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Update _2_0_147
Clinical Reminders
VA-AES ACUTE INPATIENT NSG ADMISSION SCREEN
Install Guide
July 2020
Product Development
Office of Information Technology
Department of Veterans Affairs
July 2020 Update _2_0_ 147 Install Guide ii
Table of Contents Introduction ............................................................................................................................1
Pre-Install ................................................................................................................................8
Install Details...........................................................................................................................8
Install Example .......................................................................................................................8
Post Installation..................................................................................................................... 12
July 2020 Update _2_0_ 147 Install Guide 1
Introduction
The purpose of the VA Approved Enterprise Standard (VAAES) Acute Inpatient NSG
Admission Screening is to create and implement a standardized nursing admission screening
note within all inpatient acute settings (med-surg, telemetry, intermediate care, intensive care*,
and acute rehabilitation) with a corresponding Standard Operating Procedure to guide nursing
practice.
This release contains the reminder dialog VA-AES ACUTE INPATIENT NSG ADMISSION
SCREEN. National health factors were developed to promote uniformity of data, and facilitation
of reports to meet directives, policies, mandates, and regulatory metrics that support the
characteristics of a high reliability organization. A complete list of health factors and the
corresponding text within the VA-AES ACUTE INPATIENT NSG ADMISSION SCREEN can
be found at the following link:
VAAES Acute Inpatient Nsg Admission Screen Health Factor Spreadsheet.
The content is based on the Acute Care Delivery (ACD) Essential Data Set (EDS) and a
prototype developed and piloted at North Florida South Georgia Medical Center. The content
has been vetted across RAPID, IPEC, Behavioral Health, Dietary, Social Work, Chaplain,
Ethics, Infection Control/Prevention, Skin/Wound, Safe Patient Handling, National Falls
Workgroup (NCPS), DOD, and multiple consulting stakeholders.
The screening template must be implemented in the production environment by all inpatient
acute (med-surg, telemetry, intermediate care, intensive care, and acute rehabilitation settings) no
later than Monday, August 10th..
* Special Instruction Intensive Care Units:
The VAAES Acute Inpatient Nsg Admission Screen note is mandatory for all ICUs regardless if
currently using CIS product.
• The template may not be changed or revised at the local level except for local elements
identified in post-install instructions.
