STEMI-2017/C3/STEMI-C-to-STEMI-AB-Hospital/English

Topic: Transfer from STEMI C Hospital to STEMI AB Hospital

Contributor Name: Jerry David, STEMI Team, Coimbatore

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

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

Visual Cue	Narration
Title slide	Hello and welcome to this tutorial on transfer from STEMI C Hospital to STEMI AB Hospital.
Opening Slide - can be graphic from the PPT	In this scenario, a patient is brought to a STEMI C Hospital first and is later transferred to a STEMI AB Hospital.
Learning Objective Slide	In the STEMI C Hospital, the following details are to be entered in the STEMI App.
Blue box on already logged in C-User >> then on New Patient tab	Let’s begin. Note that in the STEMI Homepage, we are a C Hospital user. Select the New Patient Tab.
	Let’s assume a patient and enter the following details.
Enter Basic Details	Enter the patient’s name, age, gender, phone and address, as shown here.
Blue box on Payment >> State BPL Insurance.	Next, choose the Payment from the drop-down. I’ll choose State BPL Insurance.
Blue box on date and time of Symptom Onset.	Now, enter the date and time of Symptom Onset.
Select Admission as Direct.	Next, under Admission we see only one option Direct. This is because the patient has directly presented to a STEMI C Hospital.
Blue box on STEMI C Hospital Arrival Date and Time.	Then, we are prompted to enter the STEMI C Hospital Arrival Date and Time.
Blue box on STEMI Details.	After this, we have to fill out the STEMI Details.
Blue box on Manual ECG Taken	I’ll check Manual ECG Taken as Yes and then enter the Date and Time.
Blue box on STEMI Confirmed	Since STEMI is confirmed from the Manual ECG Taken, I’ll check STEMI Confirmed as Yes. Then enter Date and Time.
Blue box on Transport Details	Lastly on this page, we have Transport Details.
Transport Details >> Private	Here we will choose Private vehicle in this case. In certain cases, it could be a public vehicle as well.
Blue text box	In a STEMI C Hospital scenario, there is only one mode of approach. Ambulances don't bring patients to C spoke hospitals as it does not provide Thrombolysis or PCI.
Save and Continue button.	Select the Save and Continue button at the bottom of the page.
Fibrinolytic Checklist.	The App will take us to the next page i.e. Fibrinolytic Checklist.
Check all as No.	Under Fibrinolytic Checklist there are 12 items because the patient is Male. If the patient was Female, 13 items would be displayed. I will check No against each of the 12 items displayed on this page.
Save and Continue button.	After doing so, select the Save and Continue button at the bottom of the page.
Blue box on Cardiac History page	We are now in the Cardiac History page.
Previous MI, Angina, CABG, PCI1, PCI2	I’ll check previous history Angina, CABG, PCI1, PCI2 as No.
Location of pain >> Retrosternal	Then under Diagnosis, enter the details for that particular patient.
Blue box on all items	After this, check the appropriate symptoms as observed in the patient.
Blue box on Clinical Examination	Next part is Clinical Examination.
Show filled details	Here we have to enter the Height, Weight and BMI of the patient.
Show filled details	And also BP Systolic, BP Diastolic and Heart Rate.
Save and Continue button.	Select the Save & Continue button at the bottom of the page.
Co-Morbid Conditions page	We are now taken to the next page - Co-Morbid Conditions.
	Enter the details after consulting with the patient or the patient’s family.
Show filled details.	I’m going to fill the following details.
Save and Continue button.	Select the Save & Continue button at the bottom of the page.
Contact Details page	We are now taken to the next page, that is Contact Details.
	Here we have to enter the details of the patient’s relative.
Show filled details	Name, Relation Type, Address, City, Contact No.
Show filled details	Then Occupation.
Show filled details	Then comes ID proof section - Aadhar Card No. and the upload of the soft-copy.
Save and Continue button.	Select Save & Continue button at the bottom.
Blue box on In- Hospital Summary	The App now takes us to the next tab In-Hospital Summary.
