| REQUIRED BUILD |
-
- PSS*1.0*191
- ACTION: Don't install, leave global
-
- PSJ*5.0*285
- ACTION: Don't install, leave global
-
- PSJ*5.0*287
- ACTION: Don't install, leave global
-
- PSJ*5.0*255
- ACTION: Don't install, leave global
-
- PSJ*5.0*318
- ACTION: Don't install, leave global
-
- PSJ*5.0*281
- ACTION: Don't install, leave global
-
- PSJ*5.0*216
- ACTION: Don't install, leave global
-
- PSJ*5.0*252
- ACTION: Don't install, leave global
-
- PSJ*5.0*268
- ACTION: Don't install, leave global
-
- PSJ*5.0*278
- ACTION: Don't install, leave global
|
| DESCRIPTION OF ENHANCEMENTS |
******************************* ATTENTION ********************************
3. PSB*3*83
Inpatient Order Entry [PSJ OE] option.
In order to maintain adequate flexibility for Times per Day (TPD)
schedules such as BID, TID and QID for MRR medication orders; these
schedules are not validated to the extent that other continuous
schedule types are validated. The intent was to allow a variety of
administrations and removals that may be asynchronous in order to
process correctly; for instance this will allow having two
administrations 6 hours apart followed by a 12 hour medication-free
period.
4. PSB*3*87
Normally the frequency used by the existing ADMINISTRATION
SCHEDULE file (#51.1) setup would expect a 12 hour frequency for
continuous schedule types ( 24 hours divided by 2 administrations equals
12 ) and this is what is standard practice.
Existing MRRs set to have the medication removed at the next
Duration of Administration would need to have a Duration of Administration
value entered for TPD schedules, otherwise the stored frequency in the
ADMINISTRATION SCHEDULE file (#51.1) would be used and this could result
5. OR*3*417
in an incorrect removal period. Therefore we recommend setting the MRR
value to a 3 (Duration of Administration Required). If the MRR is set to a
value of 1 in the PROMPT FOR REMOVAL IN BCMA field (#12), the Pharmacist
would not receive the verification screen that appears for Duration of
Administration entries and may not be aware of this issue.
The following is an example of using a type 1 Prompt for Removal in BCMA
for TPD's (Not recommended Condition):
The MRR medication needs to be administered at 0900 and removed
at 1500, with a new administration added at 1500 then removed at 2100.
The BID schedule is used with the PROMPT FOR REMOVAL IN BCMAPrompt
for Removal in BCMA
field (#12) value set to a 1 and the Frequency for BID schedule set to
12 hours.
The Pharmacist would only see the administration times of 0900
and 1500.
ATTENTION: This enhancement also includes a new Graphical User Interface
The system would then use the frequency stored in the
ADMINISTRATION SCHEDULE file (#51.1) Administration schedule file of 12
hours, so that Removal Times on the
enhanced BCMA would then calculate as removal at 2100 and 0300, which
would be in conflict with the administration times.
The following is an example of using a type 3 Prompt for Removal in BCMA
for TPD's (Recommended condition):
The MRR medication needs to be administered at 0900 and removed
(GUI) executable, BCMA GUI PSB3_P083.EXE. Installation of this GUI is
at 1500, with a new administration added at 1500 then removed at 2100.
The BID schedule is used with the PROMPT FOR REMOVAL IN BCMA
field (#12) value set to a 3. In this case the Frequency is no longer
used.
The Pharmacist would see the administration times of 0900 and
1500 and enter the appropriate Duration of Administration which would be
6 hours.
required immediately after the KIDS install for the Patch to function.
The system would create a verification display showing
administration at 0900 followed by and Administration and Removal at 1500
then a Removal at 2100 as ordered by the Physician.
For retrieval and installation instructions, please see the Client
Installation Instructions section.
