STEMI-2017/C2/AorB-Hospital-data-entry/English

Topic: A/B Hospital data entry.

Contributor Name: Jerry David, STEMI Team, Coimbatore

Reviewed by: Nancy Varkey, Spoken Tutorial Project, IIT Bombay

Keywords: STEMI, STEMI App, A/B Hospital data entry on STEMI App

VISUAL CUE	NARRATION
Show title slide A/B Hospital Data Entry	Hello and welcome to this tutorial on A/B Hospital data entry.
Show Learning Objectives Slide	In this tutorial, we will learn to – Complete the data entry of a new patient on the STEMI App at the time of direct admission to an A/B Hospital.
Show System Requirements Slide	To practice this tutorial, you will need – An Android tablet with STEMI App installed on it and A working Internet connection
Pre - requisite slide	You will also need to have working knowledge of the STEMI device and the STEMI App. If not, please refer to the STEMI tutorial series on this website.
Next page Contact Details	Earlier, we learnt how to complete the data entry under Patient details, till the Contact Details page.
Thrombolysis	In the A/B Hospital Data Entry, the App will take us to the next page, which is Thrombolysis.
Graphic: Show a patient at the reception of a hospital Show Cath Labs	In A Hospital - A patient goes through Thrombolysis if the Cath Labs in the Hub hospital are not available and that he/she has presented without having Thrombolysis done. In B Hospital - A patient goes through Thrombolysis if he/she arrives to the Hub Hospital after PCI Hours and has presented without having Thrombolysis done.
Under Thrombolysis Medication Prior to Thrombolysis	Under Thrombolysis, first we have Medication Prior to Thrombolysis.
Check Yes for the following- Aspirin 325 mg: If Yes Dosage: 325 mg Date: 21/1/2016 Time: 6:57 am Clopidogrel: If Yes Dosage: 300 mg Date: 21/1/2016 Time: 6:59 am Unfractionated Heparin: If Yes Dosage: 60 U/kg Date: 21/1/2016 Time: 7:01 am LMW Heparin: If Yes Dosage: 120 mg Date: 21/1/2016 Time: 7:03 am Ticagrelor: If Yes Dosage: 180 mg Date: 21/1/2016 Time: 7:05 am	Based on the medications administered to the patient while in the hospital, check Yes for the following- Aspirin 325 mg: If Yes Dosage: 325 mg Date: and Time: Clopidogrel: If Yes Dosage: 300 mg Date: and Time: Unfractionated Heparin: If Yes Dosage: 60 U/kg Date: and Time: LMW Heparin: If Yes Dosage: 120 mg Date: and Time: Ticagrelor: If Yes Dosage: 180 mg Date: and Time:
Narration only	Please note: The above doses and selection of medications are an example meant for demo purposes. Administer drugs as per patient condition and treatment modalities.
Select the Save & Continue button Buffering sign is seen	Select the Save & Continue button at the bottom of the page. Please wait if buffering sign is seen.
“Saved Successfully” message appears	Immediately the page gets saved and “Saved Successfully” message appears at the bottom.
Thrombolysis Details page	The App now takes us to the next page Thrombolysis Details.
Point to Select any one type of Thrombolytic Agent Streptokinase Tenecteplase Reteplase	Next, under Thrombolysis Details, we have a mandatory field. Select any one type of Thrombolytic Agent Streptokinase Tenecteplase Reteplase
Select Streptokinase In the drop-downs Dosage: 15 lakh units Start Date/ Time: 7:10 am End Date/ Time: 7:55 am	I’ll select Streptokinase. Once we select one of the Thrombolytic Agent, we get drop-downs for- Dosage: 15 lakh units Start Date/ Time: End Date/ Time:
90 MINS ECG DATE: 21/1/2016 TIME: 9:25 am and Successful Lysis Yes/ No >> mark as ‘Yes’	After this, we have the 90 MINS ECG, Date and Time And Successful Lysis Yes/ No. This is based on the 90-mins ECG. I’ll mark as ‘Yes’.
