$TXT Created by at CMAI.FO-BIRM.DOMAIN.EXT (KIDS) on Thursday, 10/20/16 at 12:17 ============================================================================= Run Date: DEC 12, 2016 Designation: PSB*3*83 Package : PSB - BAR CODE MED ADMIN Priority: Mandatory Version : 3 SEQ #75 Status: Released Compliance Date: JAN 12, 2017 ============================================================================= Associated patches: (v)PSB*3*70 <<= must be installed BEFORE `PSB*3*83' (v)PSB*3*76 <<= must be installed BEFORE `PSB*3*83' (v)PSB*3*80 <<= must be installed BEFORE `PSB*3*83' (v)PSB*3*81 <<= must be installed BEFORE `PSB*3*83' (v)PSJ*5*315 <<= must be installed BEFORE `PSB*3*83' (v)PSB*3*86 <<= must be installed BEFORE `PSB*3*83' (v)PSB*3*94 <<= must be installed BEFORE `PSB*3*83' Subject: CASDDPE TRANSDERMAL ENHANCEMENTS BCMA Category: - Enhancement (Mandatory) - Routine - Data Dictionary Description: ============ ******************************* ATTENTION ******************************** Clinical Ancillary Services (CAS) Development-Delivery of Pharmacy Enhancements (DDPE) VA Inpatient Medication Administration - Transdermal enhancement includes 5 patches which must be installed in the following order: 1. PSS*1*191 Released March 2016 2. PSJ*5*315 Released August 2016 3. PSB*3*83 Main BCMA patch 4. OR*3*417 BCMA support patch 5. PSB*3*87 BCBU This enhancement also includes a new Graphical User Interface (GUI) executable, BCMA GUI PSB3_P083.EXE. Installation of this GUI is required immediately after the KIDS install for the Patch to function. *** WARNING FOR ALL SITES CURRENTLY USING WMA *** (Wireless Medication Administration) From CareFusion The below 15 VAMC sites should not install patch PSB*3*83 until the site has confirmed they have received CareFusion's software update: Pyxis Med Administration Verification VA v. 5.1 Bay Pines, FL Boise, ID Bonham, TX Brockton, MA Dallas, TX Danville, IL Kerrville, TX Little Rock, AR Loma Linda, CA Marion, IN Pittsburgh, PA Pittsburgh, PA-Heinz San Antonio, TX Topeka, KS West Roxbury, MA Installation of BCMA Patch PSB*3.0*83 may cause your WMA application to stop functioning as you would expect it to. In order for the WMA devices to work properly with PSB*3.0*83 installed, you must contact CareFusion, the WMA vendor, to obtain the most current version of the WMA software. Please test this patch thoroughly in your TEST environment before installing into PRODUCTION. If you encounter any issues with the WMA application, please report them to CareFusion. For retrieval and installation instructions for BCMA GUI, please see the Client Installation Instructions section. ************************************************************************** The Clinical Ancillary Services Development-Delivery of Pharmacy Enhancements (CAS DDPE) project addresses several NSRs, which center around providing a means for properly handling Transdermal Medications Requiring Removal (MRR) beyond the current medications of dosage form Patch. These enhancements interface with Inpatient Pharmacy package, which will be storing Scheduled Removal Times, for inpatient orders that are designated as MRR type medications. See associated patches PSS*1*191 and PSJ*5*315 for details on how MRR medications are designated. Features of the BCMA GUI provided by this project are listed below. 1. Change the current GUI Unit Dose tab column labeled "Admin Time" to "Next Dose Action". 2. The "Next Dose Action" column will now contain both the next admin times for scheduled administrations as well as the next Removal time for MRR type medications. The initial login to BCMA will sort the Unit Dose tab in ascending order by this column, so older actions for medications will be at the top of the VDL display. a. The Next Action of an administration will contain the word "DUE," followed by the scheduled admin time in the standard date@admin time format currently in use. b. The Next Action of a removal will contain the word "REMOVE," followed by the scheduled removal time in the standard date@time format. c. The Next Action of an administration that is past due to be given will contain the word "LATE," followed by the scheduled admin time in the standard date@admin time format currently in use. d. The Next Action of a removal that is past due to be removed will contain the words "LATE-RM," followed by the scheduled removal time in the standard date@time format. 