• Requests to add elements to the note must go through the approval process outlined in the
SOP.
Please Note: The corresponding national nursing admission and shift physical assessment will
be released in a future update and is not included with this release. Until which time, the current
COVID – 19 ACUTE INPATIENT NSG SHIFT ASSESSMENT section should continue to be
used.
Nursing Feedback Q & A Tracker
ONS SharePoint- PowerPoint, Video File, Scales & Tools, SOP
July 2020 Update _2_0_ 147 Install Guide 2
UPDATE_2_0_147 contains 1 Reminder Exchange entry:
UPDATE_2_0_147 VA-AES ACUTE INPATIENT NSG ADMISSION SCREEN
The exchange file contains the following components:
TIU TEMPLATE FIELD
VA-NURSE Q&A EMAIL
VA-CDC TRAVELERS HEALTH
VA-CDC TRAVEL HEALTH NOTICES
VA-TRAVEL SYMPTOM GUIDE
ETHICS URL
WORD 2 LINES
VA-INFO MED REVIEW
WORD 2 LINES1 REQ
GEN WORD PROCESSING
00 EDIT BOX 30 REQ
HEALTH FACTORS
VA-REMINDER UPDATES
VA-UPDATE_2_0_147
VA-VAAES VISITOR INFO
VA-VAAES VISITOR INFO PASSCODE OPT OUT
VA-VAAES VISITOR INFO PASSCODE UNABLE
VA-VAAES VISITOR INFO PASSCODE PROVIDED
VA-VAAES VISITOR INFO RESTRICT-YES
VA-VAAES VISITOR INFO PRIME SUPPORT-YES
VA-VAAES VISITOR INFO SCREEN
VA-VAAES EDUCATION NEEDS
VA-VAAES EDU LRN STYLE-CAREGIVER
VA-VAAES EDU LRN STYLE-OTHER
VA-VAAES EDU LRN STYLE-VIDEO
VA-VAAES EDU LRN STYLE-VERBAL
VA-VAAES EDU LRN STYLE-PRINTED MAT
VA-VAAES EDU LRN STYLE-DEMO
VA-VAAES EDU LRN STYLE-NONE
VA-VAAES EDU BARRIER LIT
VA-VAAES EDU BARRIER UNABLE TO ASSESS
VA-VAAES EDU BARRIER SOCIO
VA-VAAES EDU BARRIER SENSORY
VA-VAAES EDU BARRIER PHYSICAL
VA-VAAES EDU BARRIER DESIRE
VA-VAAES EDU BARRIER EMOTIONAL
VA-VAAES EDU BARRIER CUL/REL
VA-VAAES EDU BARRIER COMM
VA-VAAES EDU BARRIER COG
VA-VAAES EDU NEED SCREEN
July 2020 Update _2_0_ 147 Install Guide 3
VA-VAAES ANT DC NEEDS
VA-VAAES ANT DC TRANS MTD-AMB
VA-VAAES ANT DC TRANS MTD-PUBLIC TRANS
VA-VAAES ANT DC TRANS MTD-W/C VAN
VA-VAAES ANT DC TRANS MTD-CAB/RIDE SHA
VA-VAAES ANT DC TRANS MTD-PRIVATE VEHC
VA-VAAES ANT DC LIV SIT-NON VA LTC
VA-VAAES ANT DC LIV SIT-VA LTC/SNF/RHB
VA-VAAES ANT DC LIV SIT-HMELES/SHLTR
VA-VAAES ANT DC LIV SIT-OTHER
VA-VAAES ANT DC LIV SIT-FAM/FRIEND
VA-VAAES ANT DC LIV SIT-HOME
VA-VAAES ANTICIPATED DC SCREEN
VA-VAAES SPIRITUAL
VA-VAAES SPIRITUAL SCREEN-YES
VA-VAAES SPIRITUAL SCREEN
MST CATEGORY
MST YES REPORTS
VA-VAAES PTSD/MST
VA-VAAES MST PREFER NO PREFERENCE
VA-VAAES SUICIDE
VA-VAAES MST PREFER MALE
VA-VAAES MST PREFER FEMALE
VA-VAAES PTSD/MST SCREENING
VA-VAAES ABUSE COERCION SCREEN-YES
VA-VAAES ABUSE SAFETY SCREEN-YES
VA-VAAES ABUSE PRE-SCREEN
VA-SUICIDE RISK EVALUATION TYPE [C]
VA-SUICIDE RISK UPDATE EVALUATION
VA-SUICIDE RISK NEW EVALUATION
VA-ED TRIAGE [C]
VA-ED TRIAGE SI UNABLE TO ANSWER
VA-VAAES SUICIDE CSSRS 1:1
VA-VAAES SUICIDE CSSRS WARM HAND OFF
VA-VAAES SUICIDE SCREEN
VA-VAAES RISK
VA-VAAES RISK SUB ABUSE OPIOID
VA-VAAES RISK SUB ABUSE CURRENT
ONS TOBACCO USE SCREEN
ONS TOBACCO USE CURRENT
