View source for STEMI-2017/C3/STEMI-C-to-STEMI-AB-Hospital/English

<div style="margin-left:-0.035cm;margin-right:0cm;">Topic: Transfer from STEMI C Hospital to STEMI AB Hospital</div>

<div style="margin-left:-0.035cm;margin-right:0cm;">Contributor Name: Jerry David, STEMI Team, Coimbatore</div>

<div style="margin-left:-0.035cm;margin-right:0cm;">Reviewed by: Nancy Varkey, Spoken Tutorial Project, IIT Bombay</div>

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


{| border=1
|- 
|| '''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 
* <div style="margin-left:1.27cm;margin-right:-0.106cm;">brought to a '''STEMI C Hospital''' first</div>
* <div style="margin-left:1.27cm;margin-right:-0.106cm;">and is later transferred to a '''STEMI AB Hospital.'''</div>

|-
|| 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.'''


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. '''

I’ll select '''Direct.'''
|-
|| 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.
|-
|| '''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'''.
|| Only 12 items are displayed 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 dosage and selection of medications are an example meant for demo purposes only. 

Administer drugs as per 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 Summary'''
|| 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. 


Advise drugs as per patient’s condition and treatment modalities.
|-
|| '''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 '''<nowiki>*</nowiki>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.
|- 
|| 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'''
|| Select the '''Save and Continue '''button at the bottom.

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.

|- 
|| 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 page is '''PCI'''.
|- 
|| Remove Blue box on '''Cath Lab Activation and Cath Lab Arrival. 

The entire page happens inside a cath lab hence the blue box around Cath lab activation and Cath Lab Arrival to be removed.'''
|| 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
* <div style="margin-left:1.27cm;margin-right:-0.37cm;">'''Cath Lab Activation''' and</div>
* <div style="margin-left:1.27cm;margin-right:-0.37cm;">'''Cath Lab Arrival'''</div>


|- 
|| 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
* <div style="margin-left:1.27cm;margin-right:-0.37cm;">'''Start Date and Time'''</div>
* <div style="margin-left:1.27cm;margin-right:-0.37cm;">'''End Date and Time'''</div>


|- 
|| 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 -
* <div style="margin-left:1.27cm;margin-right:-0.37cm;">Enter data of a new patient on the STEMI App first in the STEMI C Hospital</div>
* <div style="margin-left:1.27cm;margin-right:-0.37cm;">And enter further data for the same patient on the STEMI App in an A/B Hospital</div>


|- 
|| Show STEMI INDIA slide
|| STEMI INDIA* <div style="margin-left:1.27cm;margin-right:-0.37cm;">was set up as a ‘not for profit’ organisation</div>
* <div style="margin-left:1.27cm;margin-right:-0.37cm;">primarily to reduce delays in accessing appropriate care for heart attack patients</div>
* <div style="margin-left:1.27cm;margin-right:-0.37cm;">and reducing deaths due to heart attacks.</div>


|- 
|| 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
* <div style="margin-left:1.27cm;margin-right:-0.37cm;">STEMI INDIA</div>
* <div style="margin-left:1.27cm;margin-right:-0.37cm;">and the Spoken Tutorial Project, IIT Bombay.</div>


This is Nancy Varkey signing off. Thanks for joining.
|-
|}