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NSW digitises fluid and infusion management in rural health districts

Rural local health districts in New South Wales have rolled out a fluid and infusion management solution produced by eHealth NSW.

The implementation covers intravenous/subcutaneous fluid therapy, electrolyte maintenance/replacement therapy, and all infusions which are ordered on the NSW Adult/Paediatric Fluid Order charts. The rollout package also contains Paediatric PowerPlans, automation for fluid balance calculations, and reporting functions to monitor performance and management.

It’s been introduced in every rural LHDs in hawaii, including residential aged care facilities and multipurpose services sites, having an implementation at Mid North Coast planned for the finish of the entire year.


In accordance with a media release, the rollout of the FIM solution seeks to boost patient safety while providing additional prescribing and administration support to clinicians and nurses. It removes the necessity for paper infusion charts, allowing clinicians to prescribe, administer,and manage fluid and infusion orders or continuous infusions in the EMR, alongside patients’ regular medications.


FIM is section of a statewide rollout of EMR-related digital health projects for inpatient and acute services. This past year, eHealth NSW also piloted an EMR solution called PowerForm, which captures patient information and collects clinical assessment, intervention and outcome data, to aid a screening programme to recognize breast cancer patients vulnerable to developing chronic lymphoedema.

To improve clinicians’ satisfaction with EMR, eHealth NSW and KLAS Research surveyed users across NSW Health this past year to explore their current EMR experiences. Major findings of the survey indicated that users wanted more trained in EMR and greater involvement in the development of EMR solutions and policy changes.


“As you of several doctors treating patients in rural sites in remote areas, I used to possess to get the correct form necessary for the fluid for an individual, and fax it to the website. It had been a a lot longer process. With the [FIM] solution, its quicker, easier and clearer,” shared Dr Vimbai Kapuya at Yass Hospital.

She also added that the FIM solution is “safer” for patients. “Before FIM, we used paper charts. Given that its digital, the countersigning of fluids is better, and its clear what fluids are increasingly being ordered. With paper charts, there have been errors when bad handwriting meant doctors and nurses couldnt know very well what had been ordered. For younger patients, I’ve found FIM has an extra layer of safety”.

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