VA-VAAES RISK ALCOHOL SEIZURE HX-YES
VA-VAAES RISK ALCOHOL WITHDRAW HX-YES
VA-VAAES RISK ALCOHOL DT HX-YES
VA-VAAES RISK ALCOHOL-YES
VA-VAAES RISK SCREEN
ONS AA MRSA
July 2020 Update _2_0_ 147 Install Guide 4
ONS AA MRSA SWAB YES
ONS AA MRSA SWAB AGREEMENT YES
ONS AA MRSA INFO YES
VA-VAAES ID RISK
VA-VAAES ID ISO-OTHER
VA-VAAES ID ISO-PROTECTIVE
VA-VAAES ID ISO-ENHANCED BARRIER
VA-VAAES ID ISO-DROPLET
VA-VAAES ID ISO-CONTACT PLUS
VA-VAAES ID ISO-CONTACT
VA-VAAES ID ISO-AIRBORNE
VA-VAAES ID SYMP-SOB
VA-VAAES ID SYMP-WHEEZING
VA-VAAES ID SYMP-COUGH
VA-VAAES ID SYMP-FEVER
VA-VAAES ID SYMP-WEAKNESS
VA-VAAES ID SYMP-UNT WEIGHT LOSS
VA-VAAES ID SYMP-SORE THROAT
VA-VAAES ID SYMP-STIFF NECK
VA-VAAES ID SYMP-RHINORRHEA
VA-VAAES ID SYMP-RASH
VA-VAAES ID SYMP-PHOTOPHOBIA
VA-VAAES ID SYMP-NIGHT SWEAT
VA-VAAES ID SYMP-NV
VA-VAAES ID SYMP-HEMOPTYSIS
VA-VAAES ID SYMP-HA
VA-VAAES ID SYMP-FATIGUE
VA-VAAES ID SYMP-DIARRHEA
VA-VAAES ID SYMP-CONJUNCTIVITIS
VA-VAAES ID SYMP-CHILLS
VA-VAAES ID SYMP-ARTHRALGIA
VA-VAAES ID SYMP-ABDOMINAL
VA-VAAES ID SYMP-ABCESS
VA-VAAES ID SYMP-NONE
VA-VAAES ID HX MDRO-VRE
VA-VAAES ID HX MDRO-MRSA
VA-VAAES ID HX MDRO-ESBL
VA-VAAES ID HX MDRO-CRE
VA-VAAES ID HX MDRO-C DIFF
VA-VAAES ID HX MDRO-C AURIS
VA-VAAES ID TRAVEL SCREEN EXP TB
VA-VAAES ID TRAVEL SCREEN EXP NONE
VA-VAAES ID TRAVEL SCREEN EXP OTHER
VA-VAAES ID TRAVEL SCREEN EXP MEASLES
VA-VAAES ID TRAVEL SCREEN EXP CHX POX
VA-VAAES ID TRAVEL SCREEN EXP COVID19
July 2020 Update _2_0_ 147 Install Guide 5
VA-VAAES ID TRAVEL SCREEN EXP FEBRILE
VA-VAAES ID TRAVEL SCREEN OUT USA-YES
VA-VAAES ID TRAVEL SCREEN IN USA-YES
VA-VAAES ID SCREEN
VA-VAAES GEN INFO-ACUTE REHAB
VA-VAAES GEN INFO AMBULATE-NON AMB
VA-VAAES GEN INFO AMBULATE-TOTAL ASSIST
VA-VAAES GEN INFO AMBULATE-PART ASSIST
VA-VAAES GEN INFO AMBULATE-IND
VA-VAAES GEN INFO CAREGIVER-OTHER
VA-VAAES GEN INFO CAREGIVER-WOUND CARE
VA-VAAES GEN INFO CAREGIVER-TRANSFERS
VA-VAAES GEN INFO CAREGIVER-TOILETING
VA-VAAES GEN INFO CAREGIVER-F/U APPT
VA-VAAES GEN INFO CAREGIVER-SAFETY
VA-VAAES GEN INFO CAREGIVER-REPOSITION
VA-VAAES GEN INFO CAREGIVER-MED MGT
VA-VAAES GEN INFO CAREGIVER-MED ADMIN
VA-VAAES GEN INFO CAREGIVER-MEALS
VA-VAAES GEN INFO CAREGIVER-HYGIENE
VA-VAAES GEN INFO CAREGIVER-DRESSING
VA-VAAES GEN INFO CAREGIVER-BATHING
VA-VAAES GEN INFO ACUTE REHAB
VA-VAAES GEN INFO ACUTE REHAB-ENVIRON
VA-VAAES GEN INFO ACUTE REHAB-COG IMP
VA-VAAES GEN INFO
VA-VAAES GEN INFO SENS DEF-HEARING
VA-VAAES GEN INFO SENS DEF-SENSORY
VA-VAAES GEN INFO SENS DEF-SPEECH
VA-VAAES GEN INFO SENS DEF-VISUAL
VA-VAAES GEN INFO SENS DEF-OTHER
VA-VAAES GEN INFO SENSORY DEFICIT
VA-VAAES GEN INFO PL-OTHER
VA-VAAES GEN INFO PL-OTHER-TELE LINE
VA-VAAES GEN INFO PL-OTHER-PT DEC
VA-VAAES GEN INFO PL-OTHER-VIDEO
VA-VAAES GEN INFO PL-OTHER-INPERSON
VA-VAAES GEN INFO PL-SIGN LAN-PT DEC
VA-VAAES GEN INFO PL-SIGN LAN-VIDEO
VA-VAAES GEN INFO PL-SIGN LAN-INPERSON
VA-VAAES GEN INFO PL-SIGN LAN