	Make appropriate entries in these fields.
Select the Save & Continue button. Buffering sign is seen	Select the Save & Continue button at the bottom of the page. Please wait if buffering sign is seen.
“Saved Successfully” message appears at the bottom	Immediately the page gets saved and “Saved Successfully” message appears at the bottom.
Next page PCI	The App now takes us to the next page PCI.
Under PCI we have DRUGS BEFORE PCI Clopidogrel' if ‘Yes’ Clopidogrel Dosage : 300 mg/ 600mg select an option Then enter Date: Time: Prasugrel 60 mg: ‘Yes’ >> enter Date: Time: Ticagrelor 180 mg: ‘Yes’ >> enter Date: Time:	Under PCI, we have DRUGS BEFORE PCI. Clopidogrel if ‘Yes’ Clopidogrel Dosage : 300 mg/ 600mg I'll select 300 mg Select an option, then enter Date and Time: Prasugrel 60 mg: if ‘Yes’, then enter Date: and Time: Ticagrelor 180 mg: if ‘Yes’, then enter Date and Time
Select the Save & Continue button. Please wait if buffering sign is seen	Select the Save & Continue button at the bottom of the page. Please wait if buffering sign is seen.
“Saved Successfully” message appears	When the page is saved, “Saved Successfully” message appears at the bottom.
The App now takes us to the next page PCI Details Cath Lab Activation Date: 21/1/2016 Time: 7:00 am Cath Lab Arrival Date: 21/1/2016 Time: 8:30 am Vascular Access Date: 21/1/2016 Time: 8:33 am Catheter Access Radial / Femoral Select an option I’ll select Femoral CART Start Date: 21/1/2016 Start Time: 8:36 am End Date: 21/1/2016 End Time: 8:45 am	The App now takes us to the next page PCI Details. Enter the following details appropriately. The following details are filled inside the Cath Lab by a Cath Lab Technician or a Cardiologist. Cath Lab Activation Date: and Time: Cath Lab Arrival Date: and Time: Vascular Access Date: and Time: Catheter Access Radial / Femoral Select an option. I’ll select Femoral CART Start Date: Start Time: End Date: End Time Select any one based on the type & number of vessels involved with STEMI.
SVD - Single Vessel Disease DVD - Double Vessel Disease TVD - Triple Vessel Disease Insignificant Disease	SVD - Single Vessel Disease DVD - Double Vessel Disease TVD - Triple Vessel Disease Insignificant Disease I’ll select SVD
Culprit vessel Use the + plus/ add button to add culprit vessel. Select the Culprit vessel >> enter % of selected vessel. Culprit vessel options = LAD, D1,D2, CX, OM1, OM2,RI,RCA,PDA,PLV Select RCA & % of RCA 99	Culprit vessel Use the + plus/ add button to add culprit vessel. Select the Culprit vessel and enter % of selected vessel. Culprit vessel options are LAD, D1,D2, CX, OM1, OM2,RI,RCA,PDA,PLV I’ll select RCA and percentage of RCA 99 Select the culprit vessel and enter percentage of selected vessel.
Select the Trash bin icon	To delete, select the Trash bin icon beside the field.
Select the vessel >> enter % of selected vessel by selecting the + plus/add button	Similarly for Vessel. Select the vessel and enter % of selected vessel by selecting the + plus/add button. To add more vessels, select the + plus/add button.
