View source for STEMI-2017/C3/GVK-EMRI-to-D-Hospital/English

<div style="margin-left:-0.035cm;margin-right:0cm;">Topic: GVK-EMRI Ambulance to D Hospital transfer


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

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


Keywords: STEMI, STEMI App, Data entry in STEMI App, Data entry of mandatory fields in Main ECG tab


{| border=1
|- 
| '''VISUAL CUE'''
| '''NARRATION'''
|- 
||'''Show TITLE slide'''

'''EMRI ambulance '''to '''D Hospital''' and '''A/B Hospital'''
|| Hello and welcome to this tutorial on transfer from '''EMRI ambulance '''to '''D Hospital'''.
|- 
|| '''Show Learning Objectives Slide'''
|| In this tutorial, we will learn to -
* Enter data of a new patient on the '''STEMI App''' from an '''EMRI ambulance'''.
* Enter further data for the same patient on the '''STEMI App''' in a '''D Hospital'''

|- 
|| '''Switch to STEMI device interface'''
|| We are in the '''STEMI Homepage.'''

|- 
|| Blue box on '''stemiEuser'''
||Notice here. 

It says '''stemiEuser.'''

That means the '''EMRI ambulance paramedic '''is making these entries.

|- 
|| Select New Patient
|| Select''' New Patient''' tab.

|- 
|| 
|| Let’s assume a patient and enter the following data.

|- 
||Type the following details

*'''Patient Name''': Venugopal
*'''Age''':48
*'''Gender''': Male
*'''Phone''' : 9988776655
*'''Address''': X villa, X road, Coimbatore – 000 000, Tamil Nadu
|| Under '''Basic Details, '''let us enter the patient's -

* '''Name:'''
* '''Age:'''
* '''Gender: '''
* '''Phone: ''' and
* '''Address: '''

|- 
|| Select the '''Save & Continue''' button
|| Select the '''Save & Continue''' button at the bottom of the page.

|- 
|| On '''Fibrinolytic Checklist '''page
|| The '''App''' now takes us to the next page that is, '''Fibrinolytic Checklist. '''

|- 
|| On '''Fibrinolytic Checklist 
('''Text on screen''')
|| Under '''Fibrinolytic Checklist, '''there are 12 items, if the patient is '''Male'''. 

There would be 13 items displayed, if the patient was '''Female.'''

The extra item is '''Pregnant Female? Yes / No, '''which we have to fill according to the gender of the patient.

|- 
|| Check all of the following as '''NO'''
|| I will be checking all the 12 points as “'''No'''” for now.

|- 
|| Select the '''Save & Continue''' button.
|| Then select the '''Save & Continue '''button to save the current page.

|- 
|| On '''Co-Morbid Conditions '''page
|| We are moved to the next page – '''Co-Morbid Conditions.'''

|- 
|| '''History And Co-Morbid Conditions.'''
|| Here we have '''History And Co-Morbid Conditions.'''

|- 
|| Mark few as '''Yes'''
|| I’ll mark some of these as '''Yes'''.

|- 
|| '''Diagnosis'''
|| Then comes the '''Diagnosis '''section.

|- 
|| '''Chest Discomfort''': options '''Pain, Pressure, Aches''' >> '''Aches''' selected

'''Location of Pain''': options '''Retrosternal, Jaw, L arm, R arm, Back''' >> '''Retrosternal '''selected

'''Pain Severity '''( a mandatory field) – type from 1 -10''' >>  '''8''' selected

|| '''Chest Discomfort: '''I’ll select '''Pain'''

'''Location of Pain: '''I’ll select '''Retrosternal'''

'''Pain Severity''': I’ll choose '''8'''
|- 
|| '''Palpitation''': Yes

'''Diaphoresis''': Yes

'''Shortness of breath''': Yes

'''Nausea/ Vomiting''': Yes

'''Dizziness''': Yes

('''Text on screen''')

|| After this, I'll select '''YES '''for some of the remaining items.

|- 
|| Select the '''Save & Continue''' button 
|| Then select the '''Save & Continue '''button to save the current page.

|- 
|| On '''Co-morbid Conditions '''page
|| We are in the next page – '''Transportation Details.'''

|- 
|| Under '''Transportation Details-'''

'''Symptom Onset '''

'''Date''': 21/1/2016 '''Time''': 9:00 am

'''Ambulance Call'''

'''Date''': 21/1/2016 '''Time''': 9:10 am

'''Ambulance Arriva'''l

'''Date''': 21/1/2016 '''Time: '''9:30 am

'''Ambulance Departure'''

'''Date: '''21/1/2016 '''Time''': 9:45 am
|| Under '''Transportation Details, '''all the fields are mandatory.

So, I'll make the entries for -

* '''Symptom Onset Date: '''and '''Time:'''
* '''Ambulance Call Date: '''and '''Time:'''
* '''Ambulance Arrival Date: '''and '''Time:'''
* '''Ambulance Departure Date: '''and '''Time:'''

|- 
|| '''Transport to STEMI Cluster'''

'''Yes : No''':

if''' Yes '''is selected >> Blue box on '''Google maps'''


Blue box on '''Contacts'''
|| Next is '''Transport to STEMI Cluster - Yes/No.'''