VA-VAAES GEN INFO PL-SPANISH
VA-VAAES GEN INFO PL-ENGLISH
VA-VAAES GEN INFORMATION
VA-VAAES ADV DIR
VA-VAAES ADV DIR REQUEST-YES
July 2020 Update _2_0_ 147 Install Guide 6
VA-VAAES ADV DIR NOTIFICATION GIVEN
VA-VAAES ADV DIR SCREEN
VA-VAAES NUTRITION
VA-VAAES NUTRITION EATING-UNSURE
VA-VAAES NUTRITION EATING-NO
VA-VAAES NUTRITION EATING-YES (1)
VA-VAAES NUTRITION LOST WGHT->15 (4)
VA-VAAES NUTRITION LOST WGHT-11-15 (3)
VA-VAAES NUTRITION LOST WGHT-6-10 (2)
VA-VAAES NUTRITION LOST WGHT-1-5 (1)
VA-VAAES NUTRITION LOST WGHT-<1KG
VA-VAAES NUTRITION LOST WGHT-NA
VA-VAAES NUTRITION LOST WGHT-UN (2)
VA-VAAES NUTRITION LOST WGHT-NO
VA-VAAES NUTRITION LOST WGHT-YES
HOMELESSNESS SCREENING
REFERRED TO SOCIAL WORK FOOD
VA-VAAES NUTRITION SPECIAL NEEDS
VA-VAAES NUTRITION TUBE FEEDING REQ
VA-VAAES NUTRITION SCREEN
VA-VAAES MEDICATION REVIEW
VA-VAAES MED REVIEW-UNABLE
VA-VAAES MED REVIEW-PHARM NOTIFIED
VA-VAAES MED REVIEW-PROV NOTIFIED
VA-VAAES MED REVIEW-NURSE Q5
VA-VAAES MED REVIEW-NURSE Q4
VA-VAAES MED REVIEW-NURSE Q3
VA-VAAES MED REVIEW-NURSE Q2
VA-VAAES MED REVIEW-NURSE Q1
VA-VAAES MED REVIEW-NURSE
VA-VAAES MED REVIEW-OTHER
VA-VAAES MED REVIEW-PROVIDER
VA-VAAES MED REVIEW-PHARMACIST
VA-VAAES MED REVIEW-PHARM TECH
VA-VAAES MED REVIEW
VA-VAAES ALLERGY REVIEW
VA-VAAES ALG CHG PHARM NOTIFIED-NURSE
VA-VAAES ALG CHG PROV NOTIFIED-NURSE
VA-VAAES ALG CHG PHARM CONSULT-NURSE
VA-VAAES ALG CHANGES REQ-NURSE
VA-VAAES ALG PT UNABLE TO REVIEW-NURSE
VA-VAAES ALG-NURSE CONFIRMED
VA-VAAES ALG REVIEW-NURSE
VA-VAAES ALG REVIEW-OTHER
VA-VAAES ALG REVIEW-PROVIDER
VA-VAAES ALG REVIEW-PHARMACIST
July 2020 Update _2_0_ 147 Install Guide 7
VA-VAAES ALG REVIEW-PHARM TECH
VA-VAAES ALG REVIEW
REMINDER SPONSOR
Mental Health Services and Women Veterans Health Program
Office of Mental Health Services
Mental Health Services
Office of Nursing Service
REMINDER TERM
VA-REMINDER UPDATE_2_0_147
VA-MST POSITIVE REPORT
VA-C-SSRS DONE TODAY POSITIVE QUESTION 8
VA-C-SSRS DONE TODAY POSITIVE QUESTION 5
VA-C-SSRS DONE TODAY POSITIVE QUESTION 4
VA-C-SSRS DONE TODAY POSITIVE QUESTION 3
VA-BL C-SSRS DONE TODAY POSITIVE
VA-BL C-SSRS DONE TODAY
REMINDER DEFINITION
VA-BL C-SSRS DONE TODAY POSITIVE
HEALTH SUMMARY TYPE
HST PASSCODE
VA-CSRE DONE TODAY
HST VA 6M WEIGHTS
HST MED RECON
HST ALLERGY
HEALTH SUMMARY OBJECTS
HSO PASSCODE
VA-CSRE DONE TODAY (TIU)
HSO VA 6M WEIGHTS
HSO MED RECON
HSO ALLERGY
TIU DOCUMENT DEFINITION
VA-ADM PASSCODE
VA-CSRE DONE TODAY
VA-WEIGHT (6M)
VA-MED REC
VA-ALLERGY REV
REMINDER DIALOG
VA-AES ACUTE INPATIENT NSG ADMISSION SCREEN
July 2020 Update _2_0_ 147 Install Guide 8
Pre-Install
1. Sites may want to print out an inquiry to the VA-COVID-19 NSG ADMISSION AND
SHIFT ASSESSMENT dialog or check for quick orders in the VA-COVID-19 NSG
ADMISSION AND SHIFT ASSESSMENT dialog and have those available when
installing this dialog. Below are the names of the elements you can check for quick
orders:
