$TXT Created by VIPDEV11.AAC.DOMAIN.EXT (KIDS) on Wednesday, 01/03/18 at 11:42 ============================================================================= Run Date: MAY 14, 2018 Designation: NUR*4*45 Package : NUR - NURSING SERVICE Priority: Mandatory Version : 4 SEQ #46 Status: Released Compliance Date: JUN 14, 2018 ============================================================================= Associated patches: (v)NUR*4*24 <<= must be installed BEFORE `NUR*4*45' Subject: EPIP NUR REMEDIATION 2.0 Category: - Routine - Data Dictionary Description: ============ NUR*4.0*45 provides the following enhancements to VistA: - Modifies the Nursing Patient Care Assignment Worksheet to display only the last four digits of each patient's Social Security Number (SSN) and to remove the admitting diagnosis from the worksheet and replace it with the text "ON FILE." These changes protect confidential patient information and help ensure privacy. - Enhances the Nursing End-of-Shift Report to facilitate communication between staff when shifts change. This modification adds an additional line of header information to the report to clarify the purpose of the various report sections. The new header information includes Situation, Background, Assessment, and Recommendation column headings. The report additionally displays oxygen levels in the Assessment section where the patient's vitals (Latest Vitals) are displayed. New categories (Assessment, Safety, and Special Needs) are added to the Patient Problems section of the report to enable staff to document additional information that is critical to patient care. The report is further modified to display only the last four digits of the patient's Social Security Number (SSN) to help ensure privacy. The Attending Physician's voice and digital pager numbers can be excluded from the End-of-Shift Report. Excluding contact information for the Attending Physician eliminates confusion for staff regarding who to contact for patient care issues. This patch adds the PRINT ATT NUMS ON EOS RPT field (#10.6) to the NURS PARAMETERS file (#213.9) to act as a parameter that controls the display of the Attending Physician contact numbers. Initially, the value is set to NO and Attending Physician contact numbers are not displayed on the report. Users at each site can display the Attending Physician contact numbers by setting the value to YES using the Site Parameter File [NURSFL-SITE], which can be found using the following pathway: Nursing System Manager's Menu [NURS-SYS-MGR] Nursing Features (all options) [NURS-ALL] Administrative Site File Functions [NURSFL-MENU] Site Parameter File [NURSFL-SITE] Your site might have modified the pathway, so check with your local IT operations if you are having difficulty accessing the option. Patch Components: ----------------- Files & Fields Associated: File Name (Number) Field Name (Number) New/Modified/Deleted ------------------ ------------------- -------------------- NURS PARAMETERS (213.9) PRINT ATT NUMS ON New EOS RPT (10.6) Forms Associated: Form Name File # New/Modified/Deleted --------- ------ -------------------- N/A Mail Groups Associated: Mail Group Name New/Modified/Deleted --------------- -------------------- N/A Options Associated: Option Name Type New/Modified/Deleted ----------- ---- -------------------- N/A Protocols Associated: Protocol Name New/Modified/Deleted ------------- -------------------- N/A Parameters Associated: Parameter Name New/Modified/Deleted --------------- -------------------- N/A Security Keys Associated: Security Key Name ----------------- N/A Templates Associated: Template Name Type File Name (Number) New/Modified/Deleted ------------- ---- ------------------ -------------------- N/A Additional Information: New Service Requests (NSRs): ---------------------------- 20170309 Enhancements to Nursing Patient Assignment Worksheet 20170316 Enhancements to Nursing End of Shift Report Patient Safety Issues (PSIs): ----------------------------- N/A Defect Tracking System Ticket(s) & Overview: -------------------------------------------- N/A Problem: ------- N/A Resolution: ---------- N/A Test Sites: ---------- North Florida/South Georgia Veterans Health System, Gainesville, FL Memphis VA Medical Center, Memphis, TN Software and Documentation Retrieval Instructions: ---------------------------------------------------- Software being released as a KIDS build and/or documentation describing the new functionality introduced by this patch are available. The preferred method is to retrieve files from download.vista.domain.ext. This transmits the files from the first available server. Sites may also elect to retrieve files directly from a specific server. Sites may retrieve the software and/or documentation directly using Secure File Transfer Protocol (SFTP) from the ANONYMOUS.SOFTWARE directory at the following OI Field Offices: Hines: domain.ext Salt Lake City: domain.ext Documentation can also be found