$TXT Created by DEV.DEV.DOMAIN.EXT (KIDS) on Wednesday, 11/30/16 at 10:35 ============================================================================= Run Date: FEB 21, 2017 Designation: PSJ*5*325 Package : PSJ - INPATIENT MEDICATIONS Priority: Mandatory Version : 5 SEQ #289 Status: Released Compliance Date: MAR 23, 2017 ============================================================================= Associated patches: (v)PSJ*5*304 <<= must be installed BEFORE `PSJ*5*325' Subject: Display Recently Discontinued IV Orders Category: - Routine - Enhancement (Mandatory) - Data Dictionary - Input Template Description: ============ Patch PSJ*5.0*325 adds a display of discontinued or edited IV orders from the Computerized Patient Record System (CPRS) to a pharmacist when processing an e-signed CPRS IV order using the following VistA option: "Non-Verified/Pending Orders" [PSJU VBW]. This new feature applies only to wards or ward groups. The discontinued or edited IV orders will display prior to taking action to finish or edit the pending order. This allows the pharmacist to pull IVs that are discontinued and prevent them from being sent to the patient ward and potentially be given in error. It also allows the pharmacist to perform a drug-drug interaction check, since recently discontinued medications can still cause a drug interaction. The pharmacist can delete the discontinued IV orders from the new IV MEDICATION ORDERS DC'D (#52.75) file when deemed appropriate. Note: This new feature is being distributed in the disabled mode. Sites must decide whether to use the new feature for each IV room. Use the PSJI SITE PARAMETERS option to turn the report "ON" by setting the new parameter DC'D IV ORDERS HOURS FILTER (#21) to a positive number of hours for each IV room. The discontinued and edited records which are viewed in the update with this patch are temporary and are stored in the new IV MEDICATION ORDERS DC'D (#52.75) file. These records are only intended to help identify discontinued IV orders for a particular ward or a ward group. The records act as alerts and taking action on these records does not impact the actual order. Setting the parameter to zero will disable the new reporting feature and remove any existing records from file 52.75 that are associated with the IV room being edited. Records for this new feature are captured and stored only after the feature is turned on. For example, when a value of 24 hours is initially entered in the DC'D IV ORDERS HOURS FILTER (#21), the new report will start capturing DCed and edited orders from that point on. The following actions are available for records being viewed in the updated option: (P)rint, (R)efresh, (D)elete, or (I)gnore --The (Print) action allows the viewed orders to be printed to a device and optionally those records can be deleted, once printed. --The (Refresh) action, simply re-displays the records. --The (Delete) action removes the currently viewed records from the file so they will no longer be displayed. --The (Ignore) action will continue with the usual next prompt and take no action on the records. Aside from helping to prevent medication errors, this modification also allows labels to be pulled for IVs that are not yet prepared. This saves resources, including the drug (especially helpful when drug shortages occur), and time spent managing pharmacy orders. For IVs that are already prepared, the modification allows reuse of the prepared bag on another patient while it is still within the expiration date. EXAMPLE OF NEW FEATURE : ======================= Note: the new functionality is enclosed in asterisks in order to highlight the updates, but the actual report will not include the asterisks. Select OPTION NAME: PSJU VBW Non-Verified/Pending Orders Select IV ROOM NAME: CHEYENNE RM#272 Display an Order Summary? NO// 1) Non-Verified Orders 2) Pending Orders Select Order Type(s) (1-2): 1-2 1) Unit Dose Orders 2) IV Orders Select Package(s) (1-2): 1-2 Select by GROUP (G), WARD (W), CLINIC (C), PATIENT (P) or PRIORITY (PR): GROUP Select by WARD GROUP (W) or CLINIC