OI-COVID NSG CONSULT SOC WORK
OI-COVID NSG CONSULT CHAPLAIN
OI-COVID NSG CONSULT DIETITIAN
2. Sites may want to print out an inquiry to the VA-COVID-19 NSG ADMISSION
SCREENING AND SHIFT ASSESSMENT dialog or check local groups and elements
for local content and have the sequence items available for post install. Local content
may have been added to the reminder group VAL-COVID NSG LOCAL CONTENT
GROUP. 3. This template includes a travel symptom guide that is locally editable. This is a TIU template
field named VA-TRAVEL SYMPTOM GUIDE. Please review and save. Please Note: You
may add additional information (such as telephone extension) but do not change any of the
existing content.
Install Details
This update is being distributed as a web host file. The address for the host file is:
https://vaww.va.gov/reminders/docs/UPDATE_2_0_147.PRD
The file will be installed using Reminder Exchange, programmer access is not required.
Installation:
=============
This update can be loaded with users on the system. Installation will take less than 30 minutes.
Install Example
July 2020 Update _2_0_ 147 Install Guide 9
To Load the Web Host File. Navigate to Reminder exchange in Vista
At the Select Action: prompt, enter LWH for Load Web Host File. At the Input the url for the
.prd file: prompt, type the following web address:
https://vaww.va.gov/reminders/docs/UPDATE_2_0_147.PRD
You should see a message at the top of your screen that the file loaded successfully
Search and locate an entry titled UPDATE_2_0_147 VA-AES ACUTE INPATIENT NSG
ADMISSION SCREEN in reminder exchange.
At the Select Action prompt, enter IFE for Install Exchange File Entry
Enter the number that corresponds with your entry UPDATE_2_0_147 VA-AES ACUTE
INPATIENT NSG ADMISSION SCREEN (in this example it is entry 186 it will vary by site).
The date of the exchange file should be 07/14/2020.
July 2020 Update _2_0_ 147 Install Guide 10
At the Select Action prompt, type IA for Install all Components and hit enter.
Select Action: Next Screen// IA Install all Components
You will see several prompts, for all new entries you will choose I to Install
For any existing items, you will choose O to Overwrite.
You will be promped to install the reminder dialog component – You will choose to install
all even though some components may have an X to indicate that they exist.
At the Select Action prompt, type IA to install the dialog – VA-AES ACUTE INPATIENT
NSG ADMISSION SCREEN
Select Action: Next Screen// IA Install All
Install reminder dialog and all components with no further changes: Y// Yes
July 2020 Update _2_0_ 147 Install Guide 11
After completing this dialog install, you will type Q.
You will then be prompted to install the health summary components, choose I to install all new
components.
For any existing items, you will choose S to Skip.
You will then be returned to this screen. At the Select Action prompt, type Q.
