Skin Pricking

Medical Directive ID: 
Lead Contact Person: 
Anne Kudirka, RD, CDE
Physician/Nurse Lead: 
Dr. Irene Hramiak, Medical Director, Endocrinology and Metabolism Department
Medicine - Diabetes Education Centre
Approval By: 
Medical Advisory Committee
Original Effective Date: 
Wednesday, June 24, 2015
Revised Date: 
Wednesday, June 24, 2015
To Be Reviewed Date: 
Sunday, June 24, 2018
This Medical Directive Applies to the following sites: 
St. Joseph’s
This Medical Directive Applies to the following patient population: 

Below the Dermis:

Under the Dietetics Act (1991), Registered Dietitians (RD) are authorized to perform the following controlled act: “3.1 In the course of engaging in the practice of dietetics, a member is authorized, subject to the terms, conditions and limitations imposed on his or her certificate of registration, to take blood samples by skin pricking for the purpose of monitoring capillary blood readings. 2009, c. 26, s. 7”1


  • Collecting Capillary Blood Samples through Skin Pricking & Monitoring the Blood Readings (Point of Care Testing): Collect capillary blood samples by skin pricks & monitoring capillary blood sample readings for the purpose of screening for optimal or suboptimal blood glucose levels or monitoring blood glucose levels is patients with dysglycemia.


  • Insulin Pump Infusion Set or Patch Pump Insertion:  Assist with insertion an insulin infusion set or tubeless/patch pump below the dermis


  • Glucose Sensor Insertion: Assist with insertion of a glucose sensor below the dermis
Click the link to view the entire medical directive in detail: 


SurnameKnown ByDate Signed
BakeerMervatNov 12 2015 09:16:14:877AM
ClemensKristinHave Not Signed
EdmondsMerrillJul 28 2015 09:31:42:903PM
HarrisStewartAug 3 2015 12:17:15:540PM
HegeleRobertJul 24 2015 02:54:26:660PM
HramiakIreneAug 4 2015 01:30:18:207PM
JoyTishaJul 24 2015 10:40:57:053AM
LiuSelinaJul 24 2015 03:32:10:817PM
MahonJeffreyAug 14 2015 12:12:22:553PM
McDonaldCharlotteJul 27 2015 02:10:05:860PM
McManusRuthJul 24 2015 08:09:57:827AM
MorrisonDericJul 26 2015 11:33:37:517PM
PaulTerriJul 24 2015 08:15:06:350AM
ReichertSonjaJul 25 2015 08:47:31:590PM
SpaicTamaraAug 4 2015 12:08:48:220PM
Van UumStanAug 11 2015 02:47:46:377PM