ࡱ> LVIJKyW bjbjll +ee 4%4%y3y3:::T%<%<%<=> @$%<r-D ?NZOOOӉ-4$&:;LӉ;;y3y3OO6,;ry3LO:O;8 =O0m&B0rn. L==:Q&2r;;;;4% ?2:  EMBED Word.Picture.8  BAR CODE MEDICATION ADMINISTRATION (BCMA) INSTALLATION GUIDE Version 3.0 February 2004 (Revised May 2019)  Revision History DatePatchDescription5/2019PSB*3*118 HYPERLINK \l "PSB_3_96_ClientFilesDistDuringBCMA_V3In" BCMA is being converted to Delphi XE10 and made Windows 10 compatible (C. Wilbur, Developer)12/2018PSB*3*96 HYPERLINK \l "PSB_3_96_ClientFilesDistDuringBCMA_V3In" Two-factor authentication (2FA) patch for BCMA is releasing a dll, OrderCom.dll, that is replacing the BCMAOrderCom.dll. (H. Chipman, SQA) Table of Contents  TOC \o "1-2" \h \z \t "Heading 3,3"  HYPERLINK \l "_Toc65900710" BCMA V. 3.0 and This Guide  PAGEREF _Toc65900710 \h 1  HYPERLINK \l "_Toc65900711" Benefits of BCMA V. 3.0  PAGEREF _Toc65900711 \h 1  HYPERLINK \l "_Toc65900718" Patient Transfer Notification Message  PAGEREF _Toc65900718 \h 4  HYPERLINK \l "_Toc65900719" Documenting Fractional Dose Orders  PAGEREF _Toc65900719 \h 4  HYPERLINK \l "_Toc65900720" BCMA Clinical Reminders Marquee  PAGEREF _Toc65900720 \h 4  HYPERLINK \l "_Toc65900723" PRN Documentation Site Parameter  PAGEREF _Toc65900723 \h 5  HYPERLINK \l "_Toc65900724" Include Schedule Types Site Parameter  PAGEREF _Toc65900724 \h 5  HYPERLINK \l "_Toc65900725" Accessing PRN Effectiveness Log  PAGEREF _Toc65900725 \h 5  HYPERLINK \l "_Toc65900728" Schedule Type Indicator Alert Lights  PAGEREF _Toc65900728 \h 6  HYPERLINK \l "_Toc65900729" Medication Log Dialog Box  PAGEREF _Toc65900729 \h 6  HYPERLINK \l "_Toc65900730" PRN Effectiveness Dialog Box  PAGEREF _Toc65900730 \h 6  HYPERLINK \l "_Toc65900731" Scan IV Dialog Box  PAGEREF _Toc65900731 \h 6  HYPERLINK \l "_Toc65900732" Bag Information Column on VDL  PAGEREF _Toc65900732 \h 6  HYPERLINK \l "_Toc65900735" Report Printing  PAGEREF _Toc65900735 \h 7  HYPERLINK \l "_Toc65900738" HL7 Messaging  PAGEREF _Toc65900738 \h 8  HYPERLINK \l "_Toc65900739" Missing Dose E-Mail Notification  PAGEREF _Toc65900739 \h 8  HYPERLINK \l "_Toc65900740" Documenting PRN Pain Scores  PAGEREF _Toc65900740 \h 8  HYPERLINK \l "_Toc65900743" Administering a Multiple Dose Order  PAGEREF _Toc65900743 \h 9  HYPERLINK \l "_Toc65900744" Administering a PRN Order  PAGEREF _Toc65900744 \h 9  HYPERLINK \l "_Toc65900745" Recording the Effectiveness of a PRN Medication  PAGEREF _Toc65900745 \h 9  HYPERLINK \l "_Toc65900746" Creating Default Answers Lists  PAGEREF _Toc65900746 \h 9  HYPERLINK \l "_Toc65900748" Benefits of This Guide  PAGEREF _Toc65900748 \h 10  HYPERLINK \l "_Toc65900749" Our Target Audience  PAGEREF _Toc65900749 \h 10  HYPERLINK \l "_Toc65900750" Other Sources of Information  PAGEREF _Toc65900750 \h 10  HYPERLINK \l "_Toc65900751" Background/Technical Information  PAGEREF _Toc65900751 \h 10  HYPERLINK \l "_Toc65900752" This Manual and Related Documentation  PAGEREF _Toc65900752 \h 10  HYPERLINK \l "_Toc65900754" Documentation Retrieval Process  PAGEREF _Toc65900754 \h 11  HYPERLINK \l "_Toc65900756" Conventions Used in This Guide  PAGEREF _Toc65900756 \h 12  HYPERLINK \l "_Toc65900760" Obtaining On-line Help  PAGEREF _Toc65900760 \h 14  HYPERLINK \l "_Toc65900761" Locating Detailed Listings  PAGEREF _Toc65900761 \h 14  HYPERLINK \l "_Toc65900762" Routines  PAGEREF _Toc65900762 \h 14  HYPERLINK \l "_Toc65900763" Data Dictionaries  PAGEREF _Toc65900763 \h 14  HYPERLINK \l "_Toc65900764" Pre-Installation Information  PAGEREF _Toc65900764 \h 15  HYPERLINK \l "_Toc65900765" Minimum Required Packages  PAGEREF _Toc65900765 \h 15  HYPERLINK \l "_Toc65900766" Installation Time Estimates  PAGEREF _Toc65900766 \h 15  HYPERLINK \l "_Toc65900768" Resource Requirements  PAGEREF _Toc65900768 \h 16  HYPERLINK \l "_Toc65900769" Response Time Monitor  PAGEREF _Toc65900769 \h 16  HYPERLINK \l "_Toc65900770" Laptops and Bar Code Scanners  PAGEREF _Toc65900770 \h 16  HYPERLINK \l "_Toc65900771" Printers  PAGEREF _Toc65900771 \h 16  HYPERLINK \l "_Toc65900772" Unit Dose Label Printer Devices  PAGEREF _Toc65900772 \h 16  HYPERLINK \l "_Toc65900773" IV Label Printer Devices  PAGEREF _Toc65900773 \h 16 Table of Contents  HYPERLINK \l "_Toc65900764" Pre-Installation Information (cont.)  HYPERLINK \l "_Toc65900775" Client PC Setup Requirements  PAGEREF _Toc65900775 \h 17  HYPERLINK \l "_Toc65900776" Files Required to Run BCMA V. 3.0  PAGEREF _Toc65900776 \h 17  HYPERLINK \l "_Toc65900778" Routines Installed  PAGEREF _Toc65900778 \h 18  HYPERLINK \l "_Toc65900779" Routine Mapping  PAGEREF _Toc65900779 \h 18  HYPERLINK \l "_Toc65900781" Routines with Related Checksums  PAGEREF _Toc65900781 \h 19  HYPERLINK \l "_Toc65900783" Installation Information  PAGEREF _Toc65900783 \h 21  HYPERLINK \l "_Toc65900784" VISTA Server Installation Instructions  PAGEREF _Toc65900784 \h 21  HYPERLINK \l "_Toc65900785" Task 1: Download BCMA V. 3.0 Software  PAGEREF _Toc65900785 \h 21  HYPERLINK \l "_Toc65900788" Task 2: Load the KIDS Distribution File  PAGEREF _Toc65900788 \h 22  HYPERLINK \l "_Toc65900789" Task 3: Install BCMA V. 3.0  PAGEREF _Toc65900789 \h 22  HYPERLINK \l "_Toc65900793" Additional Preparation for BCMA V. 3.0  PAGEREF _Toc65900793 \h 23  HYPERLINK \l "_Toc65900794" Working with GUI BCMA V. 3.0  PAGEREF _Toc65900794 \h 25  HYPERLINK \l "_Toc65900795" Client PC Setup Requirements  PAGEREF _Toc65900795 \h 25  HYPERLINK \l "_Toc65900796" Client Distribution Files  PAGEREF _Toc65900796 \h 25  HYPERLINK \l "_Toc65900798" Standard Installation Procedure for GUI BCMA V. 3.0  PAGEREF _Toc65900798 \h 26  HYPERLINK \l "_Toc65900800" Working with the Hosts File on the Client PC  PAGEREF _Toc65900800 \h 27  HYPERLINK \l "_Toc65900802" Setting up Optional Command Line Parameters  PAGEREF _Toc65900802 \h 28  HYPERLINK \l "_Toc65900803" Working with the Monthly SAGG Report  PAGEREF _Toc65900803 \h 29  HYPERLINK \l "_Toc65900804" Setting up the Monthly Batch Job  PAGEREF _Toc65900804 \h 29  HYPERLINK \l "_Toc65900809" Glossary  PAGEREF _Toc65900809 \h 33  HYPERLINK \l "_Toc65900810" Learning BCMA V. 3.0 Lingo  PAGEREF _Toc65900810 \h 33  HYPERLINK \l "_Toc65900813" APPENDIX A: Sample KIDS Load & Installation  PAGEREF _Toc65900813 \h 35  BCMA V. 3.0 and This Guide Benefits of BCMA V. 3.0This section lists the National Online Information System (NOIS) tickets that are corrected in Bar Code Medication Administration (BCMA) V. 3.0, and provided in the Build description. Problem: NOIS ISB-0603-31561 A medication order that has administration times set for today, but before the Start Time of the order, displays on the Bar Code Medication Administration (BCMA) Due List Report. Corrective Action: The Due List Report will not display medication orders until the Start Date/Time of the medication order takes affect. Problem: NOIS ISB-0903-31964 When the user selects a time frame for the Medication Administration History (MAH) Report and no administrations are due, the report lists the medication order number from Inpatient Medications V. 5.0 under the Initial Name Legend section. Corrective Action: The MAH Report will not display the order number from Inpatient Medications V. 5.0 under the Initial Name Legend section when no administrations are due for a specific time frame. Problem: NOIS LAH-1203-61493 The user receives the following error message, BCMA failed to communicate with VISTA, if the Graphical User Interface (GUI) BCMA times out and is unable to connect to the server. Corrective Action: The processing time for the GUI BCMA software to display the patients record on the BCMA Virtual Due List (VDL) has been reduced. Problem: NOIS LIT-0603-71923 Users sometimes receive an allocation failure error message when accessing a patients record using the GUI BCMA. Corrective Action: The allocation failure error message has been corrected.  