3. Change the current GUI column labeled "Wit" to "Alert". 4. The Alert column will still have the ability to display the Witness required icon and will also be able to display a new Remove icon. a. The icon is displayed only for MRR type meds that were Given and whose next Action is for Removal. 5. Early/Late warnings will also be associated with medications being removed early or late using the same early/late time range that is used for early or late medication admins. a. User comments are prompted for and stored upon continuing with the Early/Late removal action. 6. Variances will also be tracked for Early/Late Removals in the same manner as they are currently for Early/Late medication administrations and will appear on the Medication Variance Log report. 7. BCMA Medication Administration History (MAH) report will now print the associated Give, which was previously overwritten by the Remove action, chronologically after the Remove for the Print by Patient report. The Print by Ward report will now include the count of Removals scheduled for the report time period. 8. BMCA Medication Log will now show the historical Give date/time below the current status of the medication, which shows the Remove date/time. 9. BCMA Missed Medications report will also show Removals that were missed or up and coming, similar to how missed Gives are currently notated. The column heading has been changed from "Admin Date/Time" to "Missed Date/Time". 10. BCMA Display Order report now includes the Removal Times for this order directly below the current Admin Times. 11. BCMA Medication History report now includes a prior Give line item directly below the current status line item of Remove (RM). The Remove last action on this administration overwrites the Give information and was no longer printing on this report. This information is now being retrieved from the Audit log and printed on this report. 12. BCMA Due List report now includes Remove Times on the report below the admin times that are due per Medication. 13. BCMA Coversheet Medication Overview report and the Coversheet Expired/DC'd/Expiring Orders report will now include Missed-Removals and Removals on the reports. 14. BCMA Medication Log report changed the heading from "Inj Site" to "Body Site". The Medication detail body text will display the proper label of "Inj Site:" or "Derm Site:" just prior to the name of the Body site for that medication. 15. BCMA Medication History Heading line changed from "Injection Site" to "Body Site". 16. A body site diagram will be added to the BCMA Parameter GUI client application for the purpose of showing a dot on the body diagram that is associated with the text representation of that site location on the body. 17. The BCMA Parameter GUI client application has access to a new kernel parameter titled in GUI application as "Dermal Site History Max Days:". This allows the BCMA coordinator the ability to control how many days of prior dermal body site location history will appear, when a clinician is giving a new dermal medication that is prompting for a body site location. 