Nancyvarkey at 09:32, 15 July 2020

2020-07-15T09:32:59Z

PoojaMoolya: Created page with "
Topic: GVK-EMRI Ambulance to D Hospital transfer
Contributor Name: Je..."

2020-06-23T08:14:05Z

Created page with "<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: Je..."

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<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 -
* <div style="margin-left:1.27cm;margin-right:0cm;">Enter data of a new patient on the '''STEMI App''' from an '''EMRI ambulance'''.
* <div style="margin-left:1.27cm;margin-right:0cm;">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 -

* <div style="color:#000000;margin-left:1.27cm;margin-right:0cm;">'''Name:'''
* <div style="color:#000000;margin-left:1.27cm;margin-right:0cm;">'''Age:'''
* <div style="color:#000000;margin-left:1.27cm;margin-right:0cm;">'''Gender: '''
* <div style="color:#000000;margin-left:1.27cm;margin-right:0cm;">'''Phone: '''
* <div style="margin-left:1.27cm;margin-right:0cm;">and '''Address: '''

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

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

|-
||
|| 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; L arm '''selected

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

|| '''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 -

* <div style="margin-left:1.27cm;margin-right:0cm;">'''Symptom Onset Date: '''and '''Time:'''
* <div style="margin-left:1.27cm;margin-right:0cm;">'''Ambulance Call Date: '''and '''Time:'''
* <div style="margin-left:1.27cm;margin-right:0cm;">'''Ambulance Arrival Date: '''and '''Time:'''
* <div style="margin-left:1.27cm;margin-right:0cm;">'''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
* <div style="margin-left:1.27cm;margin-right:0cm;">'''Google maps- '''to locate and select the '''Hospital''' on the '''Google Maps''' for directions
* <div style="margin-left:1.27cm;margin-right:0cm;">'''Contacts - '''to call or get contact details of the '''Hospital, '''to which the patient is being shifted.

|-
|| '''Blue box '''on '''Medications during Transport'''
* <div style="margin-left:1.27cm;margin-right:0cm;">'''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 * <div style="margin-left:1.27cm;margin-right:0cm;">'''Save and Continue''' button appears below the field
* <div style="color:#000000;margin-left:1.27cm;margin-right:0cm;">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-

* <div style="margin-left:1.27cm;margin-right:0cm;">'''Remarks: '''if any
* <div style="color:#000000;margin-left:1.27cm;margin-right:0cm;">'''Transfer to Hospital Name: '''
* <div style="color:#000000;margin-left:1.27cm;margin-right:0cm;">'''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 -
* <div style="margin-left:1.27cm;margin-right:0cm;">the hospital name
* <div style="margin-left:1.27cm;margin-right:0cm;">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
* <div style="margin-left:1.27cm;margin-right:0cm;">'''Name, '''
* <div style="margin-left:1.27cm;margin-right:0cm;">'''Relation Type, '''
* <div style="margin-left:1.27cm;margin-right:0cm;">'''Address, '''
* <div style="margin-left:1.27cm;margin-right:0cm;">'''City '''and
* <div style="margin-left:1.27cm;margin-right:0cm;">'''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
* <div style="margin-left:1.27cm;margin-right:0cm;">'''Remarks''' if any
* <div style="margin-left:1.27cm;margin-right:0cm;">'''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 -
* <div style="margin-left:1.27cm;margin-right:0cm;">Enter data of a new patient on the '''STEMI App''' from an ambulance.
* <div style="margin-left:1.27cm;margin-right:0cm;">Enter further data for the same patient on the '''STEMI App''' in a '''D Hospital'''

|-
|| Show STEMI INDIA slide
|| STEMI INDIA
* <div style="color:#000000;margin-left:1.27cm;margin-right:0cm;">was set up as a ‘not for profit’ organisation
* <div style="color:#000000;margin-left:1.27cm;margin-right:0cm;">primarily to reduce delays in accessing appropriate care for heart attack patients
* <div style="color:#000000;margin-left:1.27cm;margin-right:0cm;">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
* <div style="color:#000000;margin-left:1.27cm;margin-right:0cm;">STEMI INDIA
* <div style="color:#000000;margin-left:1.27cm;margin-right:0cm;">and the Spoken Tutorial Project, IIT Bombay.

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

STEMI-2017/C3/GVK-EMRI-to-D-Hospital/English - Revision history

Nancyvarkey at 09:32, 15 July 2020

PoojaMoolya: Created page with "Topic: GVK-EMRI Ambulance to D Hospital transfer Contributor Name: Je..."

PoojaMoolya: Created page with "
Topic: GVK-EMRI Ambulance to D Hospital transfer
Contributor Name: Je..."