Facilities using the Nursing Information System Saskatchewan (NISS) program have access to a wide variety of resources.

User Manuals | Audit ManualsFlowsheet ChartingFormsPublicationsOrder FormContact

NISS User Manuals

The NISS Program provides user manuals in eight areas. Each manual contains examples of forms and the guidelines for using the forms. Last revision dates are found on the inside cover of the manual:

  • Medicine/Surgery User Manual (includes Critical Care), last revised May 2019
  • Long-Term Care User Manual, last revised May 2019
  • Home Care User Manual, last revised May 2019
  • Pediatric User Manual, last revised May 2019
  • Obstetrics User Manual (includes Labour, Delivery, and Neonatal Care), last revised May 2019
  • Psychiatry User Manual, last revised May 2019
  • Ambulatory Care User Manual (includes Emergency, Day and Night Care), last revised May 2019
  • Operating Room/Post-Anesthetic User Manual, last revised September 2012

NISS Audit Manuals

Audit manuals have been developed for each of the NISS modules. Each audit manual contains a basic set of standards of care and criteria that may assist facilities in developing specific standards of care for their site. An audit analysis sheet is provided to document outcomes found during the audit, the plan of action to be taken to correct the problems, and the outcomes achieved. The audit forms are updated on a regular basis.

The NISS audit monitors and evaluates three areas: patient care, documentation, and environment. The audit process helps facilities determine if they are meeting specific standards in these areas. Audits must be conducted on a regular basis against established standards of care. 

For more information or to obtain a copy of a NISS manual, please contact the NISS Coordinator.

  • Medicine/Surgery Audit Manual, last revised December 2007
  • Long Term Care Audit Manual, last revised February 2007
  • Home Care Audit Manual, last revised March 2007
  • Pediatric Audit Manual, last revised January 2008
  • Obstetrics Audit Manual, last revised September 2006
  • Psychiatry Audit Manual, last revised January 2009
  • Ambulatory Audit Manual, last revised June 2009

Flowsheet Charting

NISS incorporates flowsheet charting and charting by exception. Flowsheet records facilitate the documentation of routine care, reducing the need for long repetitive narrative notes. Examples of flowsheets include Anticoagulant Record, Bowel Care Record, Clinical Record, Death Record, Diabetic Record, Diagnostic Procedure Profile, IV Administration Record, Mobility Record, Physical Injury Record, Pre-Op/PostOp Teaching Record, Pre-Operative Check List, Referral Information, Suicide Assessment Record, and Wound Record. 

NISS Forms

The forms used in the Nursing Information System Saskatchewan are updated periodically to reflect best practices in the collection of patient information. Many of the forms used in NISS are common to most modules and some forms are specific to individual modules. Please note: only NISS clients have the right to reprint and use NISS forms. The forms must be ordered and printed through Allied Printers using the form linked below:

NISS Order Form NISS Order Form (1845 KB)


 

NISS Forms, Form Numbers, and Effective Dates

The chart below indicates the last time each form was revised for content. Files are listed according to modules (exceptions include the common forms, and flowsheets). For a pdf preview of each form, click on the form number.