**************************************************************************
Patch PSJ*5.0*315 provides enhancements to the Inpatient Medications
application and to support enhancements for the Bar Code Medications
Administrations (BCMA) application for Transdermal Administrations. These
enhancements include:
1. Currently Sites have to create fake removal orders to allow for
appropriate removal of medications in BCMA. This patch will alleviate
that issue by prompting the user for DURATION OF ADMINISTRATION based on
Clinical Ancillary Services (CAS) Development-Delivery of Pharmacy
the value stored in the PROMPT FOR REMOVAL IN BCMA field (#12) contained
in the ORDERABLE ITEM file (#50.7). This field implements changes that
will support enhancements to the BCMA and Inpatient Medication
applications to display the removal times in Inpatient Medication orders
using rules determined by the value of this field. The PROMPT FOR REMOVAL
IN BCMA field (#12) can be set for Orderable Items that require removal to
the following values:
NULL/0=No Removal Required
1 = Removal at Next Administration
Enhancements (DDPE) VA Inpatient Medication Administration - Transdermal
2 = Removal Period Optional Prior to Next Administration
3 = Removal Period Required Prior to Next Administration
2. Routines added for this patch will add the new DURATION OF
ADMINISTRATION prompt to the option Inpatient Order Entry [PSJ OE] then
calculate the appropriate removal times and display them for verification.
The NON-VERIFIED ORDERS file (#53.1) and UNIT DOSE sub-file(#62) of the
PHARMACY PATIENT file (#55) will be updated to include new fields that
will control the removal process. These two files will have these 4
enhancement includes 5 patches that must be installed in the following
fields added: DURATION OF ADMINISTRATION field (#137), REMOVE TIMES
field(#138), REMOVE PERIOD field(#139) and BCMA PROMPT FOR REMOVAL FLAG
field(#140). A new field called PROMPT FOR REMOVAL IN BCMA field(#12)
created in the ORDERABLE ITEMS file (#50.7) by patch PSS*1.0*191 will be
used for information to be stored in the BCMA PROMPT FOR REMOVAL FLAG
field(#140) in the NON-VERIFIED ORDERS file(#53.1) and the UNIT DOSE
sub-file(#62) of the PHARMACY PATIENT file (#55).
3. The Edit Clinic Med Orders Start Date/Time [PSJ ECO] option will
have changes to anticipate these new fields and request additional user
order:
activity when the orders require specific information that can
only be entered via the Inpatient Order Entry [PSJ OE] option.
4. This patch contains a post-install routine PSJ5P315 that sends a
report listing all legacy orders for Medications that require removal.
In order to prevent confusion by users of the BCMA GUI application these
orders will need to be discontinued and reordered to include the
removal information. This same report can be recalled from the Pharmacy
Data Management [PSS MGR] menu using the Orders for MRRs With Removal
Properties [PSS MRR ORDERS DIAGNOSTIC RPT] option.
5. The Order View Hidden Actions Menu [PSJ LM ORDER VIEW HIDDEN
ACTIONS] protocol has been modified to include a hidden action for calling
the Administration History report. A new protocol, Admin History for OI
[PSJ LM ADM HIST], was added for the new hidden action. This report
allows viewing of other orders for the Orderable Item listed in the Order
Detail for the selected Order. The menu item Other Pharmacy Options [PSJ
LM OTHER PHARMACY OPTIONS] has been shortened to read Other Pharm Options
in order to allow the columns to align correctly. The AH menu option
will not be available during the period in which PSJ*5.0*315 is installed,
1. PSS*1*191
but PSB*3.0*83 is not. If the user attempts to run this option during
this time they will get the following message: Report not available until
install of patch PSB*3.0*83.
This patch requires patch PSS*1.0*191.
The full functionality introduced in this patch will not be
available until patches PSB*3.0*83 and possibly PSB*3.0*87
for Bar Code Back Up (BCBU) are installed.
2. PSJ*5*315
Pre-existing orders will remain unaffected with installation.
********** SPECIAL NOTE on Times Per Day (TPD) orders**********:
To avoid confusion it is strongly recommended that MRR medications
needing to use a TPD schedule with asynchronous administrations and
removals, be set to have the PROMPT FOR REMOVAL IN BCMA (#12) set to a
value of 3. The Pharmacist will then always be prompted for the Duration
of Administration and a proper removal time can be entered in the
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