Nurse Practitioner / Clinical Nurse Specialist – Specialized Geriatric Services

Medical Directive ID: 
Lead Contact Person: 
Karolina Uram, RN(EC), MN, NP-Adult
Physician/Nurse Lead: 
Dr. Jennie Wells, Chief, Division of Geriatric Medicine
Medicine / Geriatric Medicine
Approval By: 
Medical Advisory Committee
Original Effective Date: 
Wednesday, November 12, 2014
Revised Date: 
Friday, December 13, 2019
To Be Reviewed Date: 
Tuesday, December 13, 2022
This Medical Directive Applies to the following sites: 
Parkwood Institute - Main Building
This Medical Directive Applies to the following patient population: 

Nurse Practitioner (NP) Diagnostic and Prescriptive Authority:

NP’s in Ontario have the following diagnostic and prescriptive authority:

With advanced specialty knowledge, the NP/Clinical Nurse Specialist in Specialized Geriatric Services requires 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
WellsJennieJan 9 2020 02:35:09:040PM