[21] The reverse (rear) of the Nursing Service Cross has a horizontal panel that displays the recipient's details, superimposed on a design of fluted rays of varying lengths.

[29] Before 18 October 1989, eligible Australian Defence Force (ADF) members could be awarded the Royal Red Cross under the Imperial honours system.

[33] When Australian Prime Minister Bob Hawke came to power in 1983, he declared his government would no longer be making any recommendations for Imperial honours and awards.

[37] On 18 October 1989, the Queen of Australia, Elizabeth II, issued Letters Patent instituting the Nursing Service Cross decoration.

[41] The nickel plated copper coin had the following features:[42] There have been 28 recipients, and 29 awards, since the Nursing Service Cross was established on 18 October 1989.