18. The Orders for MRRs With Removal Properties [PSS MRR ORDERS DIAGNOSTIC RPT] option, found on the Pharmacy Data Management [PSS MGR] menu, will also be placed on the Bar Code Medication Administration Manager [PSB MGR] menu. NOTE: Non-standard schedules such as DAY@HHMM, HHMM, or other Odd schedules, are not capable of calculating removal times due to a lack of a Frequency. Regardless of the Prompt for Removal in BCMA code value they will not prompt for removal in BCMA and must be avoided. Patch Components: ----------------- Files & Fields Associated: New/Mod File Name (Number) Field Name (Number) /Del ---------------------------- ------------------------------------ ------- BCMA MEDICATION LOG (#53.79) SCHEDULED REMOVAL TIME (#.17) New DERMAL SITE (#.18) New ACTION DATE/TIME (#.06) Mod SCHEDULED ADMINISTRATION TIME (#.13) Mod Subfile: DISPENSE DRUG (#53.795) PROMPT FOR REMOVAL IN BCMA (#.06) New BCMA MEDICATION VARIANCE LOG EVENT(#.05) Mod (#53.78) Add a new code to the set of codes for the EVENT field: 4:EARLY/LATE REMOVE New Forms Associated: Form Name File # New/Modified/Deleted ---------------- ------ -------------------- PSB MED LOG EDIT #53.79 Modified PSB NEW UD ENTRY #53.79 Modified Mail Groups Associated: Mail Group Name New/Modified/Deleted --------------- -------------------- N/A Options Associated: Option Name Type New/Modified/Deleted ---------------------- ---- -------------------- PSB MGR menu Modified PSB GUI CONTEXT - USER Broker Modified Remote Procedure Calls (RPC) Associated: RPC Name New/Modified/Deleted ------------------- ------------------- PSB COVERSHEET1 Modified PSB GETINJECTIONSITE Modified PSB GETORDERTAB Modified PSB GETSETWP New PSB MED LOG LOOKUP Modified PSB TRANSACTION Modified PSB VALIDATE ORDER Modified Kernel Parameters Associated: Parameter Name New/Modified/Deleted --------------------- -------------------- PSB AL GROUPS New PSB AL IMAGE GENERAL New PSB AL IMAGES New PSB AL MASTER LIST New PSB LIST ANATOMIC LOCATIONS New PSB LIST BODY SITES New Protocols Associated: Protocol 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 ------------- ------ ------------------ -------------------- PSB DIVISION Kernel PARAMETER TEMPLATE Modified (8989.52) Additional Information: New Service Requests (NSRs): ---------------------------- NSR 20141012: Pharmacy Safety Enhancements NSR 20120312: Create Reminder Mechanism to Remove Transdermal Medications NSR 20101105: Add Transdermal Patch Removal to BCMA Missed Med Report NSR 20110810: Transdermal Patch Documentation Disappears in BCMA NSR 20071011: Change Terminology for Injection Site NSR 20071004: Patch PSB*3*32 Pop Up Alert Patient Safety Issues (PSIs): ----------------------------- PSPO00000885: BCMA reports are misleading when patches are Removed depending on dates chosen to run the report PSPO00001978: BCMA does not prompt user to remove a transdermal patch when the removal time differs from the next administration time. PSPO00002222: IV bag that should have been invalid due to provider comment changes was inadvertently made available for infusion. PSPO00002333: BCMA Missed Medications report does not include orders with a status of "Renewed". PSPO00002803: Scanning of barcode on medication package focuses the default to the "OK" button and removes warning screen from view PSPO00003011: Clinic order medication does not appear on the VDL until the exact time of the medication start date/time Remedy Ticket(s) & Overview: ---------------------------- INC000000216580 - No "G" for a given patch dose. INC000000218095(d) - Patch removal deletes original administration. INC000000960057 - Provider Comments IV Bag Parameter has no effect on IV Bag Administration I9879098FY16(d) INC000000984066 - Orders with a Status of Renewed don't display on the Coversheet I9890583FY16(d) INC000001224198 - The "Invalid Medication Lookup" and "Scanned Drug Not Found" pop-ups have the focus set to "OK" I9891800FY16(d) 1. INC000000216580 - No "G" for a given patch dose. INC000000218095(d) Problem: -------- In BCMA, when a patch is marked as removed using the right mouse click pop-up menu, the original administration disappears from the medication log. The only way to tell when the patch was originally placed is to look at the medication log