in the VA Software Document Library (VDL) at: https://wwww.domain.ext/vdl/. Title File Name FTP Mode ------------------------------------------------------------------------ VistA Nursing User Manual Version 4.0 Change Pages for Patch NUR*4.0*45 nurs_4_p45_um_cp.doc Binary VistA Nursing User Manual Version 4.0 Change Pages for Patch NUR*4.0*45 nurs_4_p45_um_cp.pdf Binary VistA Nursing Technical Manual and Package Security Guide Version 4.0 Change Pages for Patch NUR*4.0*45 nurs_4_p45_tm_cp.doc Binary VistA Nursing Technical Manual and Package Security Guide Version 4.0 Change Pages for Patch NUR*4.0*45 nurs_4_p45_tm_cp.pdf Binary Patch Installation: Pre/Post Installation Overview: ------------------------------- Review the Pre-Installation Instructions provided before beginning installation of the patch. Pre-Installation Instructions: ------------------------------ This patch may be installed with users on the system, although it is recommended that it be installed during non-peak hours to minimize potential disruption to users. This patch should take less than 5 minutes to install. Installation Instructions: ------------------------------ To install the patch: 1. Choose the PackMan message containing this patch. 2. Choose the INSTALL/CHECK MESSAGE PackMan option. 3. From the Kernel Installation and Distribution System (KIDS) menu, select the Installation Menu. From this menu, you may elect to use the following options. When prompted for the INSTALL NAME, enter the patch number NUR*4.0*45. a. Verify Checksums in Transport Global - This option will help ensure the integrity of the routines that are in the transport global. b. Print Transport Global - This option will enable viewing the components of the KIDS build. c. Compare Transport Global to Current System - This option will enable viewing all changes that will be made when this patch is installed. It compares all components of this patch (routines, data dictionaries, templates, etc.). d. Back up a Transport Global - This option will create a backup message of any routines exported with this patch. It will not back up any other changes such as data dictionaries or templates. 4. From the Installation Menu, select the Install Package(s) option and choose the patch to install. 5. When prompted 'Want KIDS to INHIBIT LOGONs during the install? NO//', press . 6. When prompted 'Want to DISABLE Scheduled Options, Menu Options, and Protocols? NO//', press . 7. If prompted 'Delay install (Minutes): (0-60): 0//', press . 8. If prompted 'Enter the Device you want to print the Install messages. You can queue the install by enter a 'Q' at the device prompt. Enter a '^' to abort the install. DEVICE: HOME// HOME (CRT)', press . Post-Installation Instructions: ------------------------------- N/A Backout Procedure: ------------------ Backout of this patch will be performed only with the concurrence and participation of the appropriate VA site/region personnel. The decision to back out the patch will be a joint decision between VA site/region personnel and other appropriate VA personnel. Prior to installing the updated KIDS package, the site/region should have saved a backup of the routines in a mail message using the Backup a Transport Global [XPD BACKUP] menu option. The message containing the backed up routines 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 routines onto the VistA system. Note: If Data Dictionary changes are listed in the Files and Fields Associated section of the patch description, then those changes will remain in the Data Dictionary in the event that a restore is performed. Updated files and fields must be manually removed from the Data Dictionary by a programmer via FileMan. Validation of Backout Procedure: -------------------------------- The Backout procedure can be verified by printing the first two lines of the NUR routines contained in this patch using the option First Line Routine Print [XU FIRST LINE PRINT]. Once the NUR routines have been backed out, the first two lines of the routines will no longer contain Routine Information: ==================== The second line of each of these routines now looks like: ;;4.0;NURSING SERVICE;**[Patch List]**;May 9, 2017;Build 12 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: NURCAS0 Before: B17342342 After: B17500465 **45** Routine Name: NURCES01 Before: B7255375 After: B9542610 **45** Routine Name: NURCES2 Before: B25560885 After: B26458316 **2,24,45** Routine Name: NURCES5 Before: B9681203 After: B9700151 **24,45** Routine Name: NURSAPFU Before: B749798 After: B778777 **45** Routine list of preceding patches: 24 ============================================================================= User Information: Entered By : Date Entered : APR 25, 2017 Completed By: Date Completed: MAY 11, 2018 Released By : Date Released : MAY 14, 2018 ============================================================================= Packman Mail Message: ===================== $END TXT