Under In hospital Summary >> Medication in Hospital	Here, we have Medication in hospital.
Mark a few of them as Yes Blue Box - Narration	The medications administered to the patient in the STEMI C Hospital, should be marked as Yes. I’ll mark a few as ‘Yes’. On choosing Yes, we will be prompted to enter the Dosage, Date and Time details. Please note. The above mentioned doses and selection of medications are an example meant for demo purposes only. Administer drugs as per the patient’s condition and treatment modalities.
Save and Continue button.	Select Save & Continue button at the bottom .
Blue box on ADVERSE REACTION	The App now takes us to the next page which is Adverse Events.
	Under Adverse Events, we have to select either Yes or No. On choosing Yes in each field, we will be prompted to enter some additional information.
Save and Continue button.	Then select the Save & Continue button at the bottom.
Blue box on Discharge Summary	We are now in the Discharge Summary. page.
Blue box on Death	Under Discharge Summary, we have Death.
Select Death as No	I’ll select Death as ‘No’ for now.
Save and Continue button.	Then select the Save & Continue button at the bottom of the page.
Blue box on Discharge Medications	The App will direct us to the next page, that is, Discharge Medications.
Mark a few of them as Yes	The medications prescribed to the patient during discharge, should be marked as Yes. So I’ll mark a few as ‘Yes’.
	Please note. The above dosage and selection of medications are an example meant for demo purposes only. The medications prescribed to the patient during discharge, should be marked as Yes.
Save and Continue button.	Then select the Save & Continue button at the bottom of the page.
Blue box on Discharge Summary	The App will now take us to the next page, that is, Discharge/ Transfer.
Fill out Discharge from C hospital date and time	Discharge from C hospital. Fill out the Date and Time
Discharge To >> STEMI Cluster Hospital	In Discharge To field, select Stemi Cluster Hospital.
Select Transfer to Hospital Name:	Then select the Transfer to Hospital Name: from the drop-down list.
Point to address	On doing so, the Transfer to Hospital Address: gets auto-populated. This is because this hospital is part of the STEMI programme.
Blue box on Transport Vehicle	In Transport Vehicle field, choose Private or GVK EMRI Ambulance. If Ambulance or GVK Ambulance is selected, we will be prompted to enter further details.
Click on Finish	Lastly, click on Finish button.
	This completes the data entry of the new patient in a STEMI C Hospital.
Slide	The patient has now arrived at an A/B Hospital.
Slide	This is the synopsis of the procedure to be followed at the A/B Hospital.
	Let's now learn how to enter further data on the STEMI App in the A/B Hospital.
Blue box on stemiAuser	Note that we are in the STEMI Homepage as an A/B Hospital user.
Select Search tab	Select the Search tab.
Type Venugopal >> select Search	Type the Id or name of the patient transferred from the STEMI C Hospital. Then select the Search button at the bottom of the page. Once the patient file is opened select the Edit button at the top right corner to open the edit mode. Do likewise, to edit the remaining pages.
Blue box on Basic Details	We are now moved to the first tab Patient Details and the first page– Basic Details.
	Here, all the details filled in the STEMI C Hospital are displayed.
Blue box on A/B Hospital Arrival Date and Time.	In the A/B Hospital, we will have to fill the A/B Hospital Arrival Date and Time.
Select Save and Continue	Select the Save and Continue button at the bottom.
Blue box on Fibrinolytic Checklist	Skip the following pages as data entry in these pages have already been done in the STEMI C Hospital.
Coloured box - Narration	In an A Hospital, Thrombolysis is done if the Cath Lab and specialized team is not available. In a B Hospital, Thrombolysis is done, if the patient is brought in after PCI hours.
	In this scenario, Thrombolysis has been done.
Blue box on Medications prior to Thrombolysis	The App has brought us to the Medications prior to Thrombolysis page.
	Here, we have to enter the details of the medications administered to the patient.
