$TXT Created by CMNT.FO-BIRM.DOMAIN.EXT (KIDS) on Thursday, 03/31/16 at 18:29 ============================================================================= Run Date: JUL 07, 2016 Designation: PSJ*5*313 Package : PSJ - INPATIENT MEDICATIONS Priority: Mandatory Version : 5 SEQ #279 Status: Released Compliance Date: AUG 07, 2016 ============================================================================= Associated patches: (v)PSJ*5*257 <<= must be installed BEFORE `PSJ*5*313' (v)PSJ*5*281 <<= must be installed BEFORE `PSJ*5*313' (v)PSS*1*189 <<= must be installed BEFORE `PSJ*5*313' Subject: IV ADDITIVE & SOLUTION ORDER ENHANCEMENTS Category: - Routine - Enhancement (Mandatory) Description: ============ This patch is part of the Pharmacy Safety Updates project which was established to address specific New Service Requests (NSRs) as well as Remedy Ticket(s) and a Patient Safety Issue (PSI) related to the VistA Pharmacy applications as approved by the Health Systems Enterprise Systems Manager(ESM). This project is comprised of patches from five different applications, as shown below: APPLICATION/VERSION PATCH ----------------------------------------------------------------- PHARMACY DATA MANAGEMENT (PDM) V. 1.0 PSS*1*189 OUTPATIENT PHARMACY (OP) V. 7.0 PSO*7*444 INPATIENT MEDICATIONS (IM) V.5.0 PSJ*5*313 NATIONAL DRUG FILE (NDF) V. 4.0 PSN*4*429 INTEGRATED BILLING (IB) V. 2.0 IB*2*545 The following New service Request (NSR) is being addressed by this patch: NSR 20110308 Addition of a STRENGTH Property to IV ADDITIVES and Premixed IV SOLUTIONS ---------------------------------------------------------------------------- Although patches PSJ*5*289 and PSS*1*174 introduced quite a few enhancements to the IV Additives and IV Solutions ordering functionality they did not go far enough in addressing all the issues originally in the NSR. Patches PSJ*5*313 and PSS*1*189 will extend the display of the IV Additive strength to other parts of the Inpatient Medications and Pharmacy Data Management applications. In addition, it will also impose a new rule where an Orderable Item can only have one IV Solution for a specific volume when it is marked to be used in the CPRS IV Fluid Order Entry. The following Inpatient Medications functionality was modified: 1. Inpatient Order Entry [PSJ OE] option This option was updated to display the IV Additive strength when more than one is available for the Orderable Item. There are two different points where the IV Additive strength is displayed when finishing an order: a) Finishing a Unit Dose order ... DC Discontinue FL (Flag) ED Edit FN Finish Select Item(s): Next Screen// FN Finish IV TYPE: PIGGYBACK// Select ADDITIVE: 1 PIPERACILLIN/TAZOBACTAM Additive Strength: 3.375 GM 2 PIPERACILLIN/TAZOBACTAM Additive Strength: 2.25 GM 3 PIPERACILLIN/TAZOBACTAM Additive Strength: 4.5 GM Select (1 - 3): b) Finishing an IV order ... DC Discontinue FL (Flag) ED Edit FN Finish Select Item(s): Next Screen// FN Finish IV TYPE: PIGGYBACK// More than one dispense IV Additives are available for: Orderable Item: PIPERACILLIN/TAZOBACTAM INJ Ordered Dose: 5 GM Please, select the correct dispense IV Additive below for this order: 1 PIPERACILLIN/TAZOBACTAM Additive Strength: 3.375 GM 2 PIPERACILLIN/TAZOBACTAM Additive Strength: 2.25 GM 3 PIPERACILLIN/TAZOBACTAM Additive Strength: 4.5 GM Select (1 - 3): 3 PIPERACILLIN/TAZOBACTAM Additive Strength: 4.5 GM ... Patch Components ================ Files & Fields Associated: File Name (#) Field Name (#) New/Modified/Deleted ------------------ -------------------------------- -------------------- N/A Forms Associated: Form Name File # New/Modified/Deleted --------- ------ -------------------- N/A Mail Groups Associated: Mail Group Name New/Modified/Deleted --------------- -------------------- N/A Options Associated: Option Name Type New/Modified/Deleted ----------- ---- -------------------- N/A Protocols Associated: Protocol Name New/Modified/Deleted ------------- -------------------- N/A Security Keys Associated: Security Key Name New/Modified/Deleted ------------- -------------------- N/A Templates Associated: Template Name Type File Name (#) New/Modified/Deleted ------------- ----- ------------------------- -------------------- N/A