============================================================================= Run Date: JUL 13, 2021 Designation: PSB*3*108 Package : PSB - BAR CODE MED ADMIN Priority: Mandatory Version : 3 SEQ #110 Status: Released Compliance Date: AUG 13, 2021 ============================================================================= Associated patches: (v)PSB*3*125 <<= must be installed BEFORE `PSB*3*108' (v)PSB*3*127 <<= must be installed BEFORE `PSB*3*108' Subject: PHARMACY SAFETY UPDATES BCBU HAZARDOUS MEDICATIONS Category: - Enhancement (Mandatory) - Data Dictionary - Routine Description: ============ ************************************************************************ **************NOTICE NOTICE NOTICE NOTICE******************************* ******This patch needs to be installed on "ALL BCBU Workstations******** ************************************************************************ Patch PSB*3*108 will enhance BCMA Backup System (BCBU) by adding alerts for Hazardous to Handle and Hazardous to Dispose drugs. ** NOTICE ** The PHARMACY SAFETY UPDATES project includes an enhancement for Hazardous Medications that includes 5 patches that should be installed together and listed below. 1. PSS*1*226 2. PSJ*5*364 3. PSO*7*524 4. PSB*3*106 5. PSB*3*108 (BCBU) Files & Fields Associated: -------------------------- File Name (Number) Field Name (Number) New/Modified/Deleted ----------------------- -------------------- -------------------- BCMA BACKUP DATA (53.7) HAZARDOUS TO HANDLE (14) New HAZARDOUS TO DISPOSE (15) New The BCBU system data dictionary will add two new fields to track if a medication order is Hazardous to Handle and/or Hazardous to Dispose. These fields will be used to print Hazardous to Handle and/or Hazardous to Dispose alerts on the Medical Administration Record (MAR) reports clinicians can take the appropriate precautions when handling or disposing of these medications. New Service Requests (NSRs): ---------------------------- 20130302 Test Sites: ---------- Augusta, GA Lebanon, PA Shreveport, LA Software and Documentation Retrieval Instructions: -------------------------------------------------- The software for this patch is being released using a host file. The host file is available at the following location: /srv/vista/patches/SOFTWARE/PSB_3_108.KID Manual Name Filename Mode -------------------------------------------------------------------- BCMA Backup System (BCBU) Installation Guide v3.0 PSB_IG.PDF Binary PSB_IG.DOCX Binary Patch Installation: ------------------- Pre-Installation Overview ------------------------------ ************************************************************************ **************NOTICE NOTICE NOTICE NOTICE******************************* ******This patch needs to be installed on "ALL BCBU Workstations******** ************************************************************************ This patch requires FileMan v22.2 be installed before this patch can be installed. Therefore, it is important that the BCBU workstations where the this patch will be installed already have been updated with the latest version of FileMan (v22.2). Pre-Installation Instructions: BCMA users should not be using the BCBU application while this patch is being installed. It should take less than 2 minutes to install this patch. Installation Instructions: -------------------------- 1. Use the Load a Distribution option contained on the Kernel Installation and Distribution System Menu to load the Host file. When prompted to "Enter a Host File:" enter /srv/vista/patches/SOFTWARE/PSB_3_108.KID 2. From the Kernel Installation and Distribution System Menu, select the Installation Menu. From this menu, A. Select the Verify Checksums in Transport Global option to confirm the integrity of the routines that are in the transport global. When prompted for the INSTALL NAME enter the patch or build name (ex. PSB*3.0*108). NOTE: Using will not bring up a Multi-Package build even if it was loaded immediately before this step. It will only bring up the last patch in the build. B. Select the Backup a Transport Global option to create a backup message. You must use this option and specify what to backup: the entire Build or just Routines. The backup message can be used to restore the routines and components of the build to the pre-patch condition. i. At the Installation option menu, select Backup a Transport Global. ii. At the Select INSTALL NAME prompt, enter your build PSB*3.0*108. iii. When prompted for the following, enter "R" for Routines or "B" for Build. Select one of the following: B Build R