Blue box on Clopidogrel	I will enter Clopidogrel as Yes, and then fill the Dosage, Date and Time.
Select Save and Continue	Please note that the above dosage and selection of medication is an example meant for demo purpose. Advise drugs as per patient’s condition and treatment modalities. Select the Save and Continue button at the bottom.
Blue box on Thrombolysis	We are now moved to the Thrombolysis page.
Blue box on Select any one Thrombolytic agent >> Select Streptokinase.	Here, select any one Thrombolytic agent. I'll select Streptokinase.
Blue box on Dosage, Date and Time.	And then enter the Dosage, Date and Time.
Blue box on 90 min ECG, Date and Time.	90 min ECG, Date and Time.
Blue box on Successful Lysis Yes/No.	Successful Lysis Yes/No based on the 90 mins ECG
Select Save and Continue	Then select the Save and Continue button at the bottom.
Blue box on PCI	The App now takes us to the next tab PCI.
Blue box on Drugs before PCI	Here, we have Drugs before PCI page.
Make entries in PCI	Enter the details of the drugs administered to the patient before PCI, with Date and Time details.
Select Save and Continue	Select the Save and Continue button at the bottom.
On PCI page	The next tab is PCI.
Blue box on Cath Lab Activation and Cath Lab Arrival.	The details in this page have to be entered either by a cardiologist or a Cath Lab technician only. Under Cath Lab details, we have Cath Lab Activation and Cath Lab Arrival
Blue box on Vascular access Blue box on Catheter access.	Next we have Vascular access followed by Catheter access.
Blue box on CART, Start & End Date and Time	Then fill the CART details such as Start Date and Time End Date and Time
Blue box on Culprit Vessel	After this, we have to specify any one Culprit Vessel from the options provided.
	Then enter all the details relevant for that Culprit Vessel.
Blue box on Management	Now, make the relevant entries under Management for that patient.
Blue box on Intervention	Lastly on this page, we have Intervention.
Select Intervention	When the option Intervention is selected, we get some more details below.
	Fill out the ones that are relevant for that particular patient.
Select Save and Continue	Select the Save and Continue button at the bottom.
Blue box on Medications in Cath Lab	We are now in the Medications in Cath Lab page.
	Enter the details of the medications administered to the patient in the Cath Lab.
	I will enter the details for 2b3a Inhibitors. Unfractionated Heparin Dosage, Date and Time.
	Please note the above dosage and selection of medication is an example meant for demo purposes. Advise drugs as per patient’s condition and treatment modalities.
Select Save and Continue	Then select the Save and Continue button at the bottom.
	We’ll skip the next tab, that is In-Hospital Summary page.
Blue box on Discharge Summary >> Death	And move on to the next page, that is Discharge Summary. Here we have the tab Death.
Select No.	I will select the option No.
Select Save and Continue	Then select the Save and Continue button at the bottom.
Blue box on Discharge Medications.	Next comes Discharge Medications.
	Once again, enter the relevant ones for that patient, from the options displayed on this page.
Select Save and Continue	Select the Save and Continue button at the bottom.
Blue box on Discharge/Transfer	Now we are taken to the Discharge or Transfer page.
Select Add Transfer Details	Here, select the Add Transfer Details button.
Blue box on Discharge from the A/B Hospital	Now, we need to enter the details related to the discharge from the A/B Hospital. Here we can also see the transfer details to STEMI A/B from STEMI C entered earlier.
Select Finish	Lastly, select the Finish button.
	Let us summarize.
Show Summary Slide	In this tutorial, we have learnt to - Enter data of a new patient on the STEMI App first in the STEMI C Hospital And enter further data for the same patient on the STEMI App in 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 tutorial has been contributed by STEMI INDIA and the Spoken Tutorial Project, IIT Bombay. This is Nancy Varkey signing off. Thanks for joining.

Contributors and Content Editors

Nancyvarkey, PoojaMoolya