SAH-Medical Directives Sign-off Form

Instructions

Please complete the following medical directive sign-off.

Family Medicine

ASP 01 Auto Consult ID for SAB and Candidemia

Hospitalist

ASP 01 Auto Consult ID for SAB and Candidemia

Anaesthesia

ANA 02 INR
ANA 03 MONITORING BY AA FOR GEN ANAESTHESIA
ANA 04 MONITORING BY AA FOR CONSCIOUS SEDATION, LOCAL OR REGIONAL ANAE.
ANA 05 REVISED CARDIAC RISK INDEX (RCRI) ASSESSMENT
ANA 07 Pre & Post-Operative Diabetes Management
ANA 08 – R Post Anaesthetic Care Unit - Adult
ASP 01 Auto Consult ID for SAB and Candidemia - ASP
CC 08 Aspiration Of Gastric Residuals Prior To OR
RESP 01 Ordering Lab Tests and DI
RESP 02 Lidocaine for Arterial & Venous Cannual Insertion
SX 06 Provision of Instructions regarding Medications by Preoperative clinic Registered Nurses
SX 07 Preoperative Diabetes
WCH 10 C-Section Pre-Op Medication

Critical Care

CC 01 Defibrillation
CC 02 Non-Invasive Transcutaneous Pacing
CC 03 Life Saving Drugs
CC 04 Ordering Lab Tests & DI
CC 05 CCRT Initial Assessment
CC 06 CCRT Chest Pain
CC 07 CCRT Suspected Sepsis
CC 08 Aspiration Of Gastric Residuals Prior To OR
CC 09 Sodium Citrate 4% Central Venous Access Device (CVAD) Locking Solution
RESP 01 Ordering Lab Tests and DI
RESP 02 Lidocaine for Arterial & Venous Cannual Insertion
SPEECH 02 Nasopharyngeal Endoscopic Examination
ASP 01 Auto Consult ID for SAB and Candidemia - ASP

Cardiology

CARDIO 01 Interrogation of Cardiac Devices and lead function
CARDIO 03 Intravenous Initiation
CARDIO 04 Cardiac registered nurses working within the cardiology/pacemaker clinic
CARDIO 05 Pre Procedures Diagnostics
ASP 01 Auto Consult ID for SAB and Candidemia - ASP

Emergency Department

ED PA 01 Emergency Department Medical Directive For Physician Assistants In The Emergency Department
ER 01 – R Medication for Adults
ER 02 – R Therapeutic Procedures for Adults
ER 03 – R Imaging For Adults
ER 04 – R Laboratory Tests and Diagnostic Procedures for Adults
ER 05 – R Asthmas- Adult Age 18 Years and Over
ER 06 – R Therapeutic Procedures, Medication & Laboratory Tests for Pediatric Patients
ER 07 – R Asthma Paediatric 1-18 Years of Age
RESP 02 Lidocaine for Arterial & Venous Cannual Insertion

Internal Medicine

RESP 01 Ordering Lab Tests and DI
RESP 02 Lidocaine for Arterial & Venous Cannual Insertion
ASP 01 Auto Consult ID for SAB and Candidemia - ASP

Midwives

WCH 01 Fetal Maternal Blood Screening
WCH 02 Prevention of Early Onset Neonatal GBS Disease
WCH 03 Midwives Assisting at C-Sections
WCH 08 –R Admission Process for all Newborns
WCH 09 – R Sucrose 24%

Nephrology

NEPH 02 Edetate (Kitelock) 4% Central Venous Cath Locking Solution
NEPH 03 Management of Chest Pain & Dyspnea
NEPH 04 MANAGEMENT OF INTRADIALTIC HYPOTENSION AND MUSCLE CRAMPING
NEPH 05 Management of Pain
NEPH 06 Management of Nausea, Vomiting and Dyspepsia
NEPH 07 Management of Non-Functioning Central Venous Catheter
NEPH 08 Local Anaesthesia for Vascular Access Cannulation
NEPH 09 Management of Diarrhea
NEPH 10 Management of Dialysate Potassium
NEPH 11 Renal Dietician Orders
NEPH 12 Management of Hypoglycemia in the Hemodialysis Unit
NEPH 13 Home Dialysis Program: Laboratory Assessment
NEPH 14 Renal Clinic Initial Assessment: Laboratory
NEPH 15 Renal Clinic Ongoing Laboratory Assessment
NEPH 16 Hemodialysis Anticoagulation
NEPH 17 Erythropoietin (EPO) & Iron Protocols
NEPH 18 Patient Transfer to KCC/Nephrology Clinic
NEPH 19 Post Renal Transplant Laboratory Assessment
NEPH 20 Renal Dietitian Diabetes Management
NEPH 22 Hemodialysis: Symptom Related Diagnostic Testing
ASP 01 Auto Consult ID for SAB and Candidemia - ASP
CC 09 Sodium Citrate 4% Central Venous Access Device (CVAD) Locking Solution