Under Management Conservative: If ‘Yes’, we get a drop-down Present Admission/ Elective >> Select either one >> Select Save and Continue If ‘No’, is selected we have drop-downs CABG & PCI	Under Management Conservative: If ‘Yes’, is selected there ends data entry in this page. Select Save and Continue and move on to the next page. If ‘No’ is selected, we have drop-downs CABG & PCI
CABG if Yes Present Admission/ Elective	CABG if Yes Present Admission/ Elective
PCI if Yes >> further drop-downs Intervention - IABP whether Yes/ No	PCI If Yes, we have further drop-downs Intervention Culprit Vessel : RCA % of RCA Check the box beside if Intervention was done. If Intervention was done, we are prompted to enter more details. Wire crossing Whether Yes/ No , I’ll select Yes, Date: and Time: Aspiration Whether Yes/ No , I’ll select Yes, Date: and Time: Balloon Dilatation Whether Yes/ No, I’ll select Yes, Date: and Time: Stenting: Whether Yes/ No, I’ll select Yes If Yes, Date: and Time: BMS - Bare Metal Stent Whether Yes/No I’ll select BMS as Yes If Yes, then enter the number of Stents. DES - Drug Eluting Stent Whether Yes/ No M Guard - Whether Yes/ No TIMI Flow TIMI Blush Grade - IABP whether Yes/ No, I’ll select Yes
Select the Save & Continue button. Buffering sign is seen	Select the Save & Continue button at the bottom of the page. Please wait if buffering sign is seen.
“Saved Successfully” message appears at the bottom	When the page gets saved, the success message appears at the bottom.
Next page Medication in Cath Lab	The App now takes us to the next page Medication in Cath Lab.
Under Medication in Cath Lab Intra - Coronary Drugs in Cath Lab Nitroglycerine: Yes/ No Adenosine: Yes/No Nicorandil: Yes/No SNP: Yes/ No Ca Blockers: Yes/No 2b3a: Yes/No 2b3a inhibitors	Under Medication in Cath Lab there are- Intra - Coronary Drugs in Cath Lab Nitroglycerine: Yes/ No Adenosine: Yes/No Nicorandil: Yes/No SNP: Yes/ No Ca Blockers: Yes/No 2b3a: Yes/No 2b3a inhibitors
Un-fractionated Heparin: if ‘Yes’, enter Dosage: Date: 21/1/2016 Time: 8:46 am	Un-fractionated Heparin: if ‘Yes’, we then have to enter Dosage: Date: and Time:
LMW Heparin: if ‘Yes’, we then have to enter Route: IV Dosage: Date: and Time:	LMW Heparin: if ‘Yes’, we then have to enter Route: IV Dosage: Date: and Time:
Bivalirudin: Yes/ No Abciximab: Yes/ No Eptifibatide: Yes/ No Triofiabin: Yes/ No	Bivalirudin: Yes/ No Abciximab: Yes/ No Eptifibatide: Yes/ No Triofiabin: Yes/ No
Select the Save & Continue button. Buffering sign is seen	Select the Save & Continue button at the bottom of the page. Please wait if buffering sign is seen.
“Saved Successfully” message appears	The page gets saved and the success message appears at the bottom.
Next page In- Hospital Summary	The App now takes us to the next page In-Hospital Summary.
Under In hospital Summary >> Medication in Hospital	Here, we have Medication in hospital.
Nitroglycerine if Yes Route: Oral Dosage: 2.5 mg Date: 21/1/2016 Time: 9:30 am	Nitroglycerine if Yes Route: Oral Dosage: 2.5 mg Date: and Time:
Dopamine: if Yes Route: IV Dosage: 5 ml in 45 ml of 0.9% NS Date: 21/1/2016 Time: 9:32 am	Dopamine: if Yes Route: IV Dosage: 5 ml in 45 ml of 0.9% NS Date: and Time:
Dobutamine:if Yes Route: IV Dosage: 5 ml in 45 ml of 0.9% NS Date: 21/1/2016 Time: 9:34 am	Dobutamine: if Yes Route:IV Dosage: 5 ml in 45 ml of 0.9% NS Date: and Time:
Adrenaline: If Yes Route: IV Dosage: 4ml in 46 ml of 0.9% NS Date: 21/1/2016 Time: 9:36 am	Adrenaline: if Yes Route: IV Dosage: 4ml in 46 ml of 0.9% NS Date: and Time:
Nor – Adrenaline: if Yes Route: IV Dosage: 2ml in 48 ml of 0.9% NS Date: 21/1/2016 Time: 9:38 am	Nor-adrenaline: if Yes Route: IV Dosage: 2ml in 48 ml of 0.9% NS Date: and Time:
Other Drugs: if Yes Name: Vasopressin Route: IV Dosage: 1ml in 19 ml of 0.9% NS Date: 21/1/2016 Time: 9:40 am	Other Drugs: if Yes Name: Eg -Vasopressin Route: IV Dosage: 1ml in 19 ml of 0.9% NS Date: and Time:
Select the Save & Continue button Buffering sign is seen	Select the Save & Continue button at the bottom of the page. Please wait if buffering sign is seen
“Saved Successfully” message appears	The page gets saved and the success message appears at the bottom.
