Use by the Critical Care Outreach Team (CCOT) Critical Care - LHSC / CCOT
MED-2019-017 Suspected Cardiac Ischemia Chest Pain Protocol for Use by the Critical Care Outreach Team (CCOT) Critical Care - LHSC / CCOT
OBS-2013-001 Ordering Dating Ultrasound WHCC/WAC Obstetrics & Gynecology - Women’s Health Care Centre
OBS-2014-001 Prescriptive authority for Intrauterine Device (IUD)/Intrauterine System (IUS) for insertion Women's Care, LHSC
OBS-2016-001 Medical Directives for Obstetrical Triage Care Obstetrics & Gynecology - Women’s Health Care Centre
OBS-2018-002 Laboratory Investigations in Women’s Health Care Centre Women's Care: Pregnancy Options Program
ONC-2014-004 Management of Patient Symptom Associated with Chemotherapy-Induced Stomatitis Department of Oncology
ONC-2014-005 Management of Patient Symptom Associated with Chemotherapy-Induced Nausea and/or Vomiting Department of Oncology
ONC-2014-006 Clinical Specialist Radiation Therapist Skin Cancer (CSRT-Skin Cancer) Oncology / Radiation Oncology
ONC-2016-001 Nurse Practitioner – Oncology – Outpatient – London Regional Cancer Program Cancer Program
ONC-2017-001 Nurse Practitioner - Hematology Oncology Oncology- Hematology - London Regional Cancer Program
ONC-2018-001 Alteplase (TPA) Administration for Central Venous Access Device (CVAD) Cancer Program
ONC-2018-002 Heparin Flush for Implanted Central Venous Access Devices Oncology- Hematology - London Regional Cancer Program
ONC-2018-003 Head and Neck Clinical Specialist Radiation Therapist Directives Oncology / Radiation Oncology
ONC-2020-001 Management of Patient Symptom Associated with Chemotherapy-Induced Constipation London Regional Cancer Program
ONC-2020-002 Management of Patient Symptom Associated with Chemotherapy – Induced Diarrhea London Regional Cancer Program
PED-2014-002 Nurse Practitioner – Paediatrics Gastroenterology Paediatrics
PED-2014-003 Nurse Practitioner - Paediatric Complex Care Paediatric Complex & Intermediate Care
PED-2014-005 Nurse Practitioner – Paediatric Hematology/Oncology Paediatric Hematology Oncology
PED-2014-008 Nurse Practitioner (NP) - Neonatal Intensive Care Unit (NICU) Paediatrics - NICU
PED-2015-004 Paediatric & Neonatal Extended Role Transport Team Paediatrics
PED-2015-008 NP - Paediatric Neurology Paediatric - Neurology
PED-2016-001 Nurse Practitioner - Paediatric Respirology Paediatric - Respirology
PED-2017-001 Nurse Practitioner - Paediatric Cardiology Paediatrics - Cardiology
PED-2018-002 Paediatric Insulin Dose Adjustment Program Paediatrics
PED-2018-003 Nurse Practitioner - Paediatric Nephrology Paediatric - Nephrology
PED-2018-004 Initiating a Test or Procedure Paediatrics - Medical Genetics & Metabolics - Medical Genetic Program of Southwestern Ontario
PED-2018-005 Communicating Test Results Paediatrics - Medical Genetics & Metabolics - Medical Genetic Program of Southwestern Ontario
PED-2019-001 Vagal Nerve Stimulator (VNS) Management for the Paediatric Epilepsy Program Paediatrics
PED-2020-001 Swab Testing for COVID-19 (SARS coV-2) Emergency Medicine - Paediatric Emergency Department
PED-2020-002 Central Venous Lines - Heparin Flush for Paediatric Haematology/Oncology Program Paediatric Haematology Oncology
PSY-2014-001 Mental Health Care Adult Inpatient Metabolic Screening Psychiatry - Mental Health Care Adult Inpatients
PSY-2014-001 Mental Health Care Adult Inpatient Metabolic Screening Psychiatry - Mental Health Care Adult Inpatients
SRG-2011-008 Preoperative Epoetin Alfa for Patients referred to Perioperative Blood Conservation Program (PBCP) Surgery
SRG-2011-009 Preoperative Oral Iron for Patients referred to Perioperative Blood Conservation Program (PBCP) Surgery

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