Thanks for your question, we are happy to provide clarification.
You are correct, you cannot contact a BHP and ask for Atropine for a cholinergic overdose, as referenced by Dr. Exley in his webinar. ACP's are not authorized/certified or trained to administer Atropine for this patient condition & presentation. The Medical Directive for Adult and Pediatric Nerve Agent Exposure is a Chemical Exposure Medical Directive that requires specialized training, and ACP's in Thunder Bay have not received this training or authorization. Therefore, Atropine can only be administered by an ACP for the current indications/conditions specific to the Symptomatic Bradycardia Medical Directive.