Next page ADVERSE REACTION	The App now takes us to the next page ADVERSE REACTION page.
Adverse Reaction	Under Adverse Events, we have to select either Yes or No.
Point to Yes	On choosing Yes in each field, we will be prompted to enter some additional information.
Re - infarction: if Yes Location of Re-infarction; Inferior, Posterior, RV, Anterior, Lateral Select Lateral >> enter Date: Time:	So, let’s start. Re-infarction: If Yes, then we have to enter the following- Location of Re-infarction: The options are Inferior, Posterior, RV, Anterior, Lateral I will choose Inferior and then enter the Date: and Time:
Repeat PCI: if Yes, then enter Date : Time: CABG if Yes, then enterDate : Time: Stroke: if Yes, then enter Date : Time: Cardiogenic Shock: if Yes, then enter Date : Time: Access Site Hemorrhage: if Yes, then enter Date : Time: Major Bleed: If Yes then enter Date : Time: Minor Bleed: If Yes then enter Date: Time:	Repeat PCI: if Yes, then enter Date : Time: CABG if Yes, then enter Date : Time: Stroke: if Yes, then enter Date : Time: Cardiogenic Shock: if Yes, then enter Date : Time: Access Site Hemorrhage: if Yes, then enter Date : Time: Major Bleed: If Yes then enter Date : Time: Minor Bleed: If Yes then enter Date: Time:
Select all as ‘No’	Select Adverse Events from the above if any and enter date and time of its occurrence. For now I’ll select all as ‘No’.
Select the Save & Continue button	Then select the Save & Continue button at the bottom of the page.
Buffering sign is seen	Please wait if buffering sign is seen.
“Saved Successfully” message appears	The page gets saved and “Saved Successfully” message appears at the bottom.
Discharge Summary	The App will now take us to the next page, that is, Discharge Summary.
Under Discharge Summary we have Death If the patient dies, death is marked as Yes we have dropdowns Reason of death Cardiac, Non Cardiac Others----------------------------- End of data entry	Under Discharge Summary, we have Death. If the patient dies, this is marked as “Yes” and we get a dropdown - Reason of death and Others Under Reason of death,we have options- Cardiac, Non Cardiac. If we choose either, we get a drop-down Death Date and Time: If we choose Others: as the option, we have to enter other reasons for patient’s death. Then enter Death Date and Time. Once we choose any one option, there ends the data entry.
Mark as ‘No’ and move on to Discharge / transfer Select Death as ‘No’	If the patient did not die, then mark as “No” and move on to Discharge Medications. I’ll select Death as ‘No’ for now.
Select the Save & Continue button Buffering sign is seen	Select the Save & Continue button at the bottom of the page. Please wait if buffering sign is seen.
“Saved Successfully” message appears	The page gets saved and the success message appears at the bottom.
Next page Discharge Medications	The App now takes us to the next page Discharge Medications.
Aspirin: Yes Clopidogrel: Yes Prasugrel Ticagrelor ACEI ARB Beta Blocker: Yes Nitrate Statin: Yes Others Mark a few of them as Yes	Aspirin: Clopidogrel Prasugrel Ticagrelor ACEI ARB Beta Blocker: Nitrate Statin: Others The medications prescribed to the patient during discharge should be marked as Yes. I’ll mark a few as ‘Yes’.
