$TXT Created by RENE,BRIAN at MNTVBB.FO-ALBANY.MED.VA.GOV (KIDS) on Wednesday, 08/03/11 at 07:03 ============================================================================= Run Date: SEP 13, 2011 Designation: PSB*3*57 Package : PSB - BAR CODE MED ADMIN Priority: Mandatory Version : 3 SEQ #45 Status: Released Compliance Date: OCT 14, 2011 ============================================================================= Associated patches: (v)PSB*3*25 <<= must be installed BEFORE `PSB*3*57' (v)PSB*3*50 <<= must be installed BEFORE `PSB*3*57' Subject: BCMA MAH CORRECTIONS Category: - Routine Description: ============ This Patch addresses 3 issues: 1. The BCMA Medication Administration History (MAH) report does not line up the action taken on a medication with the scheduled time of that administration. 2. The BCMA MAH displays active medications on hold when an order is placed on Provider Hold, an additional action is taken (such as Flag), and then the order is taken off Provider Hold. 3. When an order is created with a start date of today and a first scheduled administration time of tomorrow, the BCMA MAH shows a medication as scheduled to be given today. Associated NSR(s): ================== N/A Associated Remedy ticket(s): ============================ 1. HD0000000382261 - med admin history does not reflect admin in sync with actual administration time 2. HD0000000278808 - MAH shows active meds on HOLD Duplicate: HD0000000441332 3. HD0000000446339 - MAH does not capture correct start date PARTICIPATING TEST SITES: ========================= Minneapolis VAMC Northern Arizona HCS St. Cloud VAMC Western New York HCS REMEDY OVERVIEW: ================ 1. HD0000000382261 - med admin history does not reflect admin in sync with actual administration time Patient Safety Issue: --------------------- PSPO #1648 Problem: -------- When a medication has multiple scheduled administration times on a single day, the actual administrations do not sync with the scheduled administration time on the MAH. Resolution: ----------- Modified routines PSBOMH1 to lineup the action taken on a medication with the scheduled administration time of the medication on the Medication Administration History Report. Note - This resolution will not apply to IV medications that do not contain an Administration Time or Unit Dose medications that have a dosage form of 'patch'. 2. HD00000000278808 - MAH shows active meds on HOLD Problem: -------- When a medication is placed on Provider Hold in Inpatient Meds, and another action is taken on that order, such as Flagging the order, the order will continue to display as Held on the BCMA MAH after the order is taken off Provider Hold. Resolution: ----------- Routine PSBOMH was modified to set a flag when the order is taken off Provider Hold, and check for that flag when running the report. 3. HD00000000446339 - MAH does not capture correct start date Problem: -------- When an order is created in Inpatient Meds with a start date of today and a first scheduled administration of tomorrow, the order will appear on the MAH as to be given today. Resolution: ----------- Routine PSBOMH was modified to star out today's administration if the first scheduled admin is not until tomorrow. Installation Instructions: ========================== *************************** NOTE ************************* * IF A USER IS ON THE SYSTEM AND USING THESE PROGRAMS * * AN EDITED ERROR WILL OCCUR. * * The patch should be installed when NO BCMA Client * * users are on the system. * * ******************************************************** Installation will take less than 1 minute. Suggested time to install: Non-peak requirement hours. 1. Use the INSTALL/CHECK MESSAGE option on the PackMan menu. 2. From the Kernel Installation & Distribution System menu, select the Installation menu. 3. From this menu, you may select to use the following options (when prompted for INSTALL NAME, enter PSB*3.0*57): a. Verify Checksums in Transport Global - This option will allow you to ensure the integrity of the routines that are in the transport global. b. Print Transport Global - This option will allow you to view the components of the KIDS build. c. 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 components of this patch (routines, DD's, templates, etc.). d. Backup a Transport Global - This option will create a backup message of any routines exported with this patch. It will not backup any other changes such as DD's or templates. 4. Use the Install Package(s) option and select the package PSB*3*57. 5. When prompted "Want KIDS to INHIBIT LOGONs during the install? NO//" respond NO. 6. When prompted "Want to DISABLE Scheduled Options, Menu Options, and Protocols? NO//" respond NO. Routine Information: ==================== The second line of each of these routines now looks like: ;;3.0;BAR CODE MED ADMIN;**[Patch List]**;Mar 2004;Build 13 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: PSBOMH Before: B79507789 After: B84052119 **5,9,38,57** Routine Name: PSBOMH1 Before: B80229523 After: B95980208 **6,3,9,11,26,38,45,51,50,57** Routine list of preceding patches: 50 ============================================================================= User Information: Entered By : RENE,BRIAN Date Entered : JUN 03, 2010 Completed By: WERNER,GARY Date Completed: AUG 24, 2011 Released By : CONNOLLY,BARBARA Date Released : SEP 13, 2011 ============================================================================= Packman Mail Message: ===================== $END TXT