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VA Code in Flight Submission - Existing Product Intake Program (EPIP) 2.0 NUR*4.0*45
Please use this identifier to cite or link to this publication: http://hdl.handle.net/10909/11157
Submitted by OI&T EPMO Lean Systems Engineering Open Source Coordination Office on 09-29-2017.
NUR*4.0*45 patch provides the following enhancements to VistA:

- 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 included or excluded from the Nursing End of Shift Report using the parameter NUR EOS REPORT REMOVE ATT NUMS. This parameter enables each site to determine whether Attending Physician contact numbers will display on the report. The patch is delivered with this parameter set to NULL (NO), so Attending Physician contact numbers are displayed by default. To hide the Attending Physician contact numbers, set this parameter to YES using XPAR MENU TOOLS in VistA. Excluding contact information for the Attending Physician eliminates confusion for staff who must contact a Resident or On Call Physician for patient care issues.

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