for the date the patch was removed. Resolution: ----------- This patch will enhance the BCMA reports to show both Give and Remove date/times that occurred after a Remove action was performed on an administration time. 2. INC000000960057 - Provider Comments IV Bag Parameter has no effect on IV Bag Administration I9879098FY16(d) Problem: -------- Provider Comments IV Bag Parameter has no effect on IV Bag Administration. Regardless of the setting of the parameter, a warning message will never display, and the bag will be allowed to be given. Solution: --------- Files BCMAParameters.pas and BCMAParameters.dfm of the BCMA Parameters GUI were modified to remove the Provider Comments parameter. Because provider comments do not display in BCMA, there is no need for this parameter. Provider Comments can be copied into Other Print Info/Special Instructions when finishing an order in Inpatient Meds. 3. INC00000984066 - Orders with a Status of Renewed don't display on the Coversheet I9890583FY16(d) Problem: -------- Orders with the STATUS (#28) field defined as "Renewed" in the UNIT DOSE (#55.06) sub-file, or a STATUS (#100) field defined as "Renewed" in the IV (#55.01) sub-file of the PHARMACY PATIENT (#55) file, don't display on the BCMA Coversheet. Solution: --------- File oCoverSheet.pas of the BCMA GUI was modified to display orders with a Status of "Renewed" 4. INC0000001224198 - The "Invalid Medication Lookup" and "Scanned Drug Not Found" pop-ups have the focus set to "OK" I9891800FY16(d) Problem: -------- The "Invalid Medication Lookup" and "Scanned Drug Not Found" pop-ups have the focus set to the "OK" button. If the users scan an invalid medication, and then scan another medication, the 2nd scanning will close the pop-up window. Solution: --------- Files BCMA_Main.pas, BCMA_Objects.pas, BCMA_Util.pas, MultipleDrugs.pas and uFiveRights.pas of the BCMA GUI were modified to no longer default the focus to the OK button. The button can either be clicked on or tabbed to. Test Sites: ----------- HC NETWORK UPSTATE NY ST. CLOUD, MN -VAMC MINNEAPOLIS, MN -VAMC Software and Documenation Retrieval Instructions: ================================================== Software being released as a host file and/or documentation describing the new functionality introduced by this patch are available. Files can be obtained from the ANONYMOUS.SOFTWARE directory at one of the OI Field Offices. The preferred method is to retrieve the file using Secure File Transfer Protocol (SFTP) from DOWNLOAD.VISTA.DOMAIN.EXT, which will transmit the file from the first available server. Alternatively, sites may elect to retrieve the file from a specific OI Field Office. OI FIELD OFFICE FTP ADDRESS DIRECTORY Albany DOMAIN.EXT Hines DOMAIN.EXT Salt Lake City DOMAIN.EXT --------------------------------- Client Installation Instructions: --------------------------------- Retrieve one of the below installation files from the ANONYMOUS.SOFTWARE directory mentioned above: FILE NAME BYTES SFTP MODE ------------- -------- --------- PSB3_0P83.MSI 5,785 KB binary PSB3_0P83.EXE 6,685 KB binary The software installation distribution includes these modified files: FILE NAME DESCRIPTION FILE VERSION BYTES FTP MODE ----------- ---------------------- ------------ -------- -------- BCMA.CHM Client help file 1,192 KB binary BCMA.EXE Client 3.0.83.42 3,112 KB binary BCMAPar.CHM Parameters Client help 376 KB binary BCMApar.EXE Parameters Client 3.0.83.13 1,676 KB binary 1. Prior client compatible with patch: NO 2. Client can be copied instead of installed: YES 3. Is your site running the CareFusion Wireless Medication Administration (WMA) software? If YES, please contact Carefusion to ensure your site has the latest compatible WMA patch. If BCMA is currently running, please exit BCMA. This client installation patch file can be used to upgrade an existing version of BCMA, or can be used for a brand new installation. 