OB/GYN

WCH 01 Fetal Maternal Blood Screening
WCH 02 Prevention of Early Onset Neonatal GBS Disease
WCH 03 Midwives Assisting at C-Sections
WCH 07 - R Birthing Unit Triage
WCH 12 Antibiotic Prophylaxis Prior To C/Sections
SX 06 The Provision of Instructions regarding Medications by Preoperative clinic Registered Nurses
ASP 01 Auto Consult ID for SAB and Candidemia - ASP
PCC 01 Prenatal Care Clinic

Oncology

ADCP 01 Anaphylaxis/Hypersensitivity
ADCP 02 Laboratory Investigations for Patients Eligible to receive Daratumumab
ADCP 03 Speech Language Referral
ADCP 04 Chemo Oral Premedication
ADCP 05 Alteplase Administration
ADCP 06 Sequencing Chemo and Radiation Therapy Treatments
ADCP 07 Treatment of Hypomagnesemia
ADCP 08 Treatment of Hypokalaemia
ADCP 09 “new” Administration of Emla-Lidocaine for the Removal of SecurAcath Device
ASP 01 Auto Consult ID for SAB and Candidemia - ASP

Orthopaedics

BC 01 Perioperative Blood Conservation
CC 08 Aspiration Of Gastric Residuals Prior To OR
SX 01 Electrosurgery as a Controlled Act for RNFAs
SX 06 The Provision of Instructions regarding Medications by Preoperative clinic Registered Nurses
SX 08 ERAS
SX 10 Arthroplasty Surgery Preoperative Pain Medications
NEJAC 01 Ordering X-Ray
ASP 01 Auto Consult ID for SAB and Candidemia - ASP

Paediatrics

WCH 08 - R Newborn Admission
WCH 06 Head Ultrasound for Premature Infants<32weeks Gestation
WCH 09 - R Sucrose 24%
WCH 11 - R Hypoglycemia Management in Pediatric Patients
WCH 13 Respiratory Syncytial Virus (RSV) Clinic
WCH 14 Respiratory Syncytial Virus (RSV) Newborn Immunization
RESP 01 Ordering Lab Tests and DI

Plastic Surgery

SX 01 Electro surgery as a Controlled Act for RNFAs
SX 06 The Provision of Instructions regarding Medications by Preoperative clinic Registered Nurses
SX 08 ERAS
SX 10 Arthroplasty Surgery Preoperative Pain Medications
BC 01 Perioperative Blood Conservation
CC 08 Aspiration Of Gastric Residuals Prior To OR
ASP 01 Auto Consult ID for SAB and Candidemia - ASP

Psychiatry

MH 01 Blood work for Outpatient Psychiatry Medication Clinic
MH 02 Nicotine Replacement Therapy
MH 03 Acetaminophen and Ibuprofen
ASP 01 Auto Consult ID for SAB and Candidemia - ASP

Surgeons [All]

SX 01 Electro surgery as a Controlled Act for RNFAs
SX 06 The Provision of Instructions regarding Medications by Preoperative clinic Registered Nurses
SX 08 ERAS
BC 01 Perioperative Blood Conservation
CC 08 Aspiration Of Gastric Residuals Prior To OR
ASP 01 Auto Consult ID for SAB and Candidemia - ASP

Urology

SX 01 Electro surgery as a Controlled Act for RNFAs
SX 06 The Provision of Instructions regarding Medications by Preoperative clinic Registered Nurses
SX 08 ERAS
BC 01 Perioperative Blood Conservation
ASP 01 Auto Consult ID for SAB and Candidemia - ASP
SX 09 Urology Clinic Procedures

Withdrawal Management - Safe Beds

WMS 02 Mild to Moderate Pain Changes
WMS 03 Nausea Vomiting Diarrhea Gastric Reflux Changes
WMS 04 NRT
WMS 05 Diabetes Management
WMS 06 Sleep Management
WMS 07 Prevention of Neurological complications in alcohol use disorder

Wound Clinic Physicians

FT 01 Use Of Therapeutic Ultrasound For Wound Management (Us)
FT 02 HVPC E STIM OR E STIM