Install complete.
July 2020 Update _2_0_ 147 Install Guide 12
Post Installation
1. Enable the dialog(s) to be attached to a progress note title.
From the Reminders Manager Menu:
Select Reminder Managers Menu Option: CP CPRS Reminder Configuration
CA Add/Edit Reminder Categories
CL CPRS Lookup Categories
CS CPRS Cover Sheet Reminder List
MH Mental Health Dialogs Active
PN Progress Note Headers
RA Reminder GUI Resolution Active
TIU TIU Template Reminder Dialog Parameter
DL Default Outside Location
PT Position Reminder Text at Cursor
Select CPRS Reminder Configuration Option: TIU TIU Template Reminder Dialog
Parameter
Reminder Dialogs allowed as Templates may be set for the following:
1 User USR [choose from NEW PERSON]
3 Service SRV [choose from SERVICE/SECTION]
4 Division DIV [choose from INSTITUTION]
5 System SYS [NATREM.FO-SLC.MED.VA.GOV]
Enter selection: 5 Choose the appropriate number for your site. Your site may do this by
System or other levels. The example below uses SYSTEM level
Setting Reminder Dialogs allowed as Templates for System:
Select Display Sequence: ?
148 VA-VETERANS CHOICE NOTE
149 VA-TBI SCREENING
When you type a question mark above, you will see the list of #’s (with dialogs) that are
already taken. Choose a number NOT on this list. For this example, looking above I see
the number 150 is not present, so I will use 150.
Select Display Sequence: 150
Are you adding 150 as a new Display Sequence? Yes// Y YES
Display Sequence: 150// <Enter>
Clinical Reminder Dialog: VA-AES ACUTE INPATIENT NSG ADMISSION
SCREEN reminder dialog NATIONAL
OK? Yes// <Enter>
2. Create the following local note title: VAAES ACUTE INPATIENT NSG ADMISSION
SCREEN. Map it to the VHA Enterprise Standard Title of NURSING ADMISSION
EVALUATION NOTE.
July 2020 Update _2_0_ 147 Install Guide 13
Note: Comprehensive information on Creating Document Definitions can be found beginning
on page 47 of the TIU/ASU Implementation Guide.
3. Place the dialog in the Document Title section of Shared Templates and associate the new
reminder dialog with the new progress note title.
To do this, navigate to the Template Editor, Shared Templates, then Document Titles.
Select the appropriate folder (if applicable), and choose New Template (top right-hand
corner).
Type in the following information:
Name: VAAES ACUTE INPATIENT NSG ADMISSION SCREEN
Template Type: Reminder Dialog
Reminder Dialog: VA-AES ACUTE INPATIENT NSG ADMISSION SCREEN
Associated Title: VAAES ACUTE INPATIENT NSG ADMISSION SCREEN
Then click Apply.
Add reminder dialog VA-AES ACUTE INPATIENT NSG ADMISSION SCREEN as a
stand- alone in Shared Templates. To do this, navigate to the Template Editor, Shared
Templates. Select the appropriate folder(s), choose New Template (top right-hand corner).
July 2020 Update _2_0_ 147 Install Guide 14
Type in the following information:
Name: VAAES ACUTE INPATIENT NSG ADMISSION SCREEN
Template Type: Reminder Dialog
Reminder Dialog: VA-AES ACUTE INPATIENT NSG ADMISSION SCREEN
Then click Apply.
4. Review local dialog elements contained within the reminder dialog. Add any quick
orders/order menus to your dialogs as needed. Please note, these are local dialog elements
that allow you to change the text to accurately reflect your local process or to disable, if
appropriate.
a. Map your local social work consult quick order (or update text to reflect local
process) to OI- NSG CONSULT SOC WORK element.
b. Map your local Chaplain Consult order (or update text to reflect local process) to the
reminder element OI-NSG CONSULT CHAPLAIN.