Select the Save & Continue button	Select the Save & Continue button at the bottom of the page.
Buffering sign is seen “Saved Successfully” message appears	Please wait if buffering sign is seen. The page gets saved and “Saved Successfully” message appears.
The App now takes us to the next page Discharge/ Transfer	The App then takes us to the next page Discharge/ Transfer.
Discharge from A/B hospital Date: 21/1/2016 Time: 9:45 am	Discharge from A/B hospital Fill out the Date: and Time:
In Discharge To field, select one option STEMI Cluster Hospital Non-STEMI Cluster Hospital Home	In Discharge To field, select one option STEMI Cluster Hospital Non-STEMI Cluster Hospital Home
Home is selected >> no drop-downs	If Home is selected we get no further drop-downs.
Point to Non STEMI Cluster Hospital Point to Transfer to Hospital Name and the Transfer to Hospital Address	If Non STEMI Cluster Hospital is selected, then we have to manually enter these details- Transfer to Hospital Name and Transfer to Hospital Address This is because details of Non-STEMI Hospitals are not available in the database.
Select Stemi Cluster Hospital	I’ll select Stemi Cluster Hospital
“STEMI Cluster Hospital” selected- Remarks field, add your remarks, if any. Transfer to Hospital Name: Kovai Medical Center and Hospital Transfer to Hospital Address: 3209, Sitra, Avinashi Road, Coimbatore, Tamil Nadu - 641 014 Highlight Hospital Address	If “STEMI Cluster Hospital” is selected, it further opens into- Remarks field, add your remarks, if any. Transfer to Hospital Name: Kovai Medical Center and Hospital Transfer to Hospital Address: 3209, Sitra, Avinashi Road, Coimbatore, Tamil Nadu - 641 014 When we select the hospital name, the hospital address is auto-populated.
Transport Vehicle Choose from - Private Vehicle Ambulance I’ll select Private	In Transport Vehicle field, choose from Private Vehicle Ambulance I’ll select Private Vehicle
Select the Save & Continue button at the bottom of the page	Select the Save & Continue button at the bottom of the page.
Buffering sign is seen Saved Successfully” message appears	Please wait if buffering sign is seen. The page gets saved and “Saved Successfully” message appears at the bottom.
The App takes us to Follow Up	The App then takes us to the next page Follow up.
Under Follow up Details Duration of Follow - Up Visit: 1 month 6 month 1 year 2 years 3 years 4 years 5 years Point to the options >> Select 1 month	Under Follow-up Details, we have Duration of Follow - Up Visit: 1 month 6 month 1 year 2 years 3 years 4 years 5 years Based on the type of follow up, select one of these options. I’ll select 1 month.
Follow- Up Date: 21/2/2016	Fill the Follow- Up Date: 21/2/2016
Mode of Follow-Up: Hospital Telephonic Lost to Follow Up Point to the options	Mode of Follow-Up: Hospital Telephonic Lost to Follow Up Based on the mode of follow up, select one of these options.
Lost to Follow Up mode is selected >> no drop-downs.	If Lost to Follow Up mode is selected, we have no further drop-downs.
Select Telephonic. Hospital/ Telephonic Mode is selected >> drop-down Type of follow-up Hospital	I’ll select Telephonic. Hospital/ Telephonic Mode is selected, we get the drop-down Type of follow-up Hospital.
Type of follow-up Hospital: STEMI Non STEMI No Follow Up	In Type of follow-up Hospital:, we have STEMI Non STEMI and No Follow Up
Point to “No Follow- Up” >> Point to the Save & Continue button	If “No Follow- Up” is selected, then go to the next page by selecting the Save & Continue button at the bottom.
Point to ‘Non STEMI’ >> point to Name of the Follow- Up Hospital Follow- Up Hospital Address	If ‘Non STEMI’ is selected, then we have to enter the following details manually- Name of the Follow- Up Hospital Follow- Up Hospital Address
Select STEMI	I’ll select STEMI.