If''' Yes '''is selected, it further opens into
* '''Google maps- '''to locate and select the '''Hospital''' on the '''Google Maps''' for directions
* '''Contacts - '''to call or get contact details of the '''Hospital, '''to which the patient is being shifted.

|- 
|| Blue box on '''Medications during Transport'''
* '''Oxygen: '''if '''Yes'''

'''Oxygen Amount: 5L/ 10L'''

select''' 5L'''

'''Aspirin 325mg : '''if''' Yes'''

'''Date: '''21/1/2016''' Time: '''9:50 am


'''Clopidogrel 600 mg: '''if '''Yes'''

'''Date: '''21/1/2016''' Time: '''9:52 am


'''Prasugrel 60 mg:''' if''' Yes'''

'''Date: '''21/1/2016''' Time:''' 9:54 am


'''Ticagrelor 180 mg: '''if '''Yes'''

'''Date: '''21/1/2016''' Time: '''9:56 am 


'''Unfractionated Heparin: '''if''' Yes Route: IV Dosage:'''bolus 60U/kg

'''Date: '''21/1/2016 '''Time:'''9:58 am


'''LMW Heparin'''

'''N Saline:''' 2 pint

'''Nitroglycerine: '''5mcg /min

'''Morphine: '''1mg /ml

'''Atropine: '''1ml amp

(Text on screen)
|| Then under '''Medications during Transportation:''', we have to enter the relevant details, as shown here.

|- 
|| Select the <span style="background-color:#ffffff;color:#000000;">'''Finish''' button
|| Lastly, select the <span style="background-color:#ffffff;color:#000000;">'''Finish '''button at the bottom of the page.
|- 
|| Go back to '''Transport to STEMI Cluster''' field


Select '''No'''
|| If ‘'''No'''’ is selected under '''Transport to STEMI cluster,''' then 
* '''Save and Continue''' button appears below the field 
* and data entry for the particular page ends here.

|- 
|| Select '''Save and Continue'''
|| Select '''Save and Continue''' button.
|- 
| | 
| | This will save the current page.
|- 
|| On '''Discharge Summary '''page
|| And we are moved to the next page – '''Discharge Summary.'''
|- 
| | 
| | <<PAUSE>>
|- 
|| Under '''Discharge Summary'''


Death - i’ll check this as “'''No'''” 
|| Under '''Discharge Summary, Death''' is a mandatory field. 


I’ll check this as “'''No'''”.
|- 
|| '''Date:''' 21/1/2016''' Time: '''10:10 am


'''Transport To: '''

Select from''' Stemi Cluster Hospital '''
|| Next we have to enter '''Discharge from EMRI''' '''Date: '''and '''Time:'''


In '''Transport To: '''I’ll select''' Stemi Cluster Hospital.'''
|- 
|| '''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
||It further opens into-


* '''Remarks: '''if any

* '''Transfer to Hospital Name: '''

* '''Transfer to Hospital Address: '''


When we select the hospital name, the hospital address gets auto-populated.


This is because this hospital is already part of the '''STEMI programme'''.
|- 
|  Text on screen
|| If this hospital was not part of the '''STEMI '''programme, then we would have to manually enter -
* the hospital name
* and hospital address.

|- 
|| Select the '''Finish''' button
|| After this data is entered, select the '''Finish''' button at the bottom of the page. 
|- 
|| 
|| This will save the current page.
|- 
| | 
|| Now the data entry for a new patient from the '''EMRI Ambulance''' is completed.

|- 
|| Slide
|| The patient has now arrived at a '''D Hospital.'''
|- 
|| Slide
|| This is the synopsis of the procedure to be followed at the '''D Hospital. '''
|- 
|| Blue box on '''stemiAuser'''
|| We are in the '''STEMI Homepage '''as a '''D Hospital user'''.
|- 
|| Select '''Search''' tab
|| Select the '''Search tab'''.
|- 
|| Type '''Venugopal >> '''select '''Search'''
|| Type the '''Id '''or name of the patient and select the '''Search''' button at the bottom of the page.
|- 
| | 
|| Select the particular patient from the displayed list.

|- 
|| Blue box on '''Basic Details'''
|| We are now moved to the page – '''Basic Details.'''
|- 
|| Blue box on '''Edit '''button
|| Select the '''Edit''' button at the top right corner of the page to edit the particular page.


Do likewise to edit the remaining pages.
|- 
|| 
|| Here, all the details filled in the '''EMRI Ambulance''' are displayed.

|- 
|| Blue box on '''A/B Hospital Arrival Date and Time.'''
|| In the '''D Hospital''', we will have to fill the '''D Hospital Arrival Date and Time.'''
|- 
|| Blue box on '''Manual ECG Taken Yes/No.'''

Select '''Yes.'''
|| After that, is '''Manual ECG Taken Yes/No.'''


I'll select this as '''Yes'''.
|- 
|| Blue box on '''ECG Date '''and '''Time'''
|| Then fill the '''Date '''and '''Time '''of the '''ECG.'''
|- 
|| Blue box on '''STEMI Confirmed Yes/No.'''