BCMA V. 3.0 and This Guide Benefits of BCMA V. 3.0 (cont.)Problem: NOIS MAD-1203-42204 The MAH Report takes an extended amount of time to run if the Start Date and the Stop Date of the report, requested by the user, are for different years. For example, if the Start Date is 12/28/03 and the Stop Date is 01/03/04. Corrective Action: The user can now request different years for the MAH Report without experiencing extended delays as BCMA accesses the data. Problem: NOIS MIN-1203-41637 Users sometimes experience an Invalid Medication Lookup error message after scanning a medication in the Scan Medication Bar Code: field of the Order Manager dialog box when using the BCMA Med Order Button in GUI BCMA. Corrective Action: The BCMA medication lookup process has been corrected to properly validate the medications scanned in the Scan Medication Bar Code: field of the Order Manager dialog box in GUI BCMA. Problem: NOIS UNY-0104-10174 Multiple IV medication orders display as merged on the IV Medication Tab after an order is discontinued, but the IV bag is still infusing. Corrective Action: Multiple IV medication orders will display properly on the IV Medication Tab. Problem: NOIS TNV-0104-30647 Users sometimes experience the following error message, ERROR: 16^Server Protocol Disabled, when using the Edit Medication Log [PSB MED LOG EDIT] option. This occurs when the PSB BCMA RASO17 SRV Health Level Seven (HL7) server protocol is being disabled. Corrective Action: The error message is only intended to notify the BCMA software that the protocol is being disabled. BCMA will now validate the message and not display it to users.  BCMA V. 3.0 and This Guide Benefits of BCMA V. 3.0 (cont.)Problem: NOIS ISB-0104-31384 When an IV medication order with an infusing bag is Renewed, the renewed order continues to display on the IV Medication Tab of the BCMA VDL until the infusing bag is Completed, even if the Renewed orders Start Date/Time has expired. Corrective Action: When an IV medication order with an infusing bag is Renewed, the renewed order will continue to display on the IV Medication Tab of the BCMA VDL until the infusing bag is Completed, or until the Start Date/Time of the new order that was created during the renewal process. Once the new order is active, the infusing bag from the previous order will display on the BCMA VDL with the new order, along with any additional bags created from the new order. Any available bags from the previous order will display on the new order based on the IV Site Parameter settings in the GUI BCMA Site Parameters application. BCMA V. 3.0 and This Guide Benefits of BCMA V. 3.0 (cont.)This section provides an overview of the major changes in the Bar Code Medication Administration (BCMA) V. 3.0 software such as the new routines and files, Phase Release changes, and maintenance fixes. This version also includes enhancements, which are a direct result of feedback from the BCMA Workgroup and our many end users, and included in Phase Releases I-IV. Patient Transfer Notification Message The Patient Transfer Notification Information message displays when you open a patients record, or view the Unit Dose or the IVP/IVPB Medication Tab for the first time. It indicates that the patient has had a movement type (usually a transfer) within the Patient Transfer Notification Timeframe site-definable parameter, and the last action for the medication occurred before the movement, but still within the defined timeframe. You can define this site parameter, by division, with a minimum value of 2 and a maximum value of 99. The default is 72 hours. Note: The display of the message is dependent on the last action displayed in the Last Action column of the BCMA VDL. BCMA then evaluates the last action performed on a medication each time the Unit Dose or the IVP/IVPB Medication Tabs are refreshed. Documenting Fractional Dose Orders You can document Fractional Dose medication orders on the Unit Dose and the IVP/IVPB Medication Tabs. This functionality alerts you when dispensed drug dosages need to be administered to a patient in fractional doses so you can provide comments about this order type once administered. The Fractional Dose dialog box displays when the units per dose is fractional and less than 1.0. The Multiple/ Fractional Dose dialog box displays when the units per dose is greater than 1.0. Note: If you do not scan once for each unit listed in the Multiple/Fractional Dose dialog box, the Confirmation dialog box displays requesting that you confirm the actual total units administered. BCMA Clinical Reminders Marquee Located in the lower, right-hand corner of the BCMA VDL, this marquee identifies Pro Re Nata (PRN) medication orders needing effectiveness documentation. The setting is based on the PRN Documentation site-definable parameter, and applies to current admissions or to the site parameter timeframe (whichever is greater). Values can be set from 1-999, with 72 hours the default setting. A mouse-over list, in the PRN Effectiveness Activity area, provides the four most recent PRN orders that need comments. BCMA V. 3.0 and This Guide Benefits of BCMA V. 3.0 (cont.)PRN Documentation Site Parameter The PRN Documentation site parameter lets you define the minimum number of hours from NOW that BCMA will search for PRN medication orders needing effectiveness comments. The four most recent PRN orders that need documentation display within the PRN Effectiveness mouse-over list in the BCMA Clinical Reminders marquee, located in the lower, right-hand corner of the BCMA VDL. The allowable entry for this parameter, definable by division, is a minimum value of 1 and a maximum value of 999. The default is 72 hours. Include Schedule Types Site Parameter You can automatically display PRN medication orders when the BCMA VDL is first opened by selecting the PRN check box in the Include Schedule Types area of the GUI BCMA Site Parameters application. This parameter controls the default display of PRN medications on the BCMA Character-based User Interface (CHUI) Due List and the BCMA VDL even if you change the Schedule Types or Medication Tab during a medication pass. Your medical center can choose to have the PRN Schedule Types display on the BCMA VDL by default, or to display PRN medications once a clinician selects the PRN Schedule Type check box on the BCMA VDL. All other Schedule Types will display by default and cannot be changed. Accessing PRN Effectiveness Log You can quickly access the PRN Effectiveness Log dialog box by selecting a medication on the BCMA VDL, and then selecting the PRN Effectiveness command from the Right Click drop-down menu. The PRN Effectiveness Log displays the patients medication information at the top of the box, under the Selected Administration area, and all PRN medication administrations in the PRN List table. Once a medication is selected, the Selected Administration area of the dialog box populates with administration information. The Med History button on the dialog box displays the Medication History Report for the orderable item listed in the Selected Administration area of the dialog box.  