SA Health supports the implementation of the National Inpatient Medication Chart (NIMC), a suite of nationally approved medication charts to promote safe use of medicines through standardisation of documentation. A standard chart ensures the same chart is used wherever a health professional works and wherever a patient is within a hospital.
contains a dose calculation box for each medicine.
Once only, pre-medication, telephone orders and nurse initiated medicines section
From January 2015 versions of the NIMC acute charts contain two columns for two nurses to document having received a telephone order for a medication. This section is designed to enhance clarity of recording and verification of telephone orders and is in alignment with the National Inpatient Medication Chart.
Venous Thromboembolism (VTE) prophylaxis section
New versions of the NIMC acute chart and the GP e-version (PDF 102KB) contain a pre-printed VTE prophylaxis section. This section is designed to reduce the rate of healthcare associated VTE by prompting prescribers to assess and document the risk of VTE for all adult patients and to prescribe prophylaxis (pharmacological and/or mechanical) where appropriate.
The NIMC Local Management Guidelines provide detailed guidance on the scope of changes to the NIMC which can be authorised at local levels, for
example state, Local Health Network and individual health service organisation level. Proposals for change should be submitted to the South Australian Medication Safety Advisory Group (SAMSAG) which has jurisdictional oversight of the National Inpatient Medication Chart (NIMC) in South Australia. Referral to the Health Services Medication Expert Advisory Group, which provides oversight at a national level, may be undertaken where appropriate as per the Local Management Guidelines.
South Australian hospitals have the opportunity to submit suggestions and feedback through the South Australian NIMC Change Register (DOC 34KB). Amendments made to the state register will be submitted to the national register. Major amendments will only be considered if accompanied by supporting audit data.
Medication charts are available via the Oracle Corporate System.
An online training course is strongly advised for all health professional staff and students involved in medication management (for example prescribing, dispensing or administration) in hospital settings.
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