Select '''Yes.'''
|| Next is '''STEMI Confirmed Yes/No.'''


I'll select '''Yes '''here.
|- 
|| Blue box on '''STEMI Confirmed Date and Time.'''
|| And then fill the '''Date '''and '''Time.'''
|- 
|| Select '''Save and Continue'''
|| Select the '''Save and Continue '''button at the bottom.

|- 
|| Blue box on '''Cardiac History'''
|| We will skip the '''Fibrinolytic Checklist '''page and move to the '''Cardiac History''' page.
|- 
|| 
|| First we will enter the relevant details related to the patient's history.
|- 
|| Blue box on '''Clinical Examination'''
|| Then under '''Clinical Examination, '''enter the details for that particular patient.

|- 
|| Select '''Save and Continue'''
|| Select the '''Save and Continue '''button at the bottom.

|- 
|| Blue box on '''Co-Morbid Conditions'''
|| We are moved to the '''Co-Morbid Conditions '''page.
|- 
||'''Text on screen'''
|| Here we are prompted to enter the medicines that the patient is on, as per his medical condition.

Pls make the relevant entries for that patient.
|- 
|| Select '''Save and Continue'''
|| Then select the '''Save and Continue '''button at the bottom.

|- 
|| Blue box on '''Contact Details'''
|| We are moved to the '''Contact Details '''page.
|- 
|| Blue box on '''Name, Relation Type, Address, City '''and '''Mobile no.'''
|| Here, we have to enter the 
* '''Name, '''
* '''Relation Type, '''
* '''Address, '''
* '''City '''and 
* '''Mobile no.''' 

of the patient's relative.
|- 
|| Blue box on '''Occupation'''
|| Then enter the '''Occupation'''.
|- 
|| Blue box on '''Aadhar Card No.''' 
|| After this comes the '''Aadhar Card No.''' 
|- 
|| Blue box on '''Upload Aadhar card.'''
|| On doing so, we will prompted to upload a copy of the '''Aadhar card.'''
|- 
|| Select '''Save and Continue'''
|| Select the '''Save and Continue '''button at the bottom.
|- 
|| Blue box on '''Transportation Medications'''
|| We will move to the '''Transportation Medications.'''


This page contains details of medications administered to the patient, during transfer to '''D Hospital.'''

|- 
|| Blue box on '''Medications prior to Thrombolysis'''
|| We will move to the '''Medications prior to Thrombolysis '''page. 
|- 
|| Blue box on '''Edit '''button
|| Select the '''Edit''' button at the top right corner of the page to edit the particular page.
|- 
|| '''Text on screen'''
|| Here, enter the details of the medications administered to the patient, prior to '''Thrombolysis'''.
|- 
|| Blue box on '''Asprin'''
|| I'll enter '''Asprin '''as '''Yes, '''then enter the '''Dosage, Date '''and '''Time'''.
|- 
|| Blue box on '''Clopidogrel'''
|| Then I'll enter '''Clopidogrel '''as '''Yes, '''and enter the '''Dosage, Date '''and '''Time'''.
|- 
|| Select '''Save and Continue'''
|| Select the '''Save and Continue '''button at the bottom.

|- 
|| Blue box on '''Thrombolysis'''
|| We are 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'''.
|| 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. '''

This is based on the '''90 mins ECG.'''
|- 
|| Select '''Save and Continue'''
|| Select the '''Save and Continue '''button at the bottom.

|- 
|| 
|| We will skip the '''In-Hospital Summary '''page.
|- 
|| Blue box on '''Discharge Summary >> Death'''
|| We are now in the next page, that is '''Discharge Summary'''. 

Here we have the '''tab Death'''.
|- 
|| I’ll Select '''No'''.
|| I’ll 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'''.
|- 
|| '''Text on screen '''

'''Select medications advised to the patient at the time of discharge.'''
|| Once again, enter the relevant ones 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 in the '''Discharge '''or '''Transfer''' page.
|- 
|| Select '''Add Transfer Details '''
|| Select '''Add Transfer Details '''button.
|- 
|| Blue box on '''Discharge from the A/B Hospital'''
|| Here we need to enter the details related to the discharge from the '''D Hospital.'''
|- 
|| Select '''STEMI Cluster Hospital'''.
|| I’ll select '''STEMI Cluster Hospital'''.
|- 
|| Blue box on '''Remarks''' and '''Transfer to Hospital Name'''
|| It further opens into 
* '''Remarks''' if any
* '''Transfer To Hospital Name'''

|- 
|| 
|| When we select the '''Hospital Name''', the '''Hospital Address''' gets auto-populated.
|- 
|  '''Text on screen'''
|| This is because this hospital is already part of the '''STEMI''' programme.
|- 
|| '''Transport Vehicle''' >> '''GVK EMRI Ambulance.'''
|| In '''Transport Vehicle''' field, choose '''Private '''vehicle.
|- 
|| Select '''Finish'''
|| Now 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''' from an '''EMRI ambulance'''.
* Enter further data for the same patient on the '''STEMI App''' in a '''D 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.
|-
|}