File Name Form Number Effective Date
Medicine/Surgery (M/S)
Admission Assessment & History - M/S AAMS-001.0 May 2018
General Admission Assessment & History GAAH-010.5 May 2019
Admission Assessment - Rehabilitation AAREH-008.8 May 2018
Stroke Rehabilitation Care Plan SRCP-011.2 Dec 2016
Bladder Training Program BTP-012.1 May 2013
Individual Care Plan (ICP) Short Version CPMS-002.7 Dec 2018
ICP Long Version (2 pages) CPMS-003.7 Dec 2018
ICP Long Version (3 pages) CPMS-009.5 Dec 2018
Needs Assessment & Record of Care (8hr) NA8MS-004.8 May 2019
Needs Assessment & Record of Care (12hr) NA12MS-005.8 May 2019
Needs Assessment & Record of Care Critical Care (8hr) NA8CC-006.7 May 2019
Needs Assessment & Record or Care Critical Care (12hr) NA12CC-007.7 May 2019
Long Term Care (LTC)
Admission Assessment & History - LTC AALTC-021.9 
May 2018
Admission Assessment & History & ICP - Respite/Day Program AARES-022.9 May 2018
ICP - LTC CPLTC-023.8 Dec 2018
Needs Assessment & Record of Care - LTC (8hr) NA8LTC-024.8 May 2019
Needs Assessment & Record of Care - LTC (12hr) NA12LTC-025.8 May 2019
Needs Assessment & Record of Care - Day Program NADPLTC-026.8 May 2019
Obstetrics
Admission Assessment & History AAOB-032.9 May 2018
Partogram PGOB-033.8 May 2018
Labour Summary & Delivery Record LDOB-034.6 May 2013
Postpartum Flow Sheet PPFS-035.6 Sep 2012
Postpartum Teaching & Community Health Referral Record PPTROB-036.6 Dec 2017
Admission Assessment & History & ICP - Newborn AACPNB-037.6 May 2018
Needs Assessment & Record of Care - Newborn (8hr) NA8NB-038.7 May 2019
Needs Assessment & Record of Care - Newborn (12hr) NA12NB-039.7 May 2019
Needs Assessment & Record of Care (8hr) NA8OB-030.6 May 2019
Needs Assessment & Record of Care (12hr) NA12OB-031.6 May 2019
Pediatrics
Admission Assessment & History - Pediatrics AAPED-051.8 Dec 2017
Psychiatry
Admission Assessment & History - Psychiatry AAPSY-071.8 May 2018
ICP - Psychiatry CPPSY-072.7 Dec 2018
Needs Assessment & Record of Care - Psych (8hr) NA8PSY-073.7 May 2019
Needs Assessment & Record of Care - Psych (12hr) NA12PSY-074.7 May 2019
Home Care
Admission Assessment & History - Home Care AAHC-091.9 May 2018
ICP CPHC-092.7 Dec 2018
ICP - Long Version CPHCLT-094.6 Dec 2018
Needs Assessment & Record of Care NAHC-093.8 May 2019
Assessment Addendum - Home Care AADD-095.8 May 2018
Admission Assessment and Teaching Record - Home Care AHTRHC-096.6 May 2018
Common Forms for the Above Modules
Notes NO-101.6 May 2017
Discharge Care Plan & Separation Summary DCP-102.7 Oct 2016
Inter-Agency Referral & Separation Summary IAR-103.0
Oct 2016
Separation Summary SS-104.5 Sep 2012
Medication Records
Medication Administration Record Portrait MARP-105.5 May 2018
Medication Administration Record - Overlay MAOP-106.5 May 2018
Medication Administration Record Landscape MARL-107.5 May 2018
Medication Administration - Overlay MAOL-108.5 May 2018
Medication Preparation Record (Home Care) MPRHC-109.5 May 2018
Medication Preparation - Overlay (Home Care) MPOHC-110.4 May 2018
PRN Medication #1 PRN1-111.6 May 2018
PRN Medication #2 PRN2-112.6 May 2018
Medication Profile MP-113.5 May 2018
Medication Administration Record (Home Care) MARHC-115.1 May 2018
Flow Sheets
Anticoagulant Record ACR-124.4 Sep 2012
Behaviour Management Record (Psychiatry/LTC) BMR-125.4 Sep 2012
Bowel Care Record BCR-126.4 Sep 2012
Braden Supplement BDN-155.2 Dec 2017
Braden Supplement - Home Care BDNHC-156.2 May 2018
Care Plan Worksheet CPWS-127.6 Sep 2012
Clinical Record CR-128.7 May 2015
Death Record DR-129.5 Sep 2012