July 2020 Update _2_0_ 147 Install Guide 15
c. Review VAL-NSG CONSULT TEXT PSYCHOSOCIAL CHAPLAN. Contains
instructional text for placing Chaplain Consult. Update text or DISABLE as
appropriate to reflect your local process.
d. Map your local Dietitian Consult order (or update text to reflect local process) to the
reminder element OI-NSG CONSULT DIETITIAN.
e. Review VAL-GP NSG DIETITIAN CONSULT OPTION - update instruction for
positive malnutrition screen, if entering a consult is not your local process.
f. VAL-NSG ADM ALLERGY CONS TO PHARM – Map your Pharmacy Consult
order if this is your local process, otherwise DISABLE this element.
g. VAL-NSG ADM MEDS DONE CONS TO PHARM – Map your Pharmacy
Consult order if this is your local process, otherwise DISABLE this element.
h. VAL-NSG ADM RISK ETOH INTERESTED PROVIDER NOTIF – can be
disabled if does not reflect your local process.
i. VAL-NSG ADM RISK ETOH INTERESTED SW MH CONS – Map the
appropriate consult order. May update text to reflect local process or disable if
appropriate. Please Note: Do not disable both VAL-NSG ADM RISK ETOH
INTERESTED PROVIDER NOTIF and VAL-NSG ADM RISK ETOH INTERESTED
SW MH CONS. At least one needs to remain available for selection and reflect your
current process.
5. Review TIU template field VA-TRAVEL SYMPTOM GUIDE (Optional). You may add
additional information (such as telephone extension) but do not change any of the existing
content such as the precaution types including the precautionary names.
July 2020 Update _2_0_ 147 Install Guide 16
6. Populate local reminder dialog group VAL-NSG LOCAL CONTENT GROUP if needed.
(Optional)
NOTE: The content within VA-AES ACUTE INPATIENT NSG ADMISSION
SCREEN dialog must not be changed or revised at the local level in a way that would
alter and/or eliminate the essential content. While it is highly discouraged, facilities
can add additional screening elements to the dialog. VA medical facilities must
ensure that added content does not negatively affect system performance. All added
content must go through the following approval process:
a. Approval of the proposed added content by the facility’s nursing leadership (i.e.
Nurse Executive Board).
b. Submit nursing leadership approval memo with Associate Director of Patient Care Services
signature, including the proposed change and reason for change to
c. Changes should only be implemented after approval by ONS/ONI via confirmation from
7. NOTE: This step should only be completed by sites that have the Basic TIU Parameter
Blank Character String set to “***”. If your site uses a different character string, skip this
step. Please coordinate any changes with your local QVS (Quality Safety Value) Staff
responsible for performance measurement. If your site has the Basic TIU Parameter Blank
Character String set to “***”, you will not be able to utilize the allergy and medication
health summary (HS) objects that are located in the Allergy/Adverse Reactions Review
section and the Medication Review section of this template. You will have to insert local
objects.
a. Edit the element VAL-NSG ADM SCREEN ALLERGY DATA OBJECT and
replace the HS object VA-ALLERY REV with a locally created object that displays
documented allergies. The local HS object MUST INCLUDE Local and Remote
allergies AND must include the name of the allergy/adverse reaction.
If you are unable to provide local HS object that contain the keys elements, you
will need to complete the following steps:
• Insert text stating what is missing from the list. (Example: CAUTION does
not include remote allergies)
July 2020 Update _2_0_ 147 Install Guide 17
• Notify VHA Med Info Standards - [email protected]
b. Edit the element VAL-NSG ADM MEDICATION LIST and replace the HS object
VA-MED REC with a locally created object that displays medication lists. The
local HS object(s) MUST INCLUDE:
• Medication name and prescription sig (Example: Lovastatin 40 mg two pills
in the am)
• Active and pending inpatient medications
• Active outpatient and clinic medications
• Active remote medications
• Non-VA local medications
• 90 to 180 days of expired medications
• 90 to 180 days of discontinued medications
If you are unable to provide local object(s) that contain the keys elements, you will
need to complete the following steps:
• Insert text stating what is missing from the list. Example: CAUTION does not
include 90 days expired medications
• Notify VHA Med Info Standards - [email protected]
NOTE: If there are any questions or problems during the installation, please notify your local IT
support to log a national help desk ticket or contact the VA Service Desk and have them submit a
national ticket to:
Category: Affected Service
Affected Service: VistA – CPRS: Clinical Reminders