$TXT Created by FLORES,PETE at PW              (KIDS) on Wednesday, 06/21/17 at 10:06 =============================================================================
Run Date: AUG 03, 2017                     Designation: NUR*4*45
Package : NUR - NURSING SERVICE               Priority: Mandatory
Version : 4                                     Status: Under Development
=============================================================================

Associated patches: (v)NUR*4*24    <<= must be installed BEFORE `NUR*4*45'

Subject: EPIP NUR REMEDIATION 2.0

Category: 
  - Routine

Description:
============

 - Modifies the Nursing Patient Care Assignment Worksheet to display only  the last four digits of each patient's Social Security Number (SSN) and  to remove the admitting diagnosis from the worksheet and replace it with  the text "ON FILE." These changes protect confidential patient  information and help ensure privacy.
  
 - Enhances the Nursing End of Shift Report to facilitate communication  between staff when shifts change. This modification adds an additional  line of header information to the report to clarify the purpose of the  various report sections. The new header information includes Situation,  Background, Assessment, and Recommendation column headings. The report  additionally displays oxygen levels in the Assessment section where the  patient's vitals (Latest Vitals) are displayed. 
  
 New categories (Assessment, Safety, and Special Needs) are added to the  Patient Problems section of the report to enable staff to document  additional information that is critical to patient care. The report is  further modified to display only the last four digits of the patient's  Social Security Number (SSN) to help ensure privacy. 
  
 The Attending Physician's voice and digital pager numbers can be excluded  from the Nursing End of Shift Report using the On/Off switch included  with this patch. The parameter NUR EOS REPORT REMOVE ATT NUMS enables  each site to display or exclude Attending Physician contact numbers on  the report. Excluding contact information for the Attending Physician  eliminates confusion for staff who must contact a Resident or On Call  Physician for patient care issues.
  
  
 Patch Components: 
 -----------------
  
 Files & Fields Associated:
  
 File Name (Number)            Field Name (Number)     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
  
  
 Parameters Associated: 
  
 Parameter Name                    New/Modified/Deleted
 ---------------                   --------------------
 NUR EOS REPORT REMOVE ATT NUMS    NEW
  
  
 Security Keys Associated:
  
 Security Key Name
 -----------------
 N/A
  
  
 Templates Associated:
  
 Template Name        Type         File Name (Number)  New/Modified/Deleted
 -------------        ----         ------------------  --------------------
 N/A
  
  
 Additional Information:
  
  
 New Service Requests (NSRs):
 ----------------------------
 20170309 Enhancements to Nursing Patient Assignment Worksheet
 20170316 Enhancements to Nursing End of Shift Report
  
  
 Patient Safety Issues (PSIs):
 -----------------------------
 N/A
  
  
 Defect Tracking System Ticket(s) & Overview:
 --------------------------------------------
 N/A
  
 Problem:
 -------
 N/A
  
 Resolution:
 ----------
 N/A
  
  
 Test Sites:
 ----------
 TBD
  
  
 Software and Documentation Retrieval Instructions:
 ----------------------------------------------------
 Software being released as a host file and/or documentation describing  the new functionality introduced by this patch are available.
  
 The preferred method is to retrieve files from download.DNS     
 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:                DNS.URL       
 Hines:                 DNS     .URL         
 Salt Lake City:        DNS.URL       
  
 Documentation can also be found in the VA Software Document Library (VDL)
 at:
 http://URL            /.
  
  
 Title                               File Name                  FTP Mode
 -----------------------------------------------------------------------
 VistA Nursing User Manual           nurs4_tm.pdf               Binary
   [Tentative (no Word version available)]  VistA Nursing Technical Manual
  and Package Security Guide         nurs4_um.pdf               Binary
   [Tentative (no Word version available)]
  
  
 Patch Installation:
  
 Pre/Post Installation Overview:
 -------------------------------
 Review the Pre-Installation Instructions provided before beginning  installation of the patch.
  
 Pre-Installation Instructions:
 ------------------------------
 This patch may be installed with users on the system, although it is  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:
 ------------------------------
 To install the patch:
  
 1. Choose the PackMan message containing this patch.
  
 2. Choose the INSTALL/CHECK MESSAGE PackMan option.
  
 3. From the Kernel Installation and Distribution System (KIDS) 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  number NUR*4.0*45.
  
       a. Verify Checksums in Transport Global - This option will help  ensure the 
          integrity of the routines that are in the transport global.
  
       b. Print Transport Global - This option will enable viewing the  components of
          the KIDS build.
  
       c. Compare Transport Global to Current System - This option will  enable viewing 
          all changes that will be made when this patch is installed. It  compares all
          components of this patch (routines, data dictionaries,  templates, etc.).
  
       d. Back up a Transport Global - This option will create a backup  message of any
          routines exported with this patch. It will not back up any other  changes such
          as data dictionaries or templates.
  
 4. From the Installation Menu, select the Install Package(s) option and  choose the patch to install.
  
 5. If prompted 'Want KIDS to Rebuild Menu Trees Upon Completion of  Install? NO//', press <Enter>.
  
 6. When prompted 'Want KIDS to INHIBIT LOGONs during the install? NO//',  press <Enter>.
  
 7. When prompted 'Want to DISABLE Scheduled Options, Menu Options, and  Protocols? NO//', press <Enter>.
  
 8. If prompted 'Delay install (Minutes): (0-60): 0//', press <Enter>.
  
 9. If prompted 'Enter the Device you want to print the Install messages. 
 You can queue the install by enter a 'Q' at the device prompt. Enter a 
 '^' to abort the install. DEVICE: HOME//   HOME  (CRT)', press <Enter>.
  
 Post-Installation Instructions:
 -------------------------------
 N/A
  
  
 Backout Procedure:
 ------------------
 Backout of this patch will be performed only with the concurrence and  participation of the appropriate VA site/region personnel. The decision  to back out the patch will be a joint decision between VA site/region  personnel and other appropriate VA personnel.
  
 Prior to installing the 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. 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.
  
 Validation of Backout Procedure:
 --------------------------------
 The Backout procedure can be verified by printing the first two lines of  the NUR routines contained in this patch using the option First Line  Routine Print [XU FIRST LINE PRINT]. Once the NUR routines have been  backed out, the first two lines of the routines will no longer contain  the designation of patch NUR*4.0*45 on line 2 in the patch list section.

Routine Information:
====================
The second line of each of these routines now looks like:
 ;;4.0;NURSING SERVICE;**[Patch List]**;May 9, 2017;Build 5

The checksums below are new checksums, and  can be checked with CHECK1^XTSUMBLD.

Routine Name: NURCAS0
    Before: B17342342   After: B17500465  **45**
Routine Name: NURCES01
    Before:  B7255375   After:  B9542610  **45**
Routine Name: NURCES2
    Before: B25560885   After: B26711375  **2,24,45**
Routine Name: NURCES5
    Before:  B9681203   After:  B9700151  **24,45**
 
Routine list of preceding patches: 24

=============================================================================
User Information:
Entered By  : PII                  Date Entered  : APR 25, 2017
Completed By:                               Date Completed: 
Released By :                               Date Released : 
=============================================================================
