Nursing Information System Saskatchewan - Program Resources
Facilities using the Nursing Information System Saskatchewan (NISS) program have access to a wide variety of resources.
User Manuals | Audit Manuals | Flowsheet Charting | Forms | Publications | Order Form | Contact
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 (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 (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