GROUP (C): WARD Select WARD GROUP: C WARD EAST WINGS ************************************************************************** IV ORDER D/Cs and EDITS Thru CPRS Since 6/1/2016@14:21 (past 840 hrs) IV ROOM: CHEYENNE RM#272 GROUP: C WARD EAST WINGS WARD - ROOM/BED DRUG PATIENT PID DT/TM ------------------------------------------------------------------------- C MEDICIN 9999 ABCIXIMAB AAADTSXY,QLYJH 4507 06/06/2016 Edited Give: IV 30 ml/hr @1:15 pm C MEDICIN 9999 ABCIXIMAB AAADTSXY,QLYJH 4507 06/07/2016 Edited Give: IV 30 ml/hr @1:56 pm ************************************************************************* (P)rint, (R)efresh, (D)elete, or (I)gnore?: (P/R/D/I): I// gnore ORDERS NOT VERIFIED BY A NURSE - C MEDICINE No. TEAM PRIORITY PATIENT ---------------------------------------------------------------------------- 1 Not Found ROUTINE AAAFLDHU,QLYJH X (8126) 2 Not Found ROUTINE DLKHU,CXLVRDY ANY (1652) 3 Not Found ROUTINE MXKKT,TLRA HAADT (0863) 4 Not Found ROUTINE ZZDHCBX,CLY J CU (3329) Select 1 - 4: PATCH COMPONENTS: ================= Files & Fields Associated: ========================== New Files --------- UP SEND DATA USER DATE SEC. COMES SITE RSLV OVER FILE # FILE NAME DD CODE W/FILE DATA PTRS RIDE -------------------------------------------------------------------------- 52.75 IV MEDICATION ORDERS DC'D YES YES NO FIELD FIELD NUMBER NAME .01 DATE/TIME D/C (RD), [0;1] .662 SIG (F), [.662;1] 2 PATIENT (RP2'), [0;2] 3 DRUG (P50.7'), [0;3] 4 ROOM-BED (F), [0;4] 5 WARD (F), [0;5] 6 READ? (S), [0;6] 7 WARD IEN (P44'), [0;7] 8 PS ORDER IEN (F), [0;8] 9 WARD GROUP (P57.5'), [0;9] 10 STATUS (F), [0;10] Modified Files -------------- 59.5 IV ROOM YES YES NO NO Partial DD: subDD: 59.5 fld: 21 FIELD FIELD NUMBER NAME 21 DC'D IV ORDERS HOURS FILTER (NJ4,0), [6;1] This new field (#21) provides a filter for the D/C'd orders report. Discontinued IV orders older than the entered number of hours will not be included in the report. Entering a zero in this field or deleting the field value will turn this feature off. DC'd or edited IV orders for this IV room will no longer be stored and previously stored orders will be removed. The default value for this field is null. If sites wish to use the new feature, they must use the PSJI SITE PARAMETERS option to update this new parameter to a positive number. Options Associated: =================== The existing option, Non-Verified/Pending Orders [PSJU VBW], is updated to provide the new feature to review, print and delete the items in the new file IV MEDICATION ORDERS DC'D (52.75). The existing option, SIte Parameters (IV) [PSJI SITE PARAMETERS], is updated to allow the entry of the new parameter, DC'D IV ORDERS HOURS FILTER (#21). This new parameter provides a filter for the D/C'd orders report. Discontinued IV orders older than the entered number of hours will not be included in the report. By entering a zero in this field, no D/C'd or edited orders will appear in the report. (See Post Install Instructions). Protocols Associated: ===================== PROTOCOL: ACTION: OR EVSEND PS USE AS LINK FOR MENU/ITEM/SUBSCRIBERS PSIVARH PHARMACY SEND TO SITE The OR EVSEND PS protocol is modified by adding the PSIVARH PHARMACY extended action protocol to it. The new PSIVARH PHARMACY protocol processes the HL7 message with the inpatient pharmacy order and stores relevant information in the new file 52.75. Templates Associated: ===================== INPUT TEMPLATE: ACTION: PSJI SITE PARAMETERS FILE #59.5 SEND TO SITE This input template is modified to provide the ability to edit the new field--DC'D IV ORDERS HOURS FILTER (#21) of the IV ROOM (#59.5) file. When the template is used to set the value of this new field (#21) to zero or null, then all entries in the new file IV MEDICATION ORDERS DC'D (52.75) associated with the current IV room, will be removed. Additional Information: ======================= N/A New Service Requests (NSRs): ============================ NSR20141208 Display Recently Discontinued IV Orders The NSR for this intake addresses the following requirement: VHBAO: NEED 497817: View