$TXT Created by ENELOW,Jason at CHEY19.FO-BAYPINES.MED.VA.GOV  (KIDS) on Monday, 01/30/12 at 11:07
=============================================================================
Run Date: APR 04, 2012                     Designation: PSJ*5*270
Package : PSJ - INPATIENT MEDICATIONS         Priority: Mandatory
Version : 5       SEQ #223                      Status: Released
                  Compliance Date: MAY 05, 2012
=============================================================================

Associated patches: (v)PSJ*5*181   <<= must be installed BEFORE `PSJ*5*270'
                    (v)PSJ*5*263   <<= must be installed BEFORE `PSJ*5*270'

Subject: IV PIGGYBACK BOTTLE FIX

Category: 
  - Routine

Description:
============

 This patch will resolve the following issues in the Inpatient Medications 
 package:
  
 1. The Inpatient Medications Workgroup has requested a new check in 
    Inpatient Order Entry [PSJ OE] to prevent an IV order from CPRS from 
    being finished as a Piggyback if it includes a Bottle value.
  
 2. During Allergy checks in Inpatient Order Entry [PSJ OE], it is 
    possible to get an Undefined error.
  
  
 Associated NSR(S):
 =================
 N/A
  
  
 Associated Remedy Ticket(s):
 ===========================
 1. HD0000000518275 - IV ADDITIVE FREQUENCY FIELD
  
 2. HD0000000540868 - cannot finish order
    Duplicate:
    HD0000000541188 - Inpatient Medication's Allergy auto-check erroring
  
  
 Participating Test Sites:
 ========================
 Augusta VAMC
 Beckley VAMC
 Durham VAMC
 Western NY HCS
  
  
 Remedy Ticket Overview:
 ======================
 1. HD0000000518275 - IV ADDITIVE FREQUENCY FIELD
  
    Patient Safety Issue:
    ---------------------
    PSPO #2097
  
    Problem:
    -------
    The Inpatient Medications Workgroup has requested a new check in 
    Inpatient Order Entry [PSJ OE] to prevent an IV order from CPRS from 
    being finished as a Piggyback if it includes a Bottle value.
  
    Resolution:
    ----------
    Changed PSIVORC1 so that the user will be presented with a new prompt 
    asking them if they would like to delete the bottle value(s).  If the 
    user replies "No", they will be prompted to choose a different IV Type.
  
    NOTE: If a user replies "Yes", the bottle value(s) will be immediately 
    deleted and will not be automatically restored if a user exits out of 
    the order before verifying it.  However, the bottle value can always be
    manually re-entered if the IV Type is changed to a type which supports 
    bottle values.
  
  
 2. HD0000000540868 - cannot finish order
  
    Patient Safety Issue:
    ---------------------
    PSPO #2141
  
    Problem:
    -------
    During the Allergy checks process in Inpatient Order Entry [PSJ OE], 
    a message is received from the Health Data Repository (HDR) to
    determine Drug-Allergy Reactions.  If a Drug Class is received from
    HDR which is not listed in the VA DRUG CLASS file (#50.605), this will
    cause an <UNDEFINED> error.
  
    Resolution:
    ----------
    Changed PSJGMRA so that the <UNDEFINED> error does not occur, and a 
    warning message informs the user of the invalid Drug Class.
  
 WARNING: The following drug classes do not exist in the VA DRUG CLASS file
          (#50.605).  Please do a manual Drug-Allergy order check and 
          notify the pharmacy ADPAC for follow-up.
  
 VA Drug Class: [Drug Class]
  
  
 INSTALLATION INSTRUCTIONS:
 ==========================
  
 IF A USER IS ON THE SYSTEM AND USING THESE PROGRAMS WHEN THE PATCH IS  
 INSTALLED, AN 'EDITED' ERROR WILL OCCUR.
  
 The patch should be installed when NO Inpatient Pharmacy users are on the
 system.
  
 Installation should take less than 2 minutes.
  
 1. Load Transport Global 
    ---------------------
    Choose the PackMan message containing this patch and invoke the 
    INSTALL/CHECK MESSAGE PackMan option.  
              
 2. Start Up KIDS 
    -------------
    Start up the Kernel Installation and Distribution System Menu 
    [XPD MAIN]: 
          Edits and Distribution ...  
          Utilities ...  
          Installation ...  
  
    Select Kernel Installation & Distribution System Option: INStallation 
                                                             ---
          Load a Distribution 
          Print Transport Global 
          Compare Transport Global to Current System 
          Verify Checksums in Transport Global 
          Install Package(s) 
          Restart Install of Package(s) 
          Unload a Distribution 
          Backup a Transport Global 
    
    Select Installation Option: 
  
 3. Select Installation Option: 
    ---------------------------
    NOTE:  The following are OPTIONAL - (When prompted for the INSTALL
           NAME, enter PSJ*5.0*270):
                                 
    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 DD's 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, DD's, 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.
    d.  Print Transport Global - This option will allow you to view the 
        components of the KIDS build.
      
 4. Select Installation Option: Install Package(s) 
    ----------------------------------------------
    **This is the step to start the installation of this KIDS patch: 
    a.  Choose the Install Package(s) option to start the patch install.
  
    b.  When prompted 'Want KIDS to INHIBIT LOGONs during the install? 
        NO//' answer NO 
  
    c. When prompted 'Want to DISABLE Scheduled Options, Menu Options, 
       and Protocols? NO//' answer YES.
  
           1) When prompted "Enter options you wish to mark as "Out
              of Order":" enter the following options:
              
                 Inpatient Order Entry [PSJ OE]
  
           2) When prompted "Enter protocols you wish to mark as "Out of
              Order":" just press <Return>.

Routine Information:
====================
The second line of each of these routines now looks like:
 ;;5.0;INPATIENT MEDICATIONS ;**[Patch List]**;16 DEC 97;Build 5

The checksums below are new checksums, and
 can be checked with CHECK1^XTSUMBLD.

Routine Name: PSIVORC1
    Before: B48694299   After: B54564779  **1,37,69,110,157,134,181,263,270**
Routine Name: PSJGMRA
    Before: B17486425   After: B22172498  **181,270**
 
Routine list of preceding patches: 263

=============================================================================
User Information:
Entered By  : ENELOW,JASON                  Date Entered  : NOV 22, 2011
Completed By: WERNER,GARY                   Date Completed: MAR 29, 2012
Released By : TEAGUE,LYN                    Date Released : APR 04, 2012
=============================================================================


Packman Mail Message:
=====================

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