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

<div style="margin-left:-0.026cm;margin-right:0cm;">Topic: Transfer from STEMI D Hospital to STEMI AB Hospital.

<div style="margin-left:-0.026cm;margin-right:0cm;">Contributor Name: Jerry David, STEMI Team, Coimbatore

<div style="margin-left:-0.026cm;margin-right:0cm;">Reviewed by: Nancy Varkey, Spoken Tutorial Project, IIT Bombay

<div style="margin-left:-0.026cm;margin-right:0cm;">Keywords: STEMI, STEMI App, D 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 D Hospital''' to '''STEMI A/B Hospital.'''
|- 
| Opening Slide - can be graphic from the PPT
|| In this scenario, a patient is
* brought to a '''STEMI D Hospital''' first
* and is later transferred to a '''STEMI A/B 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 the '''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.'''
|- 
|| Enter the date and time of '''Symptom Onset.'''
|| Now, enter the date and time of '''Symptom Onset.'''
|- 
|| Blue box on '''STEMI D Hospital Arrival Date and Time.'''
|| Then, we are prompted to enter the '''STEMI D Hospital Arrival Date '''and''' Time.'''
|- 
|| Select '''Admission '''as '''Direct'''.
|| Next, select '''Admission '''as '''Direct.'''

This is because the patient has directly presented to the '''STEMI D Hospital.''' 
|- 
|| 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'''
|| Next, is '''STEMI Confirmed.'''

This''' '''is confirmed based on the '''ECG''' taken.

I’ll check '''STEMI Confirmed''' as '''Yes''', along with '''Date '''and''' Time.'''
|- 
|| Blue box on '''Transport Details''' 
|| Lastly on this page we have '''Transport Details'''.
|- 
|| Transport Details

Here we will choose private vehicle in this case it could be Ambulance , 

GVK EMRI Ambulance or Public vehicle based on the mode of transport used
|| Here we will choose '''Private vehicle '''in this case.

It could be '''Ambulance, GVK EMRI Ambulance''' or '''Public vehicle, '''based on the mode of transport used.
|- 
|| '''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 '''Fibrionolytic 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''' 
|| We are now in the '''Cardiac History''' page.
|- 
|| '''Previous MI, Angina, CABG, PCI1, PCI2 >> No'''
|| 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.
|- 
|| 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.'''
|- 
|| '''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 '''Thrombolysis'''
|| The '''App''' will now move us to the next tab which is '''Thrombolysis'''.
|- 
|| Blue box on '''Medications Prior to Thrombolysis.'''
|| Here we have to specify the '''Medications Prior to Thrombolysis.'''
|- 
|| Show filled details


Blue box - narration
|| 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.'''

Please note that the dosage of medications is an example meant for demo purposes. 

Administer drugs as per patient condition and treatment modalities.
|- 
|| Save and Continue button.
|| Select the '''Save & Continue''' button at the bottom.

|- 
|| Blue box on '''Thrombolysis'''
|| The '''App''' now takes us to the next tab which is '''Thrombolysis'''.
|- 
|| Blue box on '''Medications Prior to Thrombolysis.'''
|| Here we have to select any one '''Thrombolytic Agent '''as administrered.
|- 
|| Show filled details
|| I’ll select '''Streptokinase'''.

Then enter the '''Dosage, Start Date and Time, End Date and Time.'''
|- 
|| Fill details of '''90 minutes ECG.'''
|| This is followed by '''90 minutes ECG, Date '''and '''Time.'''
|- 
|| '''Successful Lysis >> Yes'''
|| And '''Successful Lysis Yes/No '''which is determined based on the '''90 mins ECG'''
|- 
|| '''Save and Continue''' button.
|| Select the '''Save & Continue''' button at the bottom.

|- 
|| Blue box on''' In- Hospital Summary '''
|| The '''App''' will now take us to the next page that is, '''In-Hospital Summary.'''
|- 
|| Under''' In hospital Summary >> Medication in Hospital'''
|| Here, we have '''Medication in hospital.'''
|- 
|| Mark a few of them as Yes
|| The medications administered to the patient in the '''STEMI D Hospital''', should be marked as '''Yes'''.
|- 
|| '''Save and Continue '''button.
|| Select the '''Save & Continue''' button at the bottom.

|- 
|| '''Discharge Summary'''
|| We are now moved to '''Discharge Summary''' page.
|- 
|| 
|| 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.

|- 
|| '''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’'''.
|- 
|| '''Save and Continue''' button.
|| Then select the '''Save & Continue''' button at the bottom of the page.

|- 
|| Blue box on '''Discharge/Transfer.'''
|| The '''App''' will now take us to the next page, that is,''' Discharge/ Transfer.'''
|- 
|| Fill out '''Discharge from D hospital date and time'''
|| '''Discharge from D 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 already 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 on the '''STEMI App '''in the '''STEMI D 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 Homepag'''e 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 '''STEMI D''' Hospital.

Then select the '''Search''' button at the bottom of the page.
|- 
|| 
|| Now select the particular patient from the displayed list.


Once the patient file is open, select the '''Edit''' button at the top right corner of the page.

This will allow us to edit that particular page.

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 D 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'''
|| We can skip this page as data was already entered here at the '''STEMI D '''Hospital.
|- 
|| 
|| The '''Thrombolysis '''main tab is skipped.


Reason is - '''Thrombolysis '''was done at the '''STEMI D '''Hospital along with its data entry.
|- 
|| 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 Details.'''
|- 
|| '''Cath Lab Activation '''and''' Cath Lab Arrival'''

|| Data under '''PCI details '''should be filled either by the '''cardiologist''' or the '''Cath Lab Technician.'''


Let’s start the data entry in this page by entering''' 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 in the '''Medications in Cath Lab''' page.
|- 
|| 
|| Enter the details of the medications administered to the patient in the '''Cath Lab.'''
|- 
|| 

Blue box narration


|| I will enter the details for '''2b3a Inhibitors.'''

'''Unfractionated Heparin Dosage, Date '''and''' Time.'''

Please note that the above dosage and selection of medications 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 will skip the''' 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'''
|| Then select the '''Save and Continue''' button at the bottom.
|- 
|| Blue box on '''Discharge/Transfer'''
|| Now we are taken to the '''Discharge or Transfer''' page.

Here are the discharge details of the patient. 

These were entered earlier, when the patient was transferred from '''STEMI D '''to '''STEMI AB Hospital'''.
|- 
|| 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.'''
|- 
|| 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 D 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.
|-
|}