New Service Requests (NSRs): ---------------------------- 20110308 Patient Safety Issues (PSIs): ----------------------------- PSPO00001088 Remedy Ticket(s) & Overviews: ----------------------------- 1050689-Additive strength not showing when processing the IV orders in backdoor pharmacy TEST Sites: =========== LOUISVILLE, KY NEW YORK HARBOR HCS HEARTLAND EAST Documentation Retrieval Instructions: ------------------------------------- Updated documentation describing the new functionality introduced by this patch is available. The preferred method is to retrieve files from download.vista.domain.ext. This transmits the files from the first available server. Sites may also elect to retrieve files directly from a specific server. Sites may retrieve the software and/or documentation directly using Secure File Transfer Protocol (SFTP) from the ANONYMOUS.SOFTWARE directory at the following OI Field Offices: Albany: domain.ext Hines: domain.ext Salt Lake City: domain.ext Documentation can also be retrieved from the VA Software Documentation Library (VDL) on the Internet at the following address: http://www4.domain.ext/vdl. File Description File Name FTP Mode -------------------------------------------------------------------------- INPATIENT MEDICATIONS PHARMACIST'S PSJ_5_PHAR_UM_R0616.PDF BINARY USER MANUAL INPATIENT MEDICATIONS NURSE'S USER PSJ_5_NUR_UM_R0616.PDF BINARY MANUAL INPATIENT MEDICATIONS SUPERVISOR'S PSJ_5_SUPR_UM_R0616.PDF BINARY USER MANUAL Patch Installation: Pre Installation Overview -------------------------- This project is comprised of patches from five different applications as listed here. The patches will get released together and the suggested installation order is as shown. An installation guide released with patch PSS*1*189, discusses the installation process as PSS*1*189 is the patch that must be installed first. APPLICATION/VERSION PATCH ----------------------------------------------------------------- PHARMACY DATA MANAGEMENT (PDM) V. 1.0 PSS*1*189 OUTPATIENT PHARMACY (OP) V. 7.0 PSO*7*444 INPATIENT MEDICATIONS (IM) V.5.0 PSJ*5*313 NATIONAL DRUG FILE (NDF) V. 4.0 PSN*4*429 INTEGRATED BILLING (IB) V. 2.0 IB*2*545 ----------------------------------------------------------------- Post Installation Overview -------------------------- N/A Installation Instructions ------------------------- Although this installation will not take much time, it is recommended that it be installed overnight to prevent any disruption of service to other users. 1. Use the INSTALL/CHECK MESSAGE option on the PackMan menu. 2. From the Kernel Installation & Distribution System (KIDS) menu, select the Installation menu. 3. From this menu, you may select to use the following options (when prompted for INSTALL NAME, enter PSJ*5.0*313). a. Backup a Transport Global - This option will create a backup message of any routines exported with the patch. It will NOT back up 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 the patch is installed. It compares all components of the patch (routines, DDs, templates, etc.). c. Verify Checksums in Transport Global - This option will 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. Use the Install Package(s) option and select the package PSJ*5.0*313. 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: ;;5.0;INPATIENT MEDICATIONS ;**[Patch List]**;16 DEC 97;Build 26 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: PSIVEDRG Before: B50902632 After: B54894901 **21,33,50,65,74,84,128,147, 181,263,281,313** Routine Name: PSIVORC2 Before: B62051926 After: B64197207 **29,49,50,65,58,85,101,110, 127,151,181,267,275,257,281, 313** Routine Name: PSJHL4A Before: B59459040 After: B64745608 **105,111,154,170,159,134,197, 226,263,313** Routine Name: PSJLIFN Before: B29270381 After: B52671541 **1,29,34,37,42,47,50,56,94, 80,116,110,181,261,252,313** Routine list of preceding patches: 252, 281 ============================================================================= User Information: Entered By : Date Entered : JAN 26, 2015 Completed By: Date Completed: JUL 07, 2016 Released By : Date Released : JUL 07, 2016 ============================================================================= Packman Mail Message: ===================== $END TXT