Routines Enter response: Build iv. When prompted "Do you wish to secure your build? NO//", press to accept the default response of "NO". v. When prompted with, "Send mail to: Last name, First Name", press to choose the default recipient. Include any additional recipients. vi. When prompted with "Select basket to send to: IN//", press to accept the default IN mailbox, or select a different mailbox. NOTE: Skip this step on BCBU workstation installations because an error will be generated and the action will fail due to MailMan limitations on the BCBU workstations. See the Back-out/Rollback Strategy section for how to handle backing up the BCBU workstations. C. You may also elect to use the following options: i. Print Transport Global - This option will allow you to view the components of the KIDS build. ii. Compare Transport Global to Current System - This option will allow you to view all changes that will be made when this patch is installed. It compares all of the components of this patch, such as routines, DDs, templates, etc. D. Select the Install Package(s) option and choose the patch to install. i. If prompted 'Want KIDS to Rebuild Menu Trees Upon Completion of Install? NO//', answer NO. ii. When prompted 'Want KIDS to INHIBIT LOGONs during the install? NO//', answer NO. iii. When prompted 'Want to DISABLE Scheduled Options, Menu Options, and Protocols? NO//', answer NO. iv. If prompted 'Delay Install (Minutes): (0-60): 0//', answer 0. Post-Installation Overview: --------------------------- It is required that the BCBU workstations be re-initialized after the install of this patch. It is also recommended to limit the number of workstations being initialized to no more than four at a time to minimize the impact to the site's network. Follow the instructions in the BCMA Backup System (BCBU) Installation Guide and use one of the VistA menu options shown below (based on the site's configuration for the BCMA Backup System). Select OPTION NAME: PSB BCBU VISTA MAIN BCMA Backup System (VISTA) PSB BCBU VISTA MAIN BCMA Backup System (VISTA) DFT Default Workstation Initialize DIV Divisional Workstation Initialize USR Initialize a Backup Workstation with BCMA Users Back-out/Rollback Strategy: --------------------------- Back-out will be done only with the concurrence and participation of the development team and appropriate VA site/region personnel. The decision to back-out or rollback software will be a decision involving the VA site/ region personnel, the development team, and other appropriate VA personnel. Prior to installing an updated KIDS package, the site/region should have saved a backup of the routine in a mail message using the Backup a Transport Global [XPD BACKUP] menu option (this is done at time of install). The message containing the backed up routine can be loaded with the "Xtract PackMan" function at the Message Action prompt. The Packman function "INSTALL/CHECK MESSAGE" is then used to install the backed up routine onto the VistA System. The back-out plan is to restore the routines from the backup created. No data were modified by this patch installation; therefore, no rollback strategy is required. Validation of Roll Back Procedure: ---------------------------------- The Roll Back Procedure can be verified by printing the first 2 lines of the ALPBFRM1, ALPBHL1, ALPBHL1U and ALPBUTL2 routines contained in this patch using the option First Line Routine Print [XU FIRST LINE PRINT]. Once the routines contained in the PSB*3.0*108 patch have been rolled back, the first two lines of the routines will no longer contain the designation of this patch in the patch list section on line 2. Routine Information: ==================== The second line of each of these routines now looks like: ;;3.0;BAR CODE MED ADMIN;**[Patch List]**;Mar 2004;Build 28 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: ALPBFRM1 Before: B95230274 After:B100692167 **8,48,69,59,73,87,125,108** Routine Name: ALPBHL1 Before: B70207141 After: B81536036 **7,8,73,108** Routine Name: ALPBHL1U Before: B87827474 After: B95195241 **7,69,59,73,87,127,108** Routine Name: ALPBUTL2 Before: B7742346 After: B9386174 **8,108** Routine list of preceding patches: 125, 127 ============================================================================= User Information: Entered By : Date Entered : MAR 23, 2018 Completed By: Date Completed: JUL 12, 2021 Released By : Date Released : JUL 13, 2021 ============================================================================= Packman Mail Message: ===================== No routines included