BCMA V. 3.0 and This Guide Benefits of BCMA V. 3.0 (cont.)Schedule Type Indicator Alert Lights In the Schedule Type area of the BCMA VDL, a GREEN alert light indicates that a medication order exists for the Schedule Type selected within the respective start/stop date and time selected on the BCMA VDL. If grayed out, then none exist. Medication Log Dialog Box The Medication Log dialog box includes the Vitals area, which displays the four previous vitals entries for each of the Vital signs listed in the area. The + (plus) sign, to the left of a Vital sign, expands the row to reveal additional entries. The (minus) sign collapses the row to hide all, but the most recent entry. PRN Effectiveness Dialog Box The PRN Effectiveness dialog box includes the Vitals area, which displays the four previous vitals entries for each of the Vital signs listed in the area. The + (plus) sign, to the left of a Vital sign, expands the row to reveal additional entries. The (minus) sign collapses the row to hide all, but the most recent entry. Scan IV Dialog Box The Bag Information title/area at the top of the Scan IV dialog box has been replaced with IV Bag #. BCMA populates this area with pertinent information about the IV bag selected on the BCMA VDL. The Other Print Info title has been replaced with Order Changes, which now displays changes to an IV order, which have an Infusing or Stopped IV bag. Bag Information Column on VDL This new column on the BCMA VDL identifies an IV order that currently has an IV bag with a status of Infusing or Stopped. It also identifies orders that have changed since the Infusing or Stopped IV bag was first infused.  BCMA V. 3.0 and This Guide Benefits of BCMA V. 3.0 (cont.)Report Printing Heres the changes to the report printing functionality in BCMA V. 3.0: Medication Administration History (MAH) Report: The Date column lists three asterisks (***) to indicate that a medication is not due. This information is also noted in the Legend at the bottom of the MAH Report. The report also includes information about when an order is placed On Hold and taken Off Hold by a provider, and the order Start and Stop Date/Time for the medication. Medication Variance Report: Provides exceptions (variances) to the medication administration process. It also lists event information within a selected date range, such as the type and number of events, and the total percentage of events that occurred. A variance preceded by a minus sign (such as 24) indicates the number of minutes that a medication was given before the administration time. Cumulative Vitals/Measurement Report: Lists a patients vitals from the Vitals package, along with their demographics and hospital location information. You cannot print this report by ward. Ward-Specific Reports: Simply click cancel at the Patient Lookup dialog box to access the Menu Bar without opening a patient record and print ward-specific reports only, except for the Cumulative Vitals/Measurement Report. A patients file must be opened to access patient-specific reports. Missed Medications Report: Indicates when a medication order is placed On Hold and taken Off Hold in CPRS or Inpatient Medications V. 5.0. The Hold information is provided below the medication information on the report, and only applies to administrations due within the Hold timeframe. The Order Num column on the report lists the actual order number and order type (i.e., Unit Dose or IV). This information is quite helpful when troubleshooting problems with BCMA. CHUI Missing Dose Report: Changed the line item Dosage Schedule on the BCMA CHUI Missing Dose Report to Schedule to coincide with the Missing Dose E-mail Notification change described on the next page.  BCMA V. 3.0 and This Guide Benefits of BCMA V. 3.0 (cont.)HL7 Messaging BCMA V. 3.0 supports Health Level Seven (HL7), a standard package (VISTA Messaging) used with M-based applications for conducting HL7 transactions. This package provides the facilities to create, transmit, and receive HL7 messages over a variety of transport layers. BCMA only exports HL7 messages. Missing Dose E-Mail Notification The e-mail notification that is sent from BCMA to the Pharmacy, when you submit a Missing Dose Request, now includes Schedule information. Documenting PRN Pain Scores With BCMA V. 3.0, you can perform the following tasks with regards to documenting PRN pain scores: Define Items: In the Reason Medication Given PRN default Answer Lists of the GUI BCMA Site Parameters application you can identify those items that will require the documentation of a pain score within BCMA. The pain score will be documented and stored in the Vitals package. Select a Pain Score: When documenting an administration for a PRN medication, you can select a pain score from a pre-defined list. Access a Pain Score: When documenting the effectiveness for a PRN medication, you can access pain score information for the patient. BCMA V. 3.0 and This Guide Benefits of BCMA V. 3.0 (cont.)Administering a Multiple Dose Order If you do not scan once for each Unit Dose or IVP medication listed in the Multiple Dose dialog box, BCMA displays the Confirmation dialog box informing you to scan additional units. The Multiple Dose dialog box retains the data that you entered before receiving the message. Administering a PRN Order In the Medication Log dialog box, you can select the patients pain score, between 0 and 10 or 99, with 0 being No Pain, 10 the Worst Imaginable, and 99 for Unable to Respond. Recording the Effectiveness of a PRN Medication In the PRN Effectiveness Log dialog box, you can select the patients pain score, between 0 and 10 or 99, with 0 being No Pain, 10 the Worst Imaginable, and 99 for Unable to Respond. Creating Default Answers Lists In the GUI BCMA Site Parameters application, the Attribute column is available only when you choose the Default Answer Lists Tab and select the Reason Medication Given PRN list. This column identifies that a Pain Score is required from the patient when a clinician administers a specific medication. When you select the Requires Pain Score check box when adding or renaming a Reason Medication Given PRN item, you must choose a pain score in the BCMA Medication Log and PRN Effectiveness dialog boxes when administering a medication.  BCMA V. 3.0 and This Guide Benefits of This GuidePreparing your site for the installation and implementation of BCMA V. 3.0 helps to ensure a smooth integration. This Installation Guide is designed to help you do just that. It includes detailed information such as system requirements; installation time estimates and instructions; and procedures that will get you up and running quickly with BCMA V. 3.0. Our Target Audience We have developed this guide for the following individuals, who are responsible for installing, supporting, maintaining, and testing this package. Development Engineering Information Resources Management (IRM) Clinical Application Coordinator (CAC) called Applications Package Coordinator (ADPAC) at some sites Enterprise VISTA Support (EVS) Software Quality Assurance (SQA) Other Sources of InformationRefer to the Web sites listed below when you want to receive more background and technical information about BCMA V. 3.0, and to download this manual and related documentation. Background/Technical Information From your Intranet, enter  HYPERLINK "http://vista.med.va.gov/bcma" http://vista.med.va.gov/bcma in the Address field to access the BCMA Main Web page. This Manual and Related Documentation From your Intranet, enter  HYPERLINK "http://www.va.gov/vdl" http://www.va.gov/vdl in the Address field to access this manual, and those listed below, from the VISTA Documentation Library (VDL). Technical Manual/Security Guide GUI User Manual Nursing CHUI User Manual Pharmacy CHUI User Manual Managers User Manual  BCMA V. 3.0 and This Guide Documentation Retrieval