============================================================================= Run Date: NOV 22, 2013 Designation: PSB*3*59 Package : PSB - BAR CODE MED ADMIN Priority: Mandatory Version : 3 SEQ #61 Status: Released Compliance Date: DEC 23, 2013 ============================================================================= Associated patches: (v)PSB*3*48 <<= must be installed BEFORE `PSB*3*59' (v)PSB*3*69 <<= must be installed BEFORE `PSB*3*59' Subject: BCBU MAR DISPLAY ISSUES (ALPHA SORT MEDS, REMOVE THE '&') Category: - Routine Description: ============ This patch addresses 4 issues: 1. A site noticed an issue when using the Bar Code Medication Administration Backup System (BCBU). Current patients within a unit, who do not have current active medication orders, will not display on the BCBU Medication Administration Report (MAR) while using the Print MAR for a Selected Ward (PW) menu option or the Print MAR for All Wards (PA) menu option. 2. The BCBU MAR currently displays an ampersand (&) symbol followed by the administration times in the "Give: " line of the report. The "Give: " line is for displaying the dosage amounts and schedules of the patient's medications only. This additional information was added for Computerized Patient Record System (CPRS) and was never intended to display in the BCBU MAR reports. 3. Sites have noticed that the BCBU MAR does not list the patients medication names in alphabetical order for the three main print MAR options which could potentially harm certain patients. 4. Currently when printing a BCBU MAR report asterisks appear for PRN medications that were ordered on the same day the MAR report was printed. ASSOCIATED NSR(S): ================== N/A ASSOCIATED REMEDY TICKET(S): ============================ 1. INC0000000270121 - Patient with no active meds does not print 2. INC0000000286996 - 5 BCMA Contingency display problem Duplicates: INC0000000287124 - Admin time printing incorrectly INC0000000287192 - BCMA DISPLAY PROBLEM INC0000000300956 - Everywhere an @ should be, the printout shows & INC0000000472076 - Incorrect Symbol being used for orders relating to time 3. INC0000000211122 - Report doesn't list drugs alphabetically 4. INC0000000727979 - MAR PRN ASTERISK ERROR PARTICIPATING TEST SITES: ========================= Pittsburgh HCS Dublin VAMC Loma Linda VAMC St. Cloud VAMC REMEDY OVERVIEW: ================ 1. INC0000000270121 - Patient with no active meds does not print Problem: -------- Sites noticed when using the Bar Code Medication Administration Backup System (BCBU) that current patients within a unit, who do not have current active medication orders, will not display on the BCBU Medication Administration Report (MAR) while using the Print MAR for a Selected Ward (PW) menu option or the Print MAR for All Wards (PA) menu option. The sites were expecting a MAR to print the patient's informational header and footer since the menu option Print MAR for Selected Patient (PP) prints the header and footer only if the patient has no current active medication orders. Resolution: ----------- Routines ALPBPPAT, ALPBPWRD, and ALPBPALL have been modified to give BCBU users the option to include patients without active medication orders on the BCBU MAR with a new prompt: "Include Patients Without Active Medications? YES//". 2. INC0000000286996 - 5 BCMA Contingency display problem Problem: -------- The BCBU MAR currently displays the ampersand (&) symbol followed by the administration times in the "Give: " line of the report. This additional information was added for Computerized Patient Record System (CPRS) and was never intended to display in the BCBU MAR reports. The "Give: " line is for displaying the dosage amounts and schedules of the patient's medications only. Resolution: ----------- Routine ALPBHL1U has been modified to remove the ampersand (&) symbol and administration times before storing the schedule for display on the BCBU MAR. This change will only correct future medication orders on the BCBU MAR that are done after the installation of this patch. 