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

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

<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;">Revised and reviewed by: Nancy Varkey, Spoken Tutorial Project, IIT Bombay

Keywords: STEMI, STEMI App, Data entry in STEMI App in STEMI D Hospital, patient transfer from Non-STEMI C Hospital

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|- 
|| VISUAL CUE
|| NARRATION
|- 
|| Title slide
|| Hello and welcome to this tutorial on Transfer from '''Non-STEMI C Hospital '''to '''STEMI D Hospital.'''
|- 
|| Opening Slide - can be graphic from the PPT
|| In this scenario, a patient is brought from a '''Non STEMI C Hospital '''to a '''STEMI D Hospital.'''
|- 
|| Learning Objective Slide
|| In the''' STEMI D Hospital,''' the following details are to be entered into the '''STEMI App.'''
|- 
|| Blue box on already logged in '''D-User '''>> then on '''New Patient '''tab 
|| Let’s begin.

Note that in the '''STEMI Homepage''', we are a '''D 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.
|- 
|| '''Payment''' >>choose '''State BPL Insurance'''.
|| Next, choose the '''Payment''' from the drop-down.

I’ll choose '''State BPL Insurance'''.
|- 
|| 
|| Now, enter the date and time of '''Symptom Onset'''.
|- 
|| '''D Hospital Arrival Date and Time'''
|| Then, we are prompted to enter the '''STEMI D Hospital Arrival Date '''and''' Time.'''
|- 
|| Blue box on '''Admission'''

Text box
|| Next, select '''Admission''' as '''Non-STEMI'''.

Recall - this is a transfer from '''Non STEMI C Hospital '''to '''STEMI D Hospital'''.

We need to enter all the details in this case.

No data is transferred from '''Non STEMI Hospital '''to the '''STEMI Hospital.'''

This is because '''Non STEMI Hospitals '''are outside the '''STEMI programme. '''

The data flow only takes place between the''' '''hospitals linked within the '''STEMI programme. '''
|- 
|| Enter details
|| Next, enter the hospital name and address.

|- 
|| Blue box on '''Non STEMI Hospital Arrival Date''' and '''Time'''.
|| Then, we are prompted to enter the '''Non STEMI C Hospital Arrival Date''' and '''Time'''.

|- 
|| 
|| 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'''
|| Next, I’ll check '''STEMI Confirmed''' as '''Yes''', along with date and time.

|- 
|| Blue box on '''Post Thrombolysis '''


'''Text box'''
|| I’ll check '''Post Thrombolysis '''as '''No''' as the patient was transfered from a '''C type Non STEMI Hospital.'''

In these hospitals, '''Thrombolysis''' is not done.

|- 
|| 
|| Lastly on this page, we have '''Transport Details.'''

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|| '''Transport Details.'''
|| Here we will choose '''Private '''or''' GVK EMRI Ambulance.'''

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

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|| '''Fibrinolytic Checklist.'''
|| The '''App '''will take us to the next page i.e. '''Fibrinolytic Checklist.'''
|- 
|| '''Text box'''

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.

|- 
|| '''Cardiac History''' page
|| We are now in the '''Cardiac History''' page.
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|| '''Previous MI, Angina, CABG, PCI1, PCI2'''
|| I’ll check previous history '''Angina, CABG, PCI1, PCI2 '''as '''No'''.
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|| '''Chest discomfort - Pain'''

'''Location of pain''' - '''Retrosternal'''.

'''Pain Severity''' - 8.
|| Then under''' Diagnosis, '''I’ll enter the following details-

'''Chest discomfort - Pain'''

'''Location of pain''' - '''Retrosternal'''.

'''Pain Severity''' - 8.
|- 
|| Blue box on all items
|| After this, check the appropriate symptoms as observed in the patient.

|- 
|| Select a few as per narration
|| For symptoms, I will check 

'''Palpitation, Diaphoresis, Shortness of breath, Nausea/vomiting, Dizziness''' 

as '''Yes'''.
|- 
|| 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'''.