ProcessYour site can retrieve the BCMA V. 3.0 documentation listed below from the following FTP addresses. The preferred method is to FTP the files from  HYPERLINK "ftp://ftp.fo-slc.med.va.gov" download.vista.med.va.gov. This location automatically transmits files from the first available FTP Server to the appropriate directory on your system. (See the order listed below under the FTP Address column). Note: If you prefer, you can retrieve the software directly from one of the FTP Servers, listed below, under the FTP Address column. Example: FTP Addresses Available for Downloading BCMA V. 3.0 Documentation OI Field OfficeFTP Address Directory Albany HYPERLINK "ftp://ftp.fo-albany.med.va.gov" ftp.fo-albany.med.va.gov anonymous.software Hines HYPERLINK "ftp://ftp.fo-hines.med.va.gov" ftp.fo-hines.med.va.gov anonymous.software Salt Lake City HYPERLINK "ftp://ftp.fo-slc.med.va.gov" ftp.fo-slc.med.va.gov anonymous.softwareExample: BCMA V. 3.0 Documentation and Related File names BCMA V. 3.0 DocumentationDocumentation File name  Installation Guide PSB_3_IG_R0204.PDF Technical Manual/Security Guide PSB_3_TM_R0204.PDF GUI User Manual PSB_3_UM_Chapters 1 through 4_R0204.PDF PSB_3_UM_Chapters 5 through 8_R0204.PDF PSB_3_UM_Appendix A_(FAQs)_R0204.PDF PSB_3_UM_Appendix B_(Index)_R0204.PDF Nursing CHUI User Manual PSB_3_UM_NURSE_CHUI_R0204.PDF Pharmacy CHUI User Manual PSB_3_UM_PHAR_CHUI_R0204.PDF Managers User Manual PSB_3_UM_MGR_R0204.PDF  BCMA V. 3.0 and This Guide Conventions Used in This GuideBefore installing BCMA V. 3.0, review this section to learn the many conventions used throughout this guide. Keyboard Responses: Keys provided in boldface, within the steps, help you quickly identify what to press on your keyboard to perform an action. See the examples provided below. Within the Steps: At the Select Kernel Installation & Distribution System Option: prompt, type INSTALL, and then press enter. Within Screen Captures: Text in boldface, centered between arrows on screen captures, identifies the key you must press for the system to capture your response or to move the cursor to the next field. See the following example.  Mouse Responses: Buttons provided in boldface, within the steps, indicate what you should click on your computer screen using the mouse. For example, when you see next, yes/no, or ok in the steps, click the appropriate button on your computer screen. User Responses: Information presented in boldface, within steps or shaded screen captures, indicate what you should type (enter) onto your computer screen. See the examples provided below. Within the Steps: At the Select OPTION NAME: prompt, type XPD MAIN and then press enter. Within Screen Captures: See the following example.  Screen Captures: Provide shaded examples of what you will see on your computer screen, and possible user responses. Notes: Provided within the steps, describe exceptions or special cases about the information presented. They reflect the experience of our staff, developers, and testers.  BCMA V. 3.0 and This Guide Conventions Used in This Guide (cont.)Tips: Located in the left margin, these helpful hints are designed to help you work more efficiently with BCMA V. 3.0. Menu Options: When provided in italics, identifies a menu option. When provided in boldface, ALL CAPS, identifies the letters that you should type onto your computer screen, before pressing enter. The system then goes directly to the menu option. (Note: The letters do not have to be entered as capital letters, even though they are provided within the steps in this format.) See the examples provided below. Italicized: Use the Kernel First Line Routine Print [XU FIRST LINE PRINT] option to print a list containing the first line of every PSB routine. Capitalized: At the Taskman Management Option: prompt, type SCHEDule/Unschedule Options, and then press enter.  BCMA V. 3.0 and This Guide Obtaining On-line HelpOn-line help is designed right into the Graphical User Interface (GUI) and Character-based User Interface (CHUI) versions of BCMA V. 3.0, making it quick and easy for you to get answers to your questions. Heres how to access help in both versions of BCMA V. 3.0: GUI BCMA: Provides context-sensitive, on-line help and the Help menu. Context-Sensitive Help: Place your focus on a feature, button, or Tab on the BCMA VDL, using the tab key, and then press f1 to receive help specific to that area of the BCMA VDL. In the case of a command, first highlight it in the Menu Bar or Right Click drop-down menu, and then press f1. Help Menu: Open the Help menu, and then choose the Contents and Index command to receive help for every feature in GUI BCMA V. 3.0. CHUI BCMA: Lets you enter up to two question marks at any prompt to receive on-line help. One Question Mark: Provides a brief statement related to the prompt. Two Question Marks: Displays more detailed information about the prompt, plus any hidden actions. Locating Detailed ListingsYou can obtain and print listings about BCMA V. 3.0 routines, and Data Dictionaries using the information provided below. Routines Use the Kernel routine XINDEX to produce detailed listings of routines. Use the Kernel First Line Routine Print [XU FIRST LINE PRINT] option to print a list containing the first line of every PSB routine. Data Dictionaries You can use the VA FileMan List File Attributes [DILIST] option, under the Data Dictionary Utilities [DI DDU] option, to print the Dictionaries.  Pre-Installation Information Minimum Required Packages Before installing BCMA V. 3.0, make sure that your system includes the following Department of Veterans Affairs (VA) software packages and versions (those listed or higher). Example: Minimum Required Packages and Versions PackageMinimum Version Needed  Inpatient Medications 5.0Kernel8.0MailMan8.0Nursing4.0Order Entry/Results Reporting3.0Pharmacy Data Management1.0RPC Broker (32-bit)1.1Toolkit7.3VA FileMan22.0Vitals/Measurements5.0 Installation Time Estimates On average, it takes approximately two minutes to install BCMA V. 3.0. This estimate was provided by a few of our BCMA V. 3.0 Beta Test sites. Actual times may vary, depending on how your site is using its system resources. Suggested time to install: non-peak requirement hours. During the install process, PC Client users should not be accessing the Client Software.  Pre-Installation Information  Resource RequirementsThis section summarizes the (approximate) number of resources required to install BCMA V. 3.0. Routines 60 Globals 1 (^PSB) Files 5 (53.66-53.79) ^PSB Size Unit Dose = 300 x # of Medications (in bytes) Administered IV = 2100 x # of IV Bags Administered FTEE Support .2 FTEE Maintenance .2 Response Time Monitor BCMA V. 3.0 does not include Response Time Monitor hooks. Laptops and Bar Code Scanners The approximate requirements for laptops and bar code scanners depend on the number of Inpatient areas, at your site, that use BCMA V. 3.0 for administering active medication orders. The BCMA Development Team recommends that your site have a minimum of three laptops and three scanners for each ward. Printers Your site should provide printers for creating patient wristbands and medication bar code labels, and for handling Missing Dose Requests sent from BCMA V. 3.0 to the Pharmacy. Unit Dose Label Printer Devices BCMA V. 3.0 includes the Label print [PSBO BL] option for printing individual or batch Unit Dose bar code labels. It is specifically coded to the Zebra-brand printers using the Zebra Programming Language (ZPL). Model 105SE was used in the development of the labels. Routine PSBO BL uses site-specific printers or terminals to produce labels. IV Label Printer Devices Inpatient Medications V. 5.0 provides a menu option for printing individual or batch IV bar code labels. See the section Interfacing with the Bar Code Label Printer in the Inpatient Medications V. 5.0 Technical Manual/Security Guide for detailed setup information.  