1. Double Click on PSB3_0P83.EXE or PSB3_0P83.MSI, which will launch the InstallShield Wizard. 2. When the InstallShield Wizard Welcome screen is displayed, click "Next". 3. On the Choose Destination Location screen, simply click "Next" If you would like to change the destination folder to one other than default, click "Browse" to navigate to the folder of your choice. Click "Next". 4. On the "Setup Type" screen select one of the following options: a. Typical - installs only the BCMA client program, which is necessary for medication administration. b. Complete - installs the BCMA client and the GUI BCMA site parameters definition program. c. Custom - allows you to select which programs to install. Typical is selected by default. Click "Next". 5. The InstallShield Wizard Ready to Install the Program screen will display. Click "Install" to proceed with the installation. 6. The InstallShield Wizard Complete screen will be displayed. Click "Finish" and the BCMA installation is now complete. ------------------------------------- Documentation Retrieval Instructions: ------------------------------------ Updated documentation describing the new functionality introduced by this patch is available. The documentation will be in the form of Adobe Acrobat files. Documentation can also be found on the VA Software Documentation Library at: http://www4.domain.ext/vdl/ Title File Name FTP Mode --------------------------------------------------------------------- Release Notes - BCMA V.3.0 (PSB*3*83) PSB_3_P83_RN.PDF binary BCMA V.3.0 Installation Guide (PSB*3*83) PSB_3_P83_IG.PDF binary BCMA V.3.0 GUI User Manual - Chapters 1 through 6 PSB_3_UM_CHAPTERS_1_THRU_6_R1216.PDF binary BCMA V.3.0 GUI User Manual - Chapters 7 through 13 PSB_3_UM_CHAPTERS_7_THRU_13_R1216.PDF binary BCMA V.3.0 Manager's User Manual PSB_3_MAN_UM_R1216.PDF binary BCMA V.3.0 Technical Manual PSB_3_TM_R1216.PDF binary BCMA V.3.0 Nursing CHUI User Manual PSB_3_UM_NURSE_CHUI_R1216.PDF binary BCMA V.3.0 Pharmacy CHUI User Manual PSB_3_PHARM_CHUI_UM_R1216.PDF binary Patch Installation Overview: ---------------------------- Pre-Installation Instructions: ------------------------------ **IMPORTANT** Inpatient menu options listed in the Installation Instructions section should be exited by all users prior to the install of the patches listed at the top of this Patch Description. Also, these menu options should be disabled during these installs. 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: -------------------------- 1. Choose the PackMan message containing this patch. 2. Choose the INSTALL/CHECK MESSAGE PackMan option. 3. From the Kernel Installation and Distribution System Menu, select the Installation Menu. From this menu, you may elect to use the following options. When prompted for the INSTALL NAME, enter PSB*3.0*83. a. 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 DDs or templates. b. 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, DDs, templates, etc.). c. Verify Checksums in Transport Global - This option will allow you to ensure the integrity of the routines that are in the transport global. 4. From the Installation Menu, select the Install Package(s) option and enter the patch PSB*3.0*83. 5. When prompted "Want KIDS to Rebuild Menu Trees Upon Completion of Install? NO//," respond NO. 6. When prompted "Want KIDS to INHIBIT LOGONs during the install? NO//," respond NO. 7. When prompted "Want to DISABLE Scheduled Options, Menu Options, and Protocols? YES//," respond YES. a. When prompted "Enter options you wish to mark as 'Out Of Order':," respond with option below. PSJ OE. b. When prompted for additional options, press Enter. c. When prompted "Enter protocols you wish to mark as 'Out Of Order':," press Enter. 