3. INC0000000211122 - Report does not list drugs alphabetically Patient Safety Issue: --------------------- PSPO #00000876 Problem: -------- Currently the options Print MAR for ALL Wards [PSB BCBU PRINT MAR ALL], Print Mar for Selected Patient [PSB BCBU PRINT MAR PATIENT], and Print Mar for Selected Ward [PSB BCBU PRINT MAR WARD] do not display patient's medications in alphabetical order. Resolution: ----------- Modified routines ALPBPALL, ALPBPPAT, and ALPBPWRD to sort the medications by the ORDER TYPE first (unit dose, unit dose PRN, intravenous, and intravenous PRN), then arranged in alphabetical order by the DRUG NAME, followed by the ORDER STATUS, and the ORDER NUMBER. 4. INC0000000727979 - MAR PRN ASTERISK ERROR Problem: -------- Currently future PRN medication orders are displaying on the BCBU MAR with asterisks printed in the box for the first date the drug is able to be administered. Resolution: ----------- Modified routine ALPBFRM1 to account for medication orders that do not have administration times included with the administration dates. DOCUMENTATION RETRIEVAL INSTRUCTIONS: ===================================== Updated documentation describing the new functionality introduced by this patch is available. Sites may retrieve documentation in one of the following ways: (1) The preferred method is to FTP the files from download.vista.domain.ext, which will transmit the files from the first available FTP server. (2) Sites may also elect to retrieve documentation directly from the ANONYMOUS SOFTWARE DIRECTORY from a specific server as follows: Albany ftp.fo-albany.domain.ext Hines ftp.fo-hines.domain.ext Salt Lake City ftp.fo-slc.domain.ext The documentation will be in the form of Adobe Acrobat files. The documentation distribution includes: File Name File Description Retrieval Format -------------------------------------------------------------------------- PSB_3_BCBU_IG_R022013.PDF Installation Guide BINARY (3) Once released, documentation may be retrieved from VISTA Documentation Library (VDL) on the Internet at the following address: http://www.domain.ext/vdl PATCH RETRIEVAL INSTRUCTIONS: ============================= 1. Retrieve the KIDS distribution host file. This patch will be distributed in a host file due to the amount of data contained in the patch. The name of the host file is: PSB_3_59.KID The preferred method is to FTP the files from download.vista.domain.ext, which will transmit the files from the first available FTP server. The files may also be downloaded directly from a particular FTP location at the following locations. Albany ftp.fo-albany.domain.ext Hines ftp.fo-hines.domain.ext Salt Lake City ftp.fo-slc.domain.ext The PSB_3_59.KID host file is available in the ANONYMOUS.SOFTWARE directory. Use ASCII Mode when downloading the file. 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 Barcode Medication Administration (BCMA) users are on the system. ******************************************************** Installation will take less than 5 minutes. Suggested time to install: non-peak requirement hours. 1. From the Kernel Installation & Distribution System menu, select the LOAD DISTRIBUTION option and load PSB_3_59.KID 2. Start up the Kernel Installation and Distribution System Menu [XPD MAIN]: Edits and Distribution ... Utilities ... Installation ... 3. From this menu, you may select to use the following options: (when prompted for INSTALL NAME, enter PSB*3.0*59) 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*3.0*59. 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 20 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: ALPBFRM1 Before: B62585050 After: B63410391 **8,48,69,59** Routine Name: ALPBHL1U Before: B63735023 After: B68251433 **7,69,59** Routine Name: ALPBPALL Before: B26374660 After: B44937205 **8,29,48,59** Routine Name: ALPBPPAT Before: B22283739 After: B32938480 **8,48,59** Routine Name: ALPBPWRD Before: B51543358 After: B73805924 **8,37,48,59** Routine list of preceding patches: 69 ============================================================================= User Information: Entered By : GILMORE,JEREMY Date Entered : JAN 26, 2011 Completed By: PODLEY,CHRIS Date Completed: NOV 06, 2013 Released By : COWNIE,KEVIN Date Released : NOV 22, 2013 ============================================================================= Packman Mail Message: ===================== No routines included