Pre-Installation Information Client PC Setup RequirementsOnce all BCMA V. 3.0 files are installed, make sure that every Client PC includes the minimum system before users run BCMA V. 3.0 from it. BCMA must be installed via an account that has Administrative privileges. For specific Client PC Setup Requirements, see the VA Standard Desktop Configurations link below, which provides the current corporate software and hardware configurations per VA Directive 6401.  HYPERLINK "http://vaww.vairm.vaco.va.gov/vadesktop/default.htm" http://vaww.vairm.vaco.va.gov/vadesktop/default.htm Files Required to Run BCMA V. 3.0BCMA V. 3.0 uses the following files installed on the VISTA Server. Journaling is recommended. ^PSB (53.66, BCMA IV Parameters ^PSB (53.68, BCMA Missing Dose Request ^PSB (53.69, BCMA Report Request ^PSB (53.78, BCMA Medication Variance Log ^PSB (53.79, BCMA Medication Log Note: You can learn more about these files by generating a list with file attributes using VA FileMan. Pre-Installation Information Routines InstalledReview the listing below to learn the routines installed on to your sites VISTA Server during the installation of BCMA V. 3.0. The first line of each routine briefly describes its general function. Note: You can use the Kernel First Line Routine Print [XU FIRST LINE PRINT] option to print a list containing the first line of each PSB routine. Routine Mapping At this time, we do not offer any recommendations for routine mapping. However, if you choose to map the BCMA V. 3.0 package routines, you will need to bring your system down, and then restart it to load the new routines into memory.Example: BCMA V. 3.0 Routines Installed on to VISTA Server PSBALL PSBAPIPM PSBCHIVH PSBCHKIV PSBMD PSBML PSBML1 PSBMLEN PSBMLEN1 PSBMLHS PSBMLTS PSBMLU PSBMLVAL PSBO PSBO1 PSBOAL PSBOBL PSBODL PSBODL1 PSBODO PSBOHDR PSBOMD PSBOMH PSBOMH1 PSBOMH2 PSBOML PSBOMM PSBOMV PSBOPE PSBOPI PSBOPM PSBOVT PSBOWA PSBPAR PSBPARIV PSBPOIV PSBPRN PSBRPC PSBRPC1 PSBRPC2 PSBRPC3 PSBRPCMO PSBRPCXM PSBSAGG PSBSVHL7 PSBUTL PSBVAR PSBVDLIV PSBVDLPA PSBVDLPB PSBVDLTB PSBVDLU1 PSBVDLU2 PSBVDLU3 PSBVDLUD PSBVDLVL PSBVITFL PSBVT PSBVT1 PSBXMRG 60 routines  Pre-Installation Information Routines with Related ChecksumsThis section lists the routines and related checksums for BCMA V. 3.0 provided during the installation process. Example: BCMA V. 3.0 Routines with Related Checksums Select BUILD NAME: PSB 3.0 BAR CODE MED ADMIN PSBALL value = 1475151 PSBAPIPM value = 9031085 PSBCHIVH value = 1166996 PSBCHKIV value = 35513271 PSBMD value = 17319681 PSBML value = 23421797 PSBML1 value = 7074072 PSBMLEN value = 18077803 PSBMLEN1 value = 9220985 PSBMLHS value = 2525483 PSBMLTS value = 8100734 PSBMLU value = 1498988 PSBMLVAL value = 9734944 PSBO value = 17926200 PSBO1 value = 2876667 PSBOAL value = 1806300 PSBOBL value = 4045534 PSBODL value = 16589922 PSBODL1 value = 8836828 PSBODO value = 2948451 PSBOHDR value = 5286664 PSBOMD value = 6143174 PSBOMH value = 20105393 PSBOMH1 value = 20721307 PSBOMH2 value = 9443664 PSBOML value = 10399745 PSBOMM value = 21442785 PSBOMV value = 13276146 PSBOPE value = 7022505 PSBOPI value = 288600 PSBOPM value = 4855752 PSBOVT value = 790819 PSBOWA value = 13904863 PSBPAR value = 6032995 PSBPARIV value = 16437954 PSBPOIV value = 24363099 PSBPRN value = 7079605 PSBRPC value = 10743383 PSBRPC1 value = 5473533 PSBRPC2 value = 20110546 PSBRPC3 value = 194738 Pre-Installation Information Example: BCMA V. 3.0 Routines with Related Checksums (cont.) PSBRPCMO value = 18080428 PSBRPCXM value = 2728593 PSBSAGG value = 1431404 PSBSVHL7 value = 16217830 PSBUTL value = 14185290 PSBVAR value = 4760179 PSBVDLIV value = 17858201 PSBVDLPA value = 4059667 PSBVDLPB value = 19523684 PSBVDLTB value = 3557813 PSBVDLU1 value = 18022165 PSBVDLU2 value = 4610568 PSBVDLU3 value = 3001261 PSBVDLUD value = 18568646 PSBVDLVL value = 23162182 PSBVITFL value = 2483832 PSBVT value = 22976876 PSBVT1 value = 767427 PSBXMRG value = 1576759 Installation Information VISTA Server Installation InstructionsPerform the steps provided below to download BCMA V. 3.0 from an FTP Server. Then you will be ready to use this section for loading the Kernel Installation & Distribution System (KIDS) Distribution file and the Broker Server file, and for installing BCMA V. 3.0 on to the VISTA Server. Attention: BCMA V. 3.0 includes a new GUI executable file. Installation of this GUI is NOT required immediately after the KIDS install for the software to function. The installation process will make significant changes to routines, files, and files within the BCMA V. 3.0 application. Review the bulleted list below, taken from the Build description, for more information. Prior clients compatible with BCMA V. 3.0: 2.0.36.14 Client can be copied instead of installed: Yes Task 1: Download BCMA V. 3.0 Software Use the following information to download BCMA V. 3.0 from an FTP Server. Download the GUI BCMA file PSB3_0.exe, the Host File PSB_3_0.KID from an FTP Server using an address listed in the table below. The preferred method is to FTP the files from  HYPERLINK "ftp://ftp.fo-slc.med.va.gov" download.vista.med.va.gov. This location automatically transmits files from the first available FTP Server. (See the order listed below under the FTP Address column). .EXE or .PDF files need to be FTP in BINARY. KIDS Build needs to be FTP in ASCII. Note: If you prefer, you can retrieve the software directly from one of the FTP Servers, listed below, under the FTP Address column. Move the files to the appropriate directory on your system. Example: FTP Addresses Available for Downloading BCMA V. 3.0 Software OI Field OfficeFTP Address Directory Albany  HYPERLINK "ftp://ftp.fo-albany.med.va.gov" ftp.fo-albany.med.va.gov anonymous.software Hines  HYPERLINK "ftp://ftp.fo-hines.med.va.gov" ftp.fo-hines.med.va.gov anonymous.software Salt Lake City  HYPERLINK "ftp://ftp.fo-slc.med.va.gov" ftp.fo-slc.med.va.gov anonymous.software Installation Information VISTA Server Installation Instructions (cont.)Task 2: Load the KIDS Distribution File Perform the steps listed below to load the KIDS Distribution file. Sign in to the UCI where the KIDS Distribution file will be loaded and BCMA V. 3.0 will be installed. At the Select OPTION NAME: prompt, type XPD MAIN, and then press enter. At the Select Kernel Installation & Distribution System Option: prompt, type INSTALLation, and then press enter. At the Select Installation Option: prompt, type Load a Distribution, and then press enter to prepare for loading the KIDS Distribution file. At the Enter a Host File: prompt, type the directory where you have stored the Host File, followed by PSB_3_0.KID. Then press enter. At the Want to Continue with Load YES//? prompt, press enter. The system then loads the file to this location. Task 3: Install BCMA V. 3.0 Now you are ready to install BCMA V. 3.0 on to the VISTA Server. Suggested time to install: non-peak requirement hours. During the install process, PC Client users should not be accessing the Client Software. Note: You should perform step #1 listed below now if you are planning to install BCMA V. 3.0 immediately. However, if you are installing the application at another time, ask users to log off your system at that time. From the Facility Tab of the GUI BCMA Site Parameters application, take BCMA users offline. Request that all BCMA users log off BCMA. Review mapped sets for PSB* namespaces. If the routines are mapped, remove them from the mapped set at this time. Backup your system. This step is optional, but recommended. At the Select INSTALL NAME: prompt, type PSB 3.0 and then press enter to install BCMA V. 3.0. This Build provides all of the routines and files necessary for BCMA V. 3.0.  