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

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|| '''Co-Morbid Conditions''' page
|| We are now taken to the next page - '''Co-Morbid Conditions'''.

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|| 
|| Enter the details after consulting with the patient or the patient’s family.

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|| Show filled details.
|| I’m going to fill the following details.

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

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|| '''Contact Details '''page
|| We are now taken to the next page that is '''Contact Details'''.

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|| 
|| Here we have to enter the details of the patient’s relative.

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|| Show filled details
|| '''Name, Relation Type, Address, City, Contact No.'''

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|| Show filled details
|| Then '''Occupation'''.

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|| Show filled details
|| Then comes ID proof section - '''Aadhar Card No. '''and the upload of the soft-copy.

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

|- 
|| Blue box on '''Thrombolysis'''
|| The '''App''' will now move us to the next tab which is '''Thrombolysis'''.
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|| Blue box on '''Medications Prior to Thrombolysis'''.
|| Here we have to specify the '''Medications Prior to Thrombolysis'''.
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|| Show filled details

'''Text box'''
|| A list of medications is displayed on this page.

Enter the details of the medication administered to the patient along with dosage, date and time.
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|| '''Save and Continue''' button.
|| Select '''Save & Continue''' button at the bottom.

|- 
|| Blue box on '''Thrombolysis'''
|| The '''App''' will now move us to the next page that is '''Thrombolysis'''.
|- 
|| Select '''Streptokinase'''

'''Text box'''
|| Here we have to select any one type of '''Thrombolytic Agent.'''
|- 
|| Show filled details

'''Text box'''
|| I’ll select '''Streptokinase'''.

Then enter the '''Dosage, Start Date '''and''' Time,''' '''End Date '''and''' Time'''.
|- 
|| Show filled details
|| This is followed by '''90 min ECG, Date '''and''' Time.'''
|- 
|| Show filled details

Text box
|| And '''Successful Lysis Yes '''or '''No'''.

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

|- 
|| Blue box on '''In-Hospital Summary.'''
|| We’ll skip the next tab, that is '''In-Hospital Summary''' page.
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|| Discharge Summary
|| We are now in the '''Discharge Summary '''page.
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|| Blue box on '''Death >> No.'''
|| Under '''Discharge Summary, '''we have '''Death.'''


I’ll select '''Death''' as '''‘No’''' for now.
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|| '''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.'''
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|| Select few as '''Yes'''


Text box
|| The medications prescribed to the patient during discharge should be marked as '''Yes'''.


So I’ll mark a few as '''‘Yes’.'''
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|| '''Save and Continue button.'''
|| Then select the '''Save & Continue''' button at the bottom of the page.

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|| Next page '''Discharge/ Transfer'''
|| The '''App''' will now take us to the next page that is '''Discharge/ Transfer'''.
|- 
|| Discharge from D hospital

Date: 21/1/2016 Time: 9:45 am
|| '''Discharge from D hospital'''

Fill out the '''Date & Time.'''
|- 
|| '''Discharge To''' >> select '''Stemi Cluster Hospital'''
|| In '''Discharge To''' field, select '''Stemi Cluster Hospital'''.
|- 
|| Select '''Transfer to Hospital Name >> Kovai Medical'''
|| Then select the '''Transfer to Hospital Name '''from the drop-down list.
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|| Blue box on Address

Text box
|| On doing so, the '''Transfer 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.'''
|- 
|| Click on '''Finish'''
|| Lastly, click on '''Finish''' button.
|- 
|| 
|| This completes the data-entry when a patient is transferred
* from a '''Non-STEMI C Hospital''' 
* to a '''STEMI D Hospital.'''

|- 
|| 
|| Let us summarize.
|- 
|| Show Summary Slide
|| In this tutorial, we have learnt to -
* enter data of a new patient on the '''STEMI App'''
* when the patient is transferred from a '''Non-STEMI C Hospital '''to a '''STEMI 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.
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|}