Here's an incredibly awkward mirror shot of the coin, with Her Majesty upside-down and the reverse rightway up...
Coin orientation is ↑↑. Medal or "upset" orientation is ↑↓. Canadian coins are almost always ↑↑; modern US coins are ↑↓. Both exist for the PEI cent, and medal is slightly scarcer.
Actually, it is exactly opposite. US coins have coin orientation. See more - https://en.wikipedia.org/wiki/Coin_orientation
If you hold a coin at the top and bottom so it spins sideways, the reverse will be upside down. If you do that with a medal, the reverse will be right side up. Your coin is standard coin orientation.
The "standard" orientation for the PEI cent was ↑↑, like all other Canadian coinage, but for some reason there's a slightly scarcer variety of the PEI with ↑↓.
I see the confusion. Since the U.S. is the center of the universe and our way of doing anything is the correct way, when I say "standard" of course I mean U.S. standard.