Installation Information VISTA Server Installation Instructions (cont.)Task 3: Install BCMA V. 3.0 (cont.) At the Want KIDS to Rebuild Menu Trees Upon Completion of Install? YES// prompt, type NO, and then press enter. At the Want KIDS to INHIBIT LOGONs during the install? YES// prompt, type NO, and then press enter. At the Want to DISABLE Scheduled Options, Menu Options, and Protocols? YES// prompt, type NO, and then press enter. At the DEVICE: prompt, press enter to use the default device HOME (the screen) for printing the Installation message. If you want to print a hard copy, enter your site printer, and then press enter. If routines were unmapped as part of the installation process, return them to the mapped set once the installation of BCMA V. 3.0 is completed. From the Facility Tab of the GUI BCMA Site Parameters application, place BCMA V. 3.0 back on-line. Additional Preparation for BCMA V. 3.0 Now you are ready to perform the steps listed below to further prepare your site and staff for using BCMA V. 3.0. If you are a Micronectics Standard MUMPS (MSM) site, move the PSB routines only, to all nodes. Assign the following security keys to appropriate site personnel. PSB MANAGER designates the holder as a manager PSB INSTRUCTOR designates the holder as a nursing instructor supervising student nurses PSB STUDENT designates the holder as a student nurse, requiring that an instructor also sign on to BCMA V. 3.0 at the same time PSB CPRS MED BUTTON designates the holder as a nurse who can document administered verbal- and phone-type STAT and NOW orders using the CPRS Med Order Button on the BCMA V. 3.0 VDL  Working with GUI BCMA V. 3.0 Client PC Setup RequirementsOnce all BCMA V. 3.0 files are installed, make sure that every Client PC includes the minimum system configuration before users run BCMA V. 3.0 from it. BCMA must be installed via an account that has Administrative privileges. For specific Client PC Setup Requirements, see the VA Standard Desktop Configurations link below, which provides the current corporate software and hardware configurations per VA Directive 6401.  HYPERLINK "http://vaww.vairm.vaco.va.gov/vadesktop/default.htm" http://vaww.vairm.vaco.va.gov/vadesktop/default.htm Client Distribution FilesThis section lists the Client files distributed during the installation of BCMA V. 3.0.Example: Client Files Distributed During BCMA V. 3.0 Installation File namesDescriptionFile VersionBytesBCMA.exeMain BCMA application3.0.118.46,226,000BCMA.chmBCMA help file1,180,000OrderCom.dllCPRS Med Order Button, Dynamic Link Library (DLL)2.0.18.34,724,224BCMApar.exeGUI BCMA Site Parameters Application3.0.118.43,759,000BCMApar.chmSite Parameter help file161,000ReadMe.txtSupplementary Information5,003 Note: The BCMAOrderCom.dll was replaced with the OrderCom.dll file released in PSB*3.0*96. With the release of PSB*3.0*96 you can remove all instances of the BCMAOrderCom.dll file. Also, ROBOEX32.DLL is no longer needed or distributed. Working with GUI BCMA V. 3.0 Standard Installation Procedure for GUI BCMA V. 3.0Use the instructions listed below to install the GUI version of BCMA V. 3.0, on a Client PC. To install GUI BCMA V. 3.0 on a Client PC Locate the directory where you downloaded the GUI BCMA V. 3.0 file PSB3_0.exe via FTP, and then double click on the file to launch the InstallShield Wizard. Click yes at the message, "Would you like to install BCMA? At the InstallShield Wizard Welcome screen, click next. Read the contents of the BCMA Installation screen, and then click next. Click next at the Choose Destination Location screen. Click browse if you want to locate another folder to replace the default destination folder. Once located and selected, click next to proceed with the installation process. At the Setup Type screen, select one of the following choices, and then click next to continue with the installation process. Typical is the default installation. Typical Installs only the BCMA Client program, which is necessary for using BCMA V. 3.0 to perform the medication administration process. Full Installs the BCMA Client program, and the GUI BCMA Site Parameters application. Custom Lets you select which programs (i.e., BCMA Client program or GUI BCMA Site Parameters application) that you want to install. At the InstallShield Wizard Complete screen, click finish to complete the BCMA installation process. BCMA V. 3.0 is now installed on to the PC.  Working with GUI BCMA V. 3.0 Working with the Hosts File on the Client PCMake sure that every Client PC has a link established between the Client PC and the VISTA Server via the Hosts file on the PC before running GUI BCMA V. 3.0 from a Client PC. Then you can set up the Optional Command Line Parameters using the table provided in the next section. Where your Hosts file (no extension) is located, depends on your system. For example: Microsoft XP or 2000 operating system C:\WinNt\System32\Drivers\Etc. If No Hosts File Exists If the Hosts file does not exist, create one. (Your system may already contain a sample file called hosts.sam.) If you create the file using Notepad, it will automatically save the file with a .txt extension. You can use Microsoft Windows Explorer to rename the file without an extension. If the Hosts File Exists If the Hosts file already exists, do not delete anything. Just add the new information (i.e., the address and the name) at the end of the file. See the examples provided below. If a user only needs access to one BCMA Server and the ServerPort is 9200, add one line to the Hosts file. Use the IP address provided by your Server Administrator. See the example provided below. 152.111.222.333 BrokerServer If the user only needs to access one BCMA Server and the ServerPort is not 9200, add one line to the Hosts file as shown in the example provided above. Then use the table in the next section to set up the Optional Command Line Parameters. If the user needs to access multiple BCMA Servers and/or the ServerPort is not 9200, add the BCMA Server names to the Hosts file. (The names can be anything you like.) See the examples listed below. Then use the table in the next section to set up the Optional Command Line Parameters. 152.111.222.333 BrokerServer1 152.222.333.444 BrokerServer2  Working with GUI BCMA V. 3.0 Setting up Optional Command Line ParametersUse the table provided below to set up the Optional Command Line Parameters. The order that you set up each Parameter is up to your site. However, each Parameter must be continuous, without any spaces. Note: If Parameters S and P are set, they must both be present, or the Client PC will ignore them. Example: Set up for Optional Command Line Parameters ParameterExample (default) Description S= S=BrokerServer The name of the BCMA Broker Server, as defined in the Hosts file. The default is BrokerServer.P=P=9200The server port used by the BCMA Broker Server. The default is 9200.L=L=C:\TempThe DOS path location for the BCMA Error Log file. Any DOS path will work. The default is C:\Temp.T=T=300RPC Broker TimeOut in seconds. This is the amount of time that BCMA V. 3.0 will wait for a response from an RPC on VISTA. If it is not defined, the default value is five minutes. The minimum value is 30 seconds; anything less is ignored. If the VISTA System's CPU utilization is near 100 percent, and frequent timeouts occur in the GUI version of BCMA V. 3.0, you can increase this value. NOTE: The higher the value, the longer BCMA V. 3.0 will appear to hang until the RPC Broker call is complete./NOLOGFILEThis parameter disables the Error Log./DEBUGThis parameter turns on (displays) the BCMA Debug screens.