$TXT Created by F at CLN1G1.AAC.DOMAIN.EXT (KIDS) on Friday, 11/02/18 at 14:20 ============================================================================= Run Date: JAN 23, 2019 Designation: PSJ*5*378 Package : PSJ - INPATIENT MEDICATIONS Priority: Mandatory Version : 5 SEQ #325 Status: Released Compliance Date: FEB 23, 2019 ============================================================================= Associated patches: (v)PSJ*5*275 <<= must be installed BEFORE `PSJ*5*378' Subject: UNIT DOSE START/DATE TIME CALCULATION WRONG Category: - Routine Description: ============ This patch will resolve the following issue. INC2264488 - Medication order start times and BCMA admin times are before the date/time the order was signed Defect Tracking System Ticket(s) & Overview: -------------------------------------------- INC2264488 - Medication order start times and BCMA admin times are before the date/time the order was signed Problem: -------- The Robley Rex VA Medical Center reported that medication orders are showing start date/times BEFORE the signature date/time of the order. This causes meds to be due for administration in BCMA for a past time when the order did not even exist. It appears as though patients are missing meds. Thus far orders have been isolated to our 4S MED hospital ward and all identified orders have been in the Unit Dose package. Resolution: ----------- The primary reason the Robley Rex VAMC experienced this problem is because the 4S MED was not configured in the Inpatient Ward Parameters Edit [PSJ IWP EDIT] option where the parameter DEFAULT START DATE CALCULATION used to calculate the default start date/time for an order is set. The other reason is that once they processed two orders at the same time for the same ward the default value for the parameter was getting overwritten when they tried to finish the second order. This patch corrects this issue. Technical Resolution: --------------------- Changed the line ENSD+99^PSGNE3 to check only the 5th piece of the PSJSYSW0 variable since it contains all ward parameters and after the user finished the first order it was getting set with multiple up-carets ("^^^^^^^^^^"). Patient Safety Issues (PSIs): ----------------------------- N/A Test Sites: ----------- Oklahoma City VAMC Louisville VAMC Pre/Post Installation Overview: ------------------------------- It is not necessary to disable any options. Pre-Installation Instructions: ------------------------------ This patch should be installed during non-peak hours to minimize potential disruption to users. This patch should take less than 2 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 the patch # (ex. PSJ*5.0*378): 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 choose the patch to install. 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. 7. If prompted 'Delay Install (Minutes): (0-60): 0//' respond 0. Post Installation Instructions: ------------------------------- None. Installation Verification: -------------------------- Successful installation can be verified by reviewing the first 2 lines of the routines contained in the patch. The second line will contain the patch number in the [PATCH LIST] section. ;;5.0;INPATIENT MEDICATIONS;**[PATCH LIST]**;[DATE];[BUILD NUMBER] The option Calculate and Show Checksum Values [XTSUMBLD-CHECK] can be run to compare the routine checksums to what is documented in the patch description. Back-out Procedures: -------------------- Back-out will be done only with the concurrence and participation of development team and appropriate VA site/region personnel. The decision to back-out or rollback software will be a joint decision between development team, VA site/region personnel and other appropriate VA personnel. Prior to installing an updated KIDS package, the site/region should have saved a backup of the routines in a mail message using the Backup a Transport Global [XPD BACKUP] menu option (this is done at time of install). The message containing the backed up routines can be loaded with the "Xtract PackMan" function at the Message Action prompt. The Packman function "INSTALL/CHECK MESSAGE" is then used to install the backed up routines onto the VistA System. Routine Information: ==================== The second line of each of these routines now looks like: ;;5.0;INPATIENT MEDICATIONS ;**[Patch List]**;16 DEC 97;Build 2 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: PSGNE3 Before: B86381204 After: B86543610 **4,26,47,50,63,69,105,80,111, 183,193,179,275,378** Routine list of preceding patches: 275 ============================================================================= User Information: Entered By : Date Entered : OCT 18, 2018 Completed By: Date Completed: JAN 23, 2019 Released By : Date Released : JAN 23, 2019 ============================================================================= Packman Mail Message: ===================== $END TXT