For acute and remote care nursing
Consistent medication decisions
across every shift and site.
Protocol-based pathways with clear escalation for nurses and visiting medical officers, and a complete record of care at nurse-led sites.
The challenges
- On the wards, nursing leaders are accountable for medication incidents, VTE risk assessment compliance and safe discharge to residential aged care.
- At nurse-led sites and multi-purpose services, nurses supply medicines under protocol, often as sole clinicians with telehealth medical support.
- Agency and locum staff regularly start a shift without knowing the local procedures, and turnover makes orientation an ongoing task.
Capabilities for nursing leadership
Safe practice at nurse-led sites
Nurse-initiated medicine pathways layered by location, scope and medical officer availability, with endpoints that indicate when to escalate.
Ward medication safety
PRN daily maximums carried with the order, and VTE risk assessment within 24 hours monitored on the VTE dashboard.
Orientation for new and agency staff
Pathways provide just-in-time guidance for agency and locum staff, supported by in-app guided tours.
Referral, clinic management and recall
Each pathway completion becomes the record of assessment for referral to the rural medical officer, clinic management and recall.
RN prescriber support
Prescribing within scope, with a complete record of each decision.
Consistency across sites
The same pathway and version at every campus and nursing post.
Support for nurse-led care
01 · NURSE-INITIATED MEDICINES
A record of every protocol supply
Pathways built from your remote clinical manual guide nurses through medicines supplied under your legal instrument, such as a Structured Administration and Supply Arrangement, taking in location, scope of practice, competency, medical officer availability and escalation.Pathways built from your nursing protocols guide nurses through medicines initiated under medical directive, taking in location, scope of practice, competency, physician availability and escalation. Each time a protocol is enacted, a copy is kept in line with legislative record-keeping requirements, and it serves as the handover for review by the rural medical practitioner.
- Patient, nurse, pathway route, guideline version, medicine and time recorded for every supply
- Handover to the medical practitioner for review, without retyping
- Visibility of uptake, pathways chosen, outcomes and deviation from protocol
- The same protocol at every post, for agency staff working across sites
02 · PROTOCOL USE
See which protocols are used, and how
Search for any medicine to see every pathway route that ended in it over a chosen period, how often each route was reached and its share of all recommendations. Nursing leaders can see which protocols nurses use, the answers that led to each supply, and where practice departs from the expected route.
- Every route to a medicine, with counts and percentages
- Any date range, for one medicine or several together
- Evidence for audit, credentialing and protocol review
03 · OFFLINE MOBILE APP
Full offline use for hospital in the home and callouts
The iOS and Android apps run the full pathway offline, so hospital in the home nurses and staff on callout have the same guidance and calculators in a patient's home or on the road as at the nursing post. Records captured out of range are queued and synchronised when connectivity returns.
- Pathways, calculators and the medication list available without a network connection
- Protocol records captured offline and synchronised automatically
- Sign in once with the health service account
04 · PHARMACY SUPPORT
Pharmacist-level support at sites without a pharmacist
At remote sites without pharmacy support, nurses receive the same decision support hints a pharmacist would. Each medication history taken at the site comes with a brief medication review, and pharmacists can sign in to review the medication management plan remotely when needed.
- Pharmacist hints on interactions, renal dosing and missed therapy, shown to the nurse
- A brief medication review with every medication history
- Remote pharmacist review of the medication management plan
05 · DISCHARGE
Clear medication information at discharge
Reconciliation produces a patient-friendly medication list showing each medicine, its purpose, timing and any changes. A printable medication chart accompanies patients transferring to residential aged care.
77
hospitals live across Australia and Canada
48.1s
average time to complete a pathway
69
remote nursing posts implementing nurse-initiated medication decision support
20.8 pts
improvement in prescribing appropriateness where adopted, strongest at the smallest sites
Joint evaluation of the platform by the WA Country Health Service (WACHS) and the University of Technology Sydney (UTS), funded by the Digital Health Cooperative Research Centre (DHCRC-0248). Prescribing was compared before and after implementation in a balanced sample of three adopter and five non-adopter hospitals, and the estimates describe an effect observed where the platform was adopted. WACHS deploys the platform as AMPS. Read the evaluation snapshot (PDF).
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