-S A SSilent install. These command line parameters only work on the distribution file. For example: PSB2_0P24.exe -s -a s The silent install will only install the GUI BCMA application, and will not install the GUI BCMA Site Parameters application. At this time, a silent un-install does not exist. Working with the Monthly SAGG Report Setting up the Monthly Batch Job Use the steps listed below to set up your system to run the Monthly Statistical Analysis of Global Growth (SAGG) Report. Note: You do not need to perform the steps listed below if you have already set up the Monthly SAGG Report. To set up the monthly batch job At the Programmers prompt, type D ^XUP, and then press enter to access the menu option for setting up your Monthly SAGG Report. At the Select OPTION NAME: prompt, type EVE, and then press enter. From the list of choices, select Systems Manager Menu, and then press enter. At the Select Systems Manager Menu Option: prompt, type TASKman Management, and then press enter. At the Select Taskman Management Option: prompt, type SCHEDule/Unschedule Options, and then press enter. At the Select OPTION schedule or reschedule: prompt, type PSB SAGG MONTHLY REPORT, and then press enter. At the Are you adding PSB SAGG MONTHLY REPORT as a new OPTION SCHEDULING (the ###)? No// prompt, type Yes, and then press enter. The Edit Option Schedule screen displays. At the QUEUED TO RUN AT WHAT TIME: prompt, type a date and time when you want the report to run, in a VA FileMan format. Then press enter to move to the next prompt. At the DEVICE FOR QUEUED JOB OUTPUT: prompt, press enter (leave this prompt blank). At the QUEUED TO RUN ON VOLUME SET: prompt, type the volume set (CPU) to use for running the monthly batch job. Then press enter to move to the next prompt. At the RESCHEDULING FREQUENCY: prompt, type 1M to run the report on a monthly basis. Then press enter to move to the next prompt. At the TASK PARAMETERS: prompt, press enter (leave this prompt blank). At the SPECIAL QUEUEING: prompt, press enter (leave this prompt blank). At the COMMAND: prompt, type S to save the settings, and then press enter. Your report will print on the same day and time each month (until you specify otherwise). At the COMMAND: prompt, type E to exit the Edit Option Schedule screen. Working with the Monthly SAGG Report Setting up the Monthly Batch Job (cont.)The following example illustrates the set up process for running the SAGG Monthly Report at your site.Example: Set up for SAGG Monthly Report >D ^XUP Setting up programmer environment Terminal Type set to: C-VT320 Select OPTION NAME: EVE 1 EVE Systems Manager Menu 2 EVENT CAPTURE DATA ENTRY ECENTER Event Capture Data Entry 3 EVENT CAPTURE MANAGEMENT MENU ECMGR Event Capture Management Menu 4 EVENT CAPTURE MENU ECMENU Event Capture Menu 5 EVENT CAPTURE ONLINE DOCUMENTA ECDSONL Event Capture Online Documentation Press to see more, '^' to exit this list, OR CHOOSE 1-5: 1 EVE Systems Manager Menu Select Systems Manager Menu Option: TASKman Management Select Taskman Management Option: SCHEDule/Unschedule Options Select OPTION to schedule or reschedule: PSB SAGG MONTHLY REPORT Monthly SAGG Report ...OK? Yes// Working with the Monthly SAGG Report Setting up the Monthly Batch Job (cont.)The example provided below illustrates the prompts (fields) to complete on the Edit Option Schedule screen for running the PSB SAGG Monthly Report at your site.Example: Set up for SAGG Monthly Report (cont.) Edit Option Schedule Option Name: PSB SAGG MONTHLY REPORT Menu Text: Monthly SAGG Report TASK ID: __________________________________________________________________________ QUEUED TO RUN AT WHAT TIME: DEVICE FOR QUEUED JOB OUTPUT: QUEUED TO RUN ON VOLUME SET: RESCHEDULING FREQUENCY: 1M TASK PARAMETERS: SPECIAL QUEUEING: __________________________________________________________________________ Exit Save Next Page Refresh Enter a command or '^' followed by a caption to jump to a specific field. COMMAND: S Press H for help Insert COMMAND: E Press H for help Insert Glossary Learning BCMA V. 3.0 LingoThe alphabetical listing, in this section, is designed to familiarize you with the many acronyms and terms used throughout this guide.Example: Alphabetical Listing of BCMA V. 3.0 Acronyms and Terms Acronym/TermDefinition  Broker Server The M portion of the RPC Broker within the VAs Veterans Health Information Systems and Technology Architecture (VISTA) environment.CHUICharacter-based User Interface.ClientAn architecture in which one computer can get information from another. The Client is the computer that asks for access to data, software, or services.CPRSComputerized Patient Record System. A VISTA software application that allows users to enter patient orders into different software packages from a single application. All pending orders that appear in the Unit Dose and IV packages are initially entered through the CPRS package. Clinicians, Managers, Quality Assurance Staff, and Researchers use this integrated record system.Data DictionaryAlso called DD, the dictionary that contains file attributes.FileManThe VISTA database management system.FTEEFull Time Equivalent Employee.GUIGraphical User Interface. The type of interface chosen for BCMA V. 3.0.IVA medication given intraveneously (within a vein) to a patient from an IV bag. IV types include Admixture, Chemotherapy, Hyperal, Piggyback, and Syringe.JournalingA record of changes made in files and messages transmitted. It is quite useful when recovering previous versions of a file before updates were made, or to reconstruct updates if an updated file gets damaged.KIDSKernel Installation & Distribution System.MSMMicronectics Standard MUMPS.MUMPSMassachusetts General Hospital Utility Multi-Programming System.PRN OrderThe Latin abbreviation for Pro Re Nata. A medication dosage given to a patient on an as needed basis.PSB CPRS MED BUTTONThe name of the security key that must be assigned to nurses who document verbal- and phone-type STAT and NOW (One-Time) medication orders using the CPRS Med Order Button on the BCMA VDL.PSB INSTRUCTORThe name of the security key that must be assigned to nursing instructors, supervising nursing students, so they can access user options within BCMA V. 3.0. Glossary Learning BCMA V. 3.0 Lingo (cont.)The alphabetical listing, in this section, is designed to familiarize you with the many acronyms and terms used throughout this guide.Example: Alphabetical Listing of BCMA V. 3.0 Acronyms and Terms Acronym/TermDefinition  PSB MANAGER The name of the security key that must be assigned to managers so they can access the PSB Manager options within BCMA V. 3.0.PSB STUDENTThe name of the security key that must be assigned to nursing students, supervised by nursing instructors, so they can access user options within BCMA V. 3.0. This key also requires that a nursing instructor sign on to BCMA.RPC Remote Procedure Call. A procedure stored on the VISTA Server, which is executed to return data to the Client. RPC BrokerA Client/Server System within the VAs Veterans Health Information Systems and Technology Architecture (VISTA) environment. It enables client applications to communicate and exchange data with M Servers.Security KeysUsed to access specific options within BCMA V. 3.0 that are otherwise locked without the security key. Only users designated as Holders may access these options.ServerAn architecture in which one computer can get information from another. The Server, which can be anything from a personal computer to a mainframe, supplies the requested data or services to the Client.VDLVirtual Due List. An on-line list used by clinicians when administering active medication orders (i.e., Unit Dose, IV Push, IV Piggyback, and large-volume IVs) to a patient. This is the Main Screen in BCMA V. 3.0. Note: This is called BCMA VDL in this guide to eliminate confusion with the VISTA Documentation Library (VDL) also mentioned in this guide.VISTAVeterans Health Information Systems and Technology Architecture.ZPLZebra Programming Language. APPENDIX A: Sample KIDS Load & Installation >D ^XUP Setting up programmer environment Terminal Type set to: C-VT320 Select OPTION NAME: XPD MAIN Kernel Installation & Distribution System Select Kernel Installation & Distribution System Option: INSTALLation Select Installation Option: ? 