Diabetes Record DBR-130.8 Nov 2014
Diagnostic Procedure Profile DPP-131.4 Sep 2012
Continuous Bladder Irrigation Record CBIR-150.3 Sep 2012
Discharge Planning Record (Psychiatry) DPRPSY-147.6 Dec 2018
Eco-Map (Psychiatry) EMPSY-148.4 Oct 2017
Feeding Record (Pediatrics/Obstetrics) FRPED-132.5 Sep 2012
Genogram (Psychiatry) GENPSY-149.4 Oct 2017
ICP Supplement CPS-133.7 Dec 2018
IV Administration Record Landscape IVR-134.6 May 2019
IV Administration Record Portrait IVRP-152.5 May 2019
IV Administration Record Portrait (2 pages) IVRP2-158.0 May 2019
Master Signature Record MSS-135.4 Sep 2012
Mobility Record MOBR-136.9 Feb 2017
Neurological - Vital Signs Record NVS-154.6 Sep 2012
Ongoing Record of Care (Ambulatory Care) OGRC-146.7 May 2019
Outpatient - Repeat Visit Record (Ambulatory Care) OPRV-137.5 Oct 2017
Outpatient Record (Ambulatory Care) OPR-138.8 Oct 2017
Physical Injury Record PHIR-139.5 Sep 2012
Pre-op/Post Teaching Record PPOPTR-140.6 May 2013
Pre-operative Check List POPCL-141.8 May 2013
Referral Information RI-142.8 Sep 2012
Suicide Assessment Record SAR-143.6 May 2018
Vital Sign Record - Premature /ill Newborn VSRNB-144.6 Sep 2012
Wound Record WR-145.1 Dec 2018
Daily Systems Assessments DSA-153.4 Sep 2019
Daily Systems Assessments (8hr) DSA8-157.0 Dec 2017
Fluid Balance FB-151.2 May 2019
Ambulatory Care - Emergency
Initial Assessment & Record of Care IARER-171.8 May 2018
Initial Assessment and Record of Care Flowsheet – Pediatrics
IARPER-177.0 May 2018
Ongoing Record of Care & Needs Assessment OGRNA-172.6 Oct 2017
Emergency - Individual Needs Assessment & Record of Care (Concurrent) INAER-173.5 Oct 2017
Emergency - Unit Needs Assessment (Concurrent) UNAER-174.5 Oct 2017
Inter-agency Referral and Transit Record (page 1) IARTR1-175.9 Dec 2018
Inter-agency Referral and Transit Record (page 2) IARTR2-176.7 Dec 2018
Ambulatory Care - Day/Night Care: Surgery
Admission Assessment & History & ICP AADNS-181.7 Dec 2017
Admission Assessment & History & Icp - Pediatrics AADNP-182.7 Dec 2017
Record of Care, Checklist & Needs Assessment RCDNS-183.7 Dec 2017
Admission Assessment & History & Flowsheet DNCFS-186.5 Dec 2017
Assessment Addendum - Ambulatory AADDA-184.8 Dec 2017 
Assessment Addendum - Pediatrics AADDP-185.8 Dec 2017
Ambulatory Care - Day/Night Care: Medicine
Admission Assessment & History & ICP AADNM-191.7 Dec 2017
Record of Care & Needs Assessment RCDNM-192.7 Dec 2017
Post - Anesthetic Unit
Needs Assessment & Record of Care PAUNA-201.5 Sep 2012

Other Publications and Resources

The 3sHealth nursing specialist provides professional support to the NISS program with the following programs and services:

  • Orientation to the program for new users; 
  • Ongoing NISS education, information, and support; 
  • Research, develop, and revise user and audit manuals for all modules of NISS; 
  • Develop and revise education materials for users; 
  • Assistance in workload analysis, statistical reporting, and staffing calculations; 
  • Develop new components, modules, flowsheets and other program components in response to the needs of users, current trend,s and industry standards; 
  • Provide consultation to the development of NISS in an electronic environment; and
  • Prepare and conduct workshops, presentations, and education sessions for NISS users. 

Order Form

NISS Order Form NISS Order Form (1845 KB)


Contact

For more information on NISS, please contact:
NISS specialist 
3sHealth
700 – 2002 Victoria Avenue
Regina, SK, S4P 0R7
Phone: (306) 552-6254     
Email:  rhonda.goodtrack@3shealth.ca