If “STEMI” is selected >> drop-downs Name of the Cluster: KMCH Name of the Follow -Up Hospital: Coimbatore Medical College Hospital Follow- Up Hospital Address: Trichy Road, Gopalapuram, Coimbatore, Tamil Nadu -641018, India	When “STEMI” is selected, we get drop-downs. Name of the Cluster: KMCH Name of the Follow-Up Hospital: I will select Coimbatore Medical College Hospital Follow- Up Hospital Address: Trichy Road, Gopalapuram, Coimbatore, Tamil Nadu -641018, India This gets auto-populated.
Select the Save & Continue button.	Select the Save & Continue button at the bottom of the page.
Buffering sign is seen “Saved Successfully” message appears.	Please wait if buffering sign is seen. The page gets saved and “Saved Successfully” message appears at the bottom.
Next page Medication.	The App then takes us to the next page Medication.
Under Medication Aspirin Clopidogrel Prasugrel Nitrate Beta Blocker ACEI ARB Statins OHA Insulin Select ‘Yes’ for few of them	Under Medication Aspirin: Clopidogrel Prasugrel Nitrate Beta Blocker: ACEI ARB Statins: OHA Insulin: Select ‘Yes’ for those medication that the patient is on, at the time of follow up. I’ll select a few as ‘Yes’
Select the Save & Continue button at the bottom of the page	Select the Save & Continue button at the bottom of the page
Buffering sign is seen “Saved Successfully” message appears.	Please wait if buffering sign is seen The page gets saved and “Saved Successfully” message appears at the bottom.
The App takes us to Events.	The App then takes us to the next page Events.
Events till the time of follow-up Recurrence of Angina: Yes/No TMT whether: +ve/ -ve Echo LVEF: enter details Re CART if ‘Yes’, Date: Restenosis if ‘Yes’, Date: Re - MI if ‘Yes’, Date: Re- Intervention if ‘Yes’ TLR PCI : Yes/ No TVR PCI : Yes/ No Non TVR PCI : Yes/ No CABG if ‘Yes’, Date: Death if ‘Yes’, Death Date: Reason of Death: Cardiac/ Non Cardiac Select ‘Yes’ to which of these event took place till the date of follow-up. I’ll check all as ‘No’ fo now.	This page provides details of the events that occurred till the time of follow-up. Recurrence of Angina: Check if Yes TMT whether: +ve/ -ve; depending on whether TMT was done Echo LVEF: enter details Re CART if ‘Yes’, Date: Restenosis if ‘Yes’, Date: Re - MI if ‘Yes’, Date: Re- Intervention if ‘Yes’, TLR PCI : Yes/ No TVR PCI : Yes/ No Non TVR PCI : Yes/ No CABG if ‘Yes’, Date: Death if ‘Yes’, Death Date: Reason of Death: Cardiac/ Non Cardiac Select ‘Yes’ to which of these events took place till the date of follow-up. I’ll check all as ‘No’ for now.
Select Finish button	Select the Finish button at the bottom of the page.
Buffering sign is seen. “Saved Successfully” message appears.	Please wait if buffering sign is seen. The page gets saved and “Saved Successfully” message appears at the bottom.
	This completes the data entry at the A/B Hospital.
	Let us summarize.
Show Summary Slide	In this tutorial, we have learnt to - Complete the data entry of a new patient on the STEMI App at the time of direct admission to an A/B Hospital.
Show STEMI INDIA slide	STEMI INDIA was set up as a ‘not for profit’ organisation primarily to reduce delays in accessing appropriate care for heart attack patients and reducing deaths due to heart attacks.
Show Spoken Tutorial Project Slide	Spoken Tutorial Project, IIT Bombay is funded by NMEICT, MHRD, Govt. of India. For more details, please visit http://spoken-tutorial.org
Show THANK YOU slide	This is Nancy Varkey from IIT Bombay, signing off. Thanks for joining.

Contributors and Content Editors

Nancyvarkey, PoojaMoolya