1 Load a Distribution 2 Verify Checksums in Transport Global 3 Print Transport Global 4 Compare Transport Global to Current System 5 Backup a Transport Global 6 Install Package(s) Restart Install of Package(s) Unload a Distribution Select Installation Option: 1 Load a Distribution Enter a Host File: PSB_3_0.KID KIDS Distribution saved on Jan 22, 2004@06:00:58 Comment: BAR CODE MED ADMIN V3 This Distribution contains Transport Globals for the following Package(s): PSB 3.0 Distribution OK! Want to Continue with Load? YES// Loading Distribution... PSB 3.0 Use INSTALL NAME: PSB 3.0 to install this Distribution. APPENDIX A: Sample KIDS Load & Installation Select Installation Option: ? 1 Load a Distribution 2 Verify Checksums in Transport Global 3 Print Transport Global 4 Compare Transport Global to Current System 5 Backup a Transport Global 6 Install Package(s) Restart Install of Package(s) Unload a Distribution Select Installation Option: 6 Install Package(s) Select INSTALL NAME: PSB 3.0 Loaded from Distribution 1/22/04@06:44:48 => BAR CODE MED ADMIN V3 ;Created on Jan 22, 2004@06:00:58 This Distribution was loaded on Jan 22, 2004@06:44:48 with header of BAR CODE MED ADMIN V3 ;Created on Jan 22, 2004@06:00:58 It consisted of the following Install(s): PSB 3.0 Checking Install for Package PSB 3.0 Install Questions for PSB 3.0 Incoming Files: 53.66 BCMA IV PARAMETERS Note: You already have the 'BCMA IV PARAMETERS' File. 53.68 BCMA MISSING DOSE REQUEST Note: You already have the 'BCMA MISSING DOSE REQUEST' File. 53.69 BCMA REPORT REQUEST Note: You already have the 'BCMA REPORT REQUEST' File. 53.78 BCMA MEDICATION VARIANCE LOG Note: You already have the 'BCMA MEDICATION VARIANCE LOG' File. 53.79 BCMA MEDICATION LOG Note: You already have the 'BCMA MEDICATION LOG' File. Want KIDS to Rebuild Menu Trees Upon Completion of Install? YES// NO Want KIDS to INHIBIT LOGONs during the install? YES// NO Want to DISABLE Scheduled Options, Menu Options, and Protocols? YES// NO 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// GENERIC INCOMING TELNET APPENDIX A: Sample KIDS Load & Installation Install Started for PSB 3.0 : Jan 22, 2004@06:45:58 Build Distribution Date: Jan 22, 2004 Installing Routines: Jan 22, 2004@06:45:59 Installing Data Dictionaries: Jan 22, 2004@06:46 Installing PACKAGE COMPONENTS: Installing SECURITY KEY Installing FORM Installing HL LOGICAL LINK Installing HL7 APPLICATION PARAMETER Installing PROTOCOL Installing REMOTE PROCEDURE Installing LIST TEMPLATE Installing OPTION Installing PARAMETER DEFINITION Installing PARAMETER TEMPLATE Jan 22, 2004@06:46:05 Updating Routine file... Updating KIDS files... PSB 3.0 Installed. Jan 22, 2004@06:46:06 Install Message sent #160672 ---------------------------------------------------------------------------- +------------------------------------------------------------+ 100% 25 50 75 Complete +------------------------------------------------------------+     May 2019 BCMA V. 3.0 Installation Guide  PAGE 17 May 2019 BCMA V. 3.0 Installation Guide  PAGE i  PAGE ii BCMA V. 3.0 Installation Guide May 2019  PAGE 14 BCMA V. 3.0 Installation Guide May 2019 May 2019 BCMA V. 3.0 Installation Guide  PAGE 1  PAGE 4 BCMA V. 3.0 Installation Guide May 2019  PAGE 12 BCMA V. 3.0 Installation Guide May 2019 May 2019 BCMA V. 3.0 Installation Guide  PAGE 15  PAGE 16 BCMA V. 3.0 Installation Guide May 2019  PAGE 22 BCMA V. 3.0 Installation Guide May 2019 May 2019 BCMA V. 3.0 Installation Guide  PAGE 23  PAGE 24 BCMA V. 3.0 Installation Guide May 2019 May 2019 BCMA V. 3.0 Installation Guide  PAGE 25 May 2019 BCMA V. 3.0 Installation Guide  PAGE 27  PAGE 28 BCMA V. 3.0 Installation Guide May 2019 May 2019 BCMA V. 3.0 Installation Guide  PAGE 29  PAGE 30 BCMA V. 3.0 Installation Guide May 2019 May 2019 BCMA V. 3.0 Installation Guide  PAGE 35  PAGE 38 BCMA V. 3.0 Installation Guide May 2019 Department of Veterans Affairs VISTA Health Systems Design & Development tip: The BCMA Virtual Due List (VDL) is called BCMA VDL in this guide to eliminate confusion with the VISTA Documentation Library (VDL) also mentioned in this guide.  tip: You can double click on the PRN Effectiveness Activity in the BCMA Clinical Reminders marquee to document ALL PRN medication orders needing effectiveness documentation.  tip: BCMA is designed to augment, not replace, the clinical judgment of the medication administrator, or clinician.  tip: Discontinued and expired orders, with a Stop date/time greater than 72 hours from NOW, will not display on the VDL even if an infusing or stopped bag exists on the order.  tip: Bookmark these sites for future reference.  tip: Bookmark these sites for future reference.  tip: Bookmark these sites for future reference.  tip: Bookmark these sites for future reference.  tip: In a CHUI environment, when you press enter, instead of typing a response, the system accepts the default value shown to the left of the double slash (//) at a prompt or a field.  tip: In a CHUI environment, when you press the ENTER key, instead of typing a response, the system accepts the default value shown to the left of the double slash (//) at a prompt or field.  tip: In a CHUI environment, when you press the ENTER key, instead of typing a response, the system accepts the default value shown to the left of the double slash (//) at a prompt or field.  DEVICE FOR QUEUED JOB OUTPUT: RESCHEDULING FREQUENCY: 1M tip: In a CHUI environment, you can exit a menu option by typing a caret (^), then pressing enter. A caret is sometimes called Up-Arrow.  important: You should install and test BCMA in your test accounts before installing in your production accounts.  tip: The approximate size for ^PSB was calculated using a normal medication pass for a Unit Dose and an IV medication order. This is only an estimated number; it serves as the mean.  tip: The namespace for the BCMA package is PSB and the primary global is ^PSB.  tip: Performing the steps in this section will help to ensure that GUI BCMA runs smoothly from a Client PC.  tip: See Attachment A to view a sample of a KIDS load and installation.  important: You should install and test BCMA in your test accounts before installing in your production accounts.  tip: You can use BCMA V. 3.0 to upgrade an earlier version of BCMA, or you can install BCMA V. 3.0 without previous versions being installed.  tip: You must have at least one space between the address and the name. 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