Discontinued Intravenous (IV) Orders: As a pharmacist, I want to view recently discontinued intravenous (IV) orders when I am processing pending orders, so that I save time and medication by not preparing an IV unnecessarily; and can perform drug-drug cross checks against discontinued medication. Patient Safety Issues (PSIs): ============================= N/A Remedy Ticket(s) & Overview: ============================ N/A Test Sites: =========== Information regarding the IOC test sites for NSR20141208 is available in the PSJ*5.0*325 Initial Operating Capability Entry Request and Exit Summary document. NY-HARBOR SAN FRANCISCO Software and Documentation Retrieval Instructions: ================================================== The software being released with this patch is a PackMan message in the Forum patch module. The following documents apply to this release: Nurse's User Manual, psj_5_nurse_um_r0217.pdf Pharmacist's User Manual, psj_5_phar_um_r0217.pdf Technical Manual/Security Guide, psj_5_tm_r0217.pdf Release Notes, psj_5_p325_rn.pdf User documentation for Inpatient Medications V.5.0 provides detailed information on the functionality and can be found on the VistA Document Library (VDL). Pre-Installation Instructions: ============================== This patch may be installed with users on the system, although it is strongly 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 PSJ*5.0*325. 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. From the Installation Menu, select the Install Package(s) option and choose the patch to install. 5. When prompted 'Want KIDS to Rebuild Menu Trees Upon Completion of Install? NO// Press 6. When prompted 'Want KIDS to INHIBIT LOGONs during the install? NO// Press 7. When prompted 'Want to DISABLE Scheduled Options, Menu Options, and Protocols? YES// Press 8. When prompted 'Enter options you wish to mark as 'Out Of Order':' enter the following options: SIte Parameters (IV) [PSJI SITE PARAMETERS] Non-Verified/Pending Orders [PSJU VBW] 9. When prompted, 'Enter protocols you wish to mark as 'Out Of Order':' Press 10. If prompted "Delay Install (Minutes): (0 - 60): 0// respond 0. Post-Installation Instructions: =============================== The new parameter to control how far back to display edited or discontinued IV orders should be set after pharmacy decides whether or not to use the updated features in the option PSJU VBW. The default for the new features is off and the hours setting will be null. It can be set in increments of one (1) hour. Setting the parameter to zero, effectively turns off the new report. Follow the dialogue below to set the DC'D IV ORDERS HOURS FILTER parameter. Select OPTION NAME: PSJI SITE PARAMETERS <==run parameter option Select IV ROOM NAME: CHEYENNE RM#272 <==select IV room NAME: CHEYENNE RM#272// <==type LENGTH OF LABEL: 13// ^21 DC'D IV ORDERS HOURS FILTER <==type "^21" to jump to the hours filter parameter DC'D IV ORDERS HOURS FILTER: 600// <==enter number of hours Routine Information: ==================== The second line of each of these routines now looks like: ;;5.0;INPATIENT MEDICATIONS;**[Patch List]**;DEC 16, 1997;Build 37 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: PSGVBW Before: B97694806 After: B98265649 **5,16,39,59,62,67,58,81,80, 110,111,133,139,155,241,243, 265,275,304,325** Description of Changes: Updated to call feature to display recently discontinued or edited IV orders. Routine Name: PSIVARH Before: n/a After:B255270199 **325** Description of Changes: Displays recently discontinued or edited IV orders. Routine Name: PSIVARH1 Before: n/a After: B47377600 **325** Description of Changes: Supports display of recently discontinued or edited IV orders in calls from PRSVARH. ============================================================================= User Information: Entered By : Date Entered : SEP 23, 2015 Completed By: Date Completed: FEB 14, 2017 Released By : Date Released : FEB 21, 2017 ============================================================================= Packman Mail Message: ===================== $END TXT