PHYSICIAN RESOURCES

What is a medical directive?

A medical directive is a written medical order that may be implemented for a number of patients under specific circumstances and when specific conditions are met. It is implemented by regulated health professionals, such as nurses, dietitians, and nurse practitioners.

A medical directive is used only when it is in the patient's interest for a designated health professional to implement the procedure without the physician's direct assessment at the time of implementation.

North Simcoe Family Health Team (NSFHT) medical directives

Within NSFHT, physicians and regulated health professionals have to sign our medical directive implementation forms for a medical directive to be active.

If you are a member of the public, please click here for more information on medical directives or ask your health care provider.

If you are a health professional, please go to your college's website for more information.

Medical directives currently in use:

26-01: Dispensing Insulin and Injectable Medication
26-02: Insulin Dose Adjustment in Adults
26-03: Insulin Pump Dose Adjustments
26-04: Management of Diabetes in Pregnancy
26-05: GLP-1 Initiation and Titration
26-06: Ordering Laboratory Tests
26-07: Injectable Substances
26-08: Ear Irrigation (Ear Flushing)
26-09: Cryotherapy Using Liquid Nitrogen
26-10: Treatment of Anaphylaxis/Severe Allergic Reactions to Allergy Injections, Vaccines, or Injectable Medications
26-11: Administration of Immunizations
26-12: Administration and Interpretation of a Mantoux Tuberculin Skin Test (TST)
26-14: Administration of Depo-Provera
26-15: Allergy Injection
26-16: Immunity Screening Titres and Immunization
26-17: Nicotine Replacement Therapy Distribution