Nancyvarkey at 06:53, 15 July 2020

2020-07-15T06:53:29Z

Nancyvarkey at 06:22, 15 July 2020

2020-07-15T06:22:01Z

PoojaMoolya: Created page with "

Topic: Transfer..."

2020-06-23T08:52:38Z

Created page with "<div style="margin-left:-0.035cm;margin-right:0cm;"> <div style="margin-left:-0.035cm;margin-right:0cm;"> <div style="margin-left:-0.035cm;margin-right:0cm;">Topic: Transfer..."

New page

<div style="margin-left:-0.035cm;margin-right:0cm;">

<div style="margin-left:-0.035cm;margin-right:0cm;">

<div style="margin-left:-0.035cm;margin-right:0cm;">Topic: Transfer from Non-STEMI C to STEMI A/B 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 A/B Hospital, patient transfer from Non-STEMI C Hospital

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

'''Transfer from Non-STEMI C to AB Hospital.'''
||Hello and welcome to this tutorial on transfer of patient from '''Non-STEMI C '''to '''AB 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''' in an '''A/B Hospital'''
* <div style="margin-left:1.27cm;margin-right:0cm;">when the patient is transferred from a '''Non-STEMI C Hospital.'''

|-
| '''Switch to STEMI device interface'''
||We are in the '''STEMI Homepage.'''
|-
||'''Blue box '''on '''stemiAuser'''
|| Notice here.

It says '''stemiAuser - '''that means the '''A/B Hospital '''staff''' '''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 '''Payment''' details >> '''State BPL Insurance'''
|| Next, we have to select the '''Payment''' details from the options provided in the drop-down menu.
|-
||Enter the '''Symptom Onset Date & Time.'''
|| After this, we have to enter the '''Symptom Onset Date & Time.'''
|-
||Enter the '''D Hospital Arrival Date & Time.'''
|| Followed by '''A/B Hospital Arrival Date & Time.'''
|-
|| '''Admission >> choose Non-STEMI.'''

'''Note: Blue Box '''
|| In '''Admission''', we will choose '''Non-STEMI. '''

This is because the patient is transfered from a '''Non STEMI 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 the '''Hospital Name '''and''' Address.'''
|| Immediately, we are prompted to enter the '''Hospital Name '''and''' Address.'''

Let's enter these.
|-
||Enter the '''Non-STEMI Hospital Arrival Date & Time.'''
|| Next, we have to enter the '''Non-STEMI Hospital Arrival Date & Time.'''
|-
|| Enter
* <div style="margin-left:1.27cm;margin-right:0cm;">'''Manual ECG Taken'''
* <div style="margin-left:1.27cm;margin-right:0cm;">and '''STEMI Confirmed'''

|| Under '''STEMI Details''', fill in the details for '''Manual ECG Taken '''and '''STEMI Confirmed.'''
|-
||'''Post Thrombolysis''' details
|| Now we have to fill the '''Post Thrombolysis''' details.

We’ll choose '''No''' as the patient was transfered from a '''C type Non STEMI '''Hospital.

In these hospitals, '''Thrombolysis''' is not done.
|- style="border:0.75pt solid #000000;padding-top:0cm;padding-bottom:0cm;padding-left:0.176cm;padding-right:0.212cm;"
|| '''Transportation Details'''
|| Lastly on this page, we have '''Transport Details.'''
|-
||'''Transportation Details >> '''choose''' Private'''
|| Here, I will choose '''Private''' from the drop-down menu provided.
|-
||Select the '''Save & Continue''' button at the bottom of the page.
|| Then 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 '''page, put 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.'''
|-
||Check all of the following as '''NO'''
||I’ll 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.

|-
||'''Blue box '''on '''Cardiac History'''
|| The '''App''' now moves us to '''Cardiac History '''page.
|-
|
|| Here we have to enter the relevant details related to the patient's history.
|-
|
||I’ll mark these as '''No'''.
|-
||'''Blue box '''on '''Diagnosis'''
|| Then under '''Diagnosis, '''enter the details for that particular patient.
|-
||'''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

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

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

|-
|
|| Here we will be prompted to enter the medicines that the patient is on, as per his medical condition.

Pls make the relevant entries for that patient.
|-
|| Check the following

Under '''Co – Morbid Conditions'''

'''Diabetes Mellitus''': Yes

'''Hypertension''': Yes

'''Dyslipidemia''': Yes
|| I’ll check a few as''' ‘Yes’ '''and also give the relevant details as prompted by the '''App'''.
|-
||Select '''Save and Continue'''
|| 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.'''

'''Blue box '''on''' Upload Aadhar card..'''
|| Next is the''' ID proof '''section - '''Aadhar Card No. '''and the upload of the soft-copy.
|-
||Select '''Save and Continue'''
|| Select the '''Save and 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 some details in the '''Medications prior to Thrombolysis '''page.
|-
||'''Blue box '''on '''Clopidogrel'''
|| I'll enter '''Clopidogrel '''as '''Yes, '''and enter the '''Dosage, Date '''and '''Time'''.
|-
|| '''Narration - Blue Box '''
|| Please note.

The above mentioned doses and selection of medications, are meant for demo purposes only.

Administer drugs as per the patient’s condition and treatment modalities.
|-
||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.

|-
|
|| The '''App''' now takes us to the next page i.e. '''PCI'''.
|-
|
|| Here we have '''Drugs before PCI.'''
|-
| 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 tab is '''PCI'''.
|-
|| '''Remove Blue Box for Cath Lab Activation and Cath Lab Arrival'''

'''show details to be entered either by a cardiologist or Lab Technician to be shