$TXT Created by HARRIS,JAMES at DVACACHE.FO-BIRM.MED.VA.GOV (KIDS) on Thursday, 08/09/12 at 21:21 ============================================================================= Run Date: SEP 12, 2012 Designation: PSJ*5*267 Package : PSJ - INPATIENT MEDICATIONS Priority: Mandatory Version : 5 SEQ #232 Status: Released Compliance Date: OCT 13, 2012 ============================================================================= Associated patches: (v)PSJ*5*200 <<= must be installed BEFORE `PSJ*5*267' (v)PSJ*5*253 <<= must be installed BEFORE `PSJ*5*267' (v)PSJ*5*254 <<= must be installed BEFORE `PSJ*5*267' (v)PSJ*5*263 <<= must be installed BEFORE `PSJ*5*267' (v)PSJ*5*265 <<= must be installed BEFORE `PSJ*5*267' (v)PSS*1*171 <<= must be installed BEFORE `PSJ*5*267' (v)PSJ*5*273 <<= must be installed BEFORE `PSJ*5*267' Subject: IMR4 NO ALLERGY ASSESSMENT, UNLIMITED LENGTH SI/OPI Category: - Routine - Enhancement (Mandatory) - Other Description: ============ ******************************* WARNING ********************************** If your facility has the Pyxis/Omnicell/McKesson interface from ILC this patch will overwrite any local modifications in routines PSJOEA2, PSGOEE, PSGOETO, and PSGOEV. This could affect certain orders being sent across this interface. The modifications will have to be reintroduced following installation of this patch. ************************************************************************** ******************************* ATTENTION ******************************** The IMR4 UNLIMITED SI/OPI TEXT, LAST INJECTION SITE enhancement includes 4 patches which must be installed in the following order: 1. PSS*1*171 2. PSJ*5*267 3. PSB*3*68 4. PSB*3*69 ************************************************************************* Enhancements ===================== 1. Special Instructions/Other Print Info ________________________________________ With this enhancement, Special Instructions and Other Print Info have been modified to support an unlimited amount of text. The existing functionality that copies the provider comments from the Computerized Patient Record System (CPRS) to be copied into each field has been retained, and an additional action has been added to optionally open a word processing edit dialog after copying the provider comments into the appropriate field (Special Instructions for Unit Dose, Other Print Info for IV). Special Instructions and Other Print Info may also be entered and/or edited from within Inpatient Medications V. 5.0 order entry options. Prior to this enhancement, Inpatient Medications maximum character length for Special Instructions was 180 characters and for Other Print Info the maximum length was 60 characters. This enhancement resolves Patient Safety Issues PSPO 42, 1466 / Remedy Ticket HD336419 - Comment lengths between CPRS and Pharmacy. 2. No Allergy Assessment ________________________ The No Allergy Assessment enhancement provides an interactive alert to the pharmacist in Inpatient Medications V. 5.0 when no allergy assessment is on file for the patient, and a method for the pharmacist to enter an allergy assessment after receiving the alert. A pharmacy intervention is automatically created if the pharmacist chooses to not enter an assessment. ** NOTE: The new NO ALLERGY ASSESSMENT interventions will not be logged until patch PSS*1*171 is installed. The No Allergy Assessment functionality will be available at the following options: Inpatient Order Entry [PSJ OE] Non-Verified/Pending Orders [PSJU VBW] Order Entry [PSJU NE] Order Entry (IV) [PSJI ORDER] Profile (IV) [PSJI PROFILE] When a patient with no allergy assessment is selected from one of the affected options, the following message will be displayed to the pharmacist: "NO ALLERGY ASSESSMENT exists for this patient! Would you like to enter one now?" - If the pharmacist enters 'YES' at this prompt, they are prompted for allergy information. - If the pharmacist enters 'NO' at this prompt, a pharmacist intervention is created, with a type of 'NO ALLERGY ASSESSMENT'. The pharmacist is then prompted for Provider and Recommendation. A new Recommendation, 'UNABLE TO ASSESS', has been created specifically for this type of intervention. This enhancement will address Patient Safety Issue PSPO 445. Defects Addressed ========================= 1. HD 187184 - IV Med Stop Date Problem ------- When an IV order is renewed the status automatically changes to expired, but the stop date does not change to the time the order actually stops. Resolution ---------- Routine PSJHL3 has been modified to correctly set the stop date of the order that has been renewed to the time of renewal. 2. HD 176676/PSPO 480 - Inpatient doesn't change order status to Expired. Problem ------- The Inpatient Medications V. 5.0 package does not change order status to Expired when sending orders to CPRS with Stop Date/Time in the past. Solution: --------- Routine PSJHL3 has been modified to change the order status to Expired, if the order's Stop Date/Time is in the past, when sending orders to CPRS. **This is a partial solution addressing Inpatient Medications V.5.0 functionality only. Patch OR*3*350 addresses CPRS GUI functionality. 3. HD 377288 (original) - Default response should be "No" Problem ------- When an Inpatient Unit Dose order's Dosage Ordered field does not match the dosage indicated by the Dispense Drug and Units per Dose fields, the warning prompt "Would you like to continue verifying the order?" is displayed after accepting the order via the AC-Accept action. The prompt's default response is "Yes", even though the order is flawed. The Inpatient Medications Workgroup has requested this be changed to "No". Solution -------- When an Inpatient Unit Dose order's Dosage Ordered fi eld does not match the dosage indicated by the Dispense Drug and Units per Dose fields, the default response for the prompt "Would you like to continue verifying the order?" will be changed to "No", as requested by the Inpatient Medications Workgroup. 4. HD 273000 (original) - Field Validation Not Correct Problem ------- When a second Dispense drug is added to a Unit Dose medication order, and no Dosage Ordered is selected, the following message display: THE FOLLOWING IS EITHER INVALID OR MISSING FROM THIS ORDER: THIS FIELD IS NECESSARY FOR VERIFICATION. Enter RETURN to continue or '^' to exit: Note that there is no actual field name displayed as an invalid field. This is incorrect. Solution -------- In CHK^PSGOEV the variable CHK gets set to 8 and there is no handling for a value of 8. The message is correct when CHK is set to 7. 5. HD 517634/PSPO 2137 - Provider Comments not displayed. Problem ------- Provider Comments for continuous IV orders are not displaying in CPRS after the order is verified in Inpatient Medications. Resolution ---------- When IV orders are verified in Inpatient Medications, if the order contains Provider Comments, include the Provider Comments in the update sent to CPRS in order to keep the order synchronized. 6. HD 586428/PSPO 2137 - Provider Comments not displayed after Verify. Problem ------- When an IV order is created with Provider Comments, and then edited prior to verification so as to trigger the creation of a new order, Provider Comments do not carry over to the new order if auto-verify is not used. As a result, the verifying pharmacist may not see the original Provider Comments. Solution -------- Prior to the initial verification of an order, the original Provider Comments should carry over to new a order created due to edit, so that the pharmacist verifying the order has an opportunity to see the Provider Comments. Patch Components ================ Files & Fields Associated ------------------ FILE --------------------------- NON-VERIFIED ORDERS (#53.1) SPECIAL INSTRUCTIONS (LONG) (#135) NON-VERIFIED ORDERS (#53.1) OTHER PRINT INFO (LONG) (#136) Forms Associated: ----------------- N/A Mail Groups Associated: ----------------------- N/A Options Associated: ------------------- Inpatient Order Entry [PSJ OE] Non-Verified/Pending Orders [PSJU VBW] Order Entry [PSJU NE] Order Entry (IV) [PSJI ORDER] Profile (IV) [PSJI PROFILE] Protocols Associated: --------------------- PSJ LM FINISH PSJ LM NEW ORDER PSJ LM NEW ORDER FROM PROFILE PSJ LM OE MENU PSJ LM SELECT ORDER PSJ LM SHOW PROFILE Security Keys Associated: ------------------------ N/A Templates Associated: --------------------- N/A Additional Information: New Service Requests (NSRs) ---------------------------- N/A Patient Safety Issues (PSIs) ----------------------------- PSPO 445 / PSI-06-184 PSPO 480 / PSI-07-027 PSPO 2137 Remedy Ticket(s) & Overview --------------------------- HD169850 - Inpt/Outpatient pharmacy alerts for no allergy assessment not generated. HD336419 - Comments truncated when copying to Special Instructions. Test Sites: ----------- Central Texas Manchester, NH Pittsburgh, PA St. Cloud, MN Albany,NY (VISN 2) Bath, NY (VISN 2) Canandaigua, NY (VISN 2) Syracuse, NY (VISN 2) VA Western New York Healthcare System at Batavia (VISN 2) VA Western New York Healthcare System at Buffalo (VISN 2) Documentation Retrieval Instructions ------------------------------------ Updated documentation describing the new functionality introduced by this patch is available. The preferred method is to FTP the files from ftp://download.vista.med.va.gov/. This transmits the files from the first available FTP server. Sites may also elect to retrieve software directly from a specific server as follows: Albany ftp.fo-albany.med.va.gov Hines ftp.fo-hines.med.va.gov Salt Lake City ftp.fo-slc.med.va.gov Documentation can also be found on the VA Software Documentation Library at: http://www4.va.gov/vdl/ Title File Name FTP Mode ---------------------- ------------------------ --------- Inpatient Medications V.5.0 PSJ_5_NURSE_UM_R0912.PDF BINARY Nurse's User Manual Inpatient Medications V.5.0 PSJ_5_P267_NURSE_UM_CP.PDF BINARY V. 5.0 Nurse's User Manual Change Pages Inpatient Medications V.5.0 PSJ_5_PHAR_UM_R0912.PDF BINARY Pharmacist's User Manual Inpatient Medications V.5.0 PSJ_5_P267_PHAR_UM_CP.PDF BINARY Pharmacist's User Manual Change Pages Inpatient Medications V.5.0 PSJ_5_TM_R0912.PDF BINARY Technical Manual/Security Guide Inpatient Medications V.5.0 PSJ_5_P267_TM_CP.PDF BINARY Technical Manual/Security Guide Change Pages Inpatient Medications V. 5.0 PSJ_5_P267_RN.PDF BINARY IMR 4 Release Notes --------------------------------------------------------------- Patch Installation: Pre/Post Installation Overview ------------------------------ Do not queue this patch to install at a later time. Do not install this patch while users are logged in to Inpatient Medications V.5.0. Pre-Installation Instructions ----------------------------- None. Installation Instructions ------------------------- Verify users are logged off the Inpatient Medications V. 5.0 application. This patch should take less than 5 minutes to install. 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 enter PSJ*5.0*267. 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. 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//', accept the default, 'NO'. 6. When prompted 'Want to DISABLE Scheduled Options, Menu Options, and Protocols? NO//', enter 'YES'. The following menu options should be disabled: A Option Name Menu Text ___________ ___________ PSJI DELETE ORDER Delete Orders PSJI ORDER Order Entry (IV) PSJI PROFILE Profile (IV) PSJU NE Order Entry PSJU VBW Non-Verified/Pending Orders PSJ OE Inpatient Order Entry 7. If prompted "Delay Install (Minutes): (0 - 60): 0// respond 0. Post-Installation Instructions ------------------------------ None. Routine Information: ==================== The second line of each of these routines now looks like: ;;5.0;INPATIENT MEDICATIONS;**[Patch List]**;16 DEC 97;Build 158 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: PSGAL5 Before: B17746718 After: B28188853 **3,22,50,267** Routine Name: PSGMIV Before: B47833428 After: B42223209 **4,20,21,28,58,111,131,145,267** Routine Name: PSGMMIV Before: B45072835 After: B42167886 **20,21,58,111,131,145,267** Routine Name: PSGMMIVC Before: B25751401 After: B25628895 **20,21,28,31,35,67,58,110,267** Routine Name: PSGMUTL Before: B22961901 After: B28358090 **50,104,110,111,131,267** Routine Name: PSGOE41 Before: B27908531 After: B27985656 **50,63,64,69,58,111,136,113,267** Routine Name: PSGOE7 Before: B19317930 After: B19281966 **9,26,34,52,55,50,87,111,181, 254,267** Routine Name: PSGOE81 Before: B36275295 After: B32608596 **26,50,64,58,82,110,111,136, 113,267** Routine Name: PSGOE91 Before: B41731482 After: B37672131 **50,64,58,110,111,136,113,179, 265,267** Routine Name: PSGOEE Before: B82566620 After: B96504063 **4,7,29,47,64,58,82,91,110, 111,112,142,179,181,254,267** Routine Name: PSGOEF1 Before: B29780196 After: B28843982 **2,7,35,39,45,47,50,63,67,58, 95,110,186,181,267** Routine Name: PSGOEL Before: B13337438 After: B13821654 **267** Routine Name: PSGOETO Before: B35267208 After: B36634660 **3,13,25,31,33,50,68,58,85, 105,90,117,110,111,112,161,254, 267** Routine Name: PSGOEV Before: B64524901 After: B68395983 **5,7,15,28,33,50,64,58,77,78, 80,110,111,133,171,207,241,267** Routine Name: PSGOT Before: B15567753 After: B22872398 **13,68,90,110,173,134,161,254,267** Routine Name: PSGOTR Before: B10174903 After: B19415814 **110,127,133,129,267** Routine Name: PSGP Before: B11885377 After: B12038299 **10,53,111,181,267** Routine Name: PSGVW Before: B29380284 After: B31699559 **50,58,85,80,104,110,267** Routine Name: PSGVW0 Before: B7338389 After: B10085740 **49,54,85,267** Routine Name: PSIV Before: B24224990 After: B24205537 **7,16,29,38,53,56,72,58,110, 181,267** Routine Name: PSIVEDT1 Before: B59446179 After: B63913566 **3,7,41,47,50,64,58,116,110, 111,113,267** Routine Name: PSIVORAL Before: B14231518 After: B19351743 **58,135,267** Routine Name: PSIVORC2 Before: B56200056 After: B59003278 **29,49,50,65,58,85,101,110, 127,151,181,267** Routine Name: PSIVORFA Before: B24982662 After: B27786981 **4,7,18,28,50,71,58,91,80,110, 111,134,225,267** Routine Name: PSIVORFB Before: B62956553 After: B83047869 **3,18,28,68,58,85,110,111,120, 134,213,161,181,273,267** Routine Name: PSIVORV2 Before: B15186195 After: B15709057 **15,81,267** Routine Name: PSIVVW1 Before: B14739849 After: B23979189 **58,81,267** Routine Name: PSJBCMA Before: B78979447 After: B81219931 **32,41,46,57,63,66,56,69,58, 81,91,104,111,112,186,159,173, 190,113,225,253,267** Routine Name: PSJBCMA1 Before: B68412667 After: B94159665 **32,41,46,57,63,66,56,58,81, 91,104,186,159,173,253,267** Routine Name: PSJBCMA2 Before: B5529154 After: B57484334 **32,41,54,56,81,267** Routine Name: PSJBCMA5 Before: n/a After: B78422093 **267** Routine Name: PSJCOM Before: B38929893 After: B39982545 **110,186,267** Routine Name: PSJCOMV Before: B41315630 After: B40002868 **110,127,267** Routine Name: PSJDPT Before: B7019925 After: B13914109 **53,124,166,160,198,267** Routine Name: PSJHL3 Before: B66158358 After: B90089505 **1,11,14,40,42,47,50,56,58, 92,101,102,123,110,111,152,134, 226,267** Routine Name: PSJHL9 Before: B61245429 After: B61245429 **1,18,31,42,47,50,63,72,75, 58,80,110,111,134,267** Routine Name: PSJHLU Before: B34870321 After: B45862286 **1,56,72,102,134,181,267** Routine Name: PSJINHIS Before: n/a After: B7395737 **267** Routine Name: PSJINVW Before: n/a After:B101370185 **267** Routine Name: PSJLIORD Before: B9649309 After: B9927943 **1,16,29,58,85,110,149,267** Routine Name: PSJLIUTL Before: B53236065 After: B52930175 **39,50,58,81,85,110,180,263,267** Routine Name: PSJLIVFD Before: B40536268 After: B54237436 **7,50,63,64,58,81,91,80,116, 110,111,180,134,181,254,267** Routine Name: PSJLIVMD Before: B76799837 After: B95539776 **37,50,63,58,81,91,80,116,110, 111,180,134,209,254,267** Routine Name: PSJLMGUD Before: B30595874 After: B30433867 **25,58,85,116,110,111,267** Routine Name: PSJLMPRU Before: B14487092 After: B14898207 **16,58,85,110,185,181,267** Routine Name: PSJLMUDE Before: B63620133 After: B65175235 **7,47,50,63,64,58,80,116,110, 111,164,175,201,181,254,267** Routine Name: PSJO Before: B23069149 After: B23946604 **31,58,110,181,267** Routine Name: PSJOE0 Before: B25720453 After: B25370612 **47,56,110,133,162,241,267** Routine Name: PSJOEA2 Before: B28381449 After: B28764670 **127,133,200,267** Routine Name: PSJP Before: B21335743 After: B21519406 **10,53,60,181,273,267** Routine Name: PSJPDV1 Before: B15709363 After: B16075972 **3,33,58,267** Routine Name: PSJRXI Before: B15938376 After: B20674326 **3,181,254,267** Routine Name: PSJUTL Before: B65890056 After:B135053726 **9,47,58,80,110,136,157,177, 134,179,267** ============================================================================= User Information: Entered By : HARRIS,JAMES C Date Entered : OCT 12, 2011 Completed By: PAYNE,RONALD Date Completed: SEP 12, 2012 Released By : CONNOLLY,BARBARA Date Released : SEP 12, 2012 ============================================================================= Packman Mail Message: ===================== $END TXT