8. If prompted "Delay Install (Minutes): (0 - 60): 0//," respond 0. Post-Installation Instructions: ------------------------------- A post install routine, which is included in this patch, will execute after the install is completed. It will copy all the current injection sites, per each Division that uses BCMA, from the existing BCMA parameter Injection Sites list into the new Body Sites list and mark them as Injection sites. Routine Information: ==================== The second line of each of these routines now looks like: ;;3.0;BAR CODE MED ADMIN;**[Patch List]**;Mar 2004;Build 89 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: PSB3P83 Before: n/a After: B1833541 **83** Routine Name: PSBAPIPM Before: B17284583 After: B19077175 **6,15,83** Routine Name: PSBCSUTL Before:B184801061 After:B188607274 **16,13,38,32,50,60,58,68,70,80,83** Routine Name: PSBINJEC Before: B24162182 After: B34498622 **68,83** Routine Name: PSBML Before:B133370450 After:B154439138 **6,3,4,9,11,13,25,45,33,52, 70,72,79,94,83** Routine Name: PSBML2 Before:B103484155 After:B112891914 **3,18,22,23,13,45,42,70,72,83** Routine Name: PSBML3 Before: B46997085 After: B60270297 **3,13,39,41,70,83** Routine Name: PSBMLEN Before: B73011702 After: B87414949 **4,9,19,75,83** Routine Name: PSBMLEN1 Before: B53149065 After: B79293217 **3,4,9,11,13,28,50,83** Routine Name: PSBMLLKU Before:B106582479 After:B129280348 **3,9,11,20,13,38,32,56,42,70,72,83** Routine Name: PSBO Before:B150383689 After:B151900233 **13,32,2,25,28,51,50,42,58, 68,70,83** Routine Name: PSBO1 Before: B19597423 After: B35906614 **4,13,32,2,43,28,70,83** Routine Name: PSBOCE Before:B101068370 After:B126384546 **32,50,68,70,83** Routine Name: PSBOCM Before:B102788691 After:B128362247 **32,50,68,70,83** Routine Name: PSBODL Before:B104826569 After:B108404103 **5,9,38,32,25,63,68,70,83** Routine Name: PSBODL1 Before: B44703020 After: B83787134 **5,9,32,28,68,70,83** Routine Name: PSBODO Before: B38012086 After: B42287720 **5,21,24,38,58,68,70,83** Routine Name: PSBOMH Before: B93146324 After:B103792484 **5,9,38,57,67,68,70,76,83** Routine Name: PSBOMH1 Before: B84411239 After: B93853760 **6,3,9,11,26,38,45,51,50,57, 67,64,72,83** Routine Name: PSBOML Before: B64746915 After: B88385252 **3,11,50,54,70,72,83** Routine Name: PSBOMM Before:B145771681 After:B187931933 **26,32,56,52,58,70,76,83** Routine Name: PSBOMT Before: B93970205 After:B104162476 **32,50,70,72,83** Routine Name: PSBOMV Before: B58207995 After: B64401243 **60,78,72,86,83** Routine Name: PSBOPM Before: B93804999 After:B106114461 **3,9,13,17,40,70,72,83** Routine Name: PSBOWA Before:B133947862 After:B170448047 **9,32,56,70,80,83** Routine Name: PSBPAR Before: B22807367 After: B31414192 **13,28,83** Routine Name: PSBRPC3 Before: B291796 After: B291911 **6,3,4,16,13,10,32,28,42,58, 68,70,83** Routine Name: PSBUTL Before: B87531522 After:B243063193 **3,9,13,38,45,46,63,83** Routine Name: PSBVAR Before: B15546139 After: B16360454 *31,70,80,83* Routine Name: PSBVDLIV Before: B81051093 After: B82920936 **6,38,32,58,70,83** Routine Name: PSBVDLPA Before: B22291163 After: B24345187 **5,16,13,38,32,58,70,83** Routine Name: PSBVDLPB Before:B106147258 After:B108251396 **11,13,38,32,58,68,70,83** Routine Name: PSBVDLRM Before: n/a After: B23619193 **83** Routine Name: PSBVDLTB Before: B34445687 After: B35153765 **3,4,16,68,70,78,83** Routine Name: PSBVDLU1 Before:B171179505 After:B192703576 **13,32,68,70,83** Routine Name: PSBVDLUD Before: B91521932 After:B102373199 **11,13,38,32,58,68,70,83** Routine Name: PSBVDLVL Before: B74523979 After:B151829804 **6,3,12,11,13,32,25,61,70,83** Routine Name: PSBVT Before: B98717272 After:B117105095 **6,3,38,68,74,70,83** Routine list of preceding patches: 15, 75, 76, 80, 86, 94 ============================================================================= User Information: Entered By : Date Entered : FEB 04, 2015 Completed By: Date Completed: DEC 08, 2016 Released By : Date Released : DEC 12, 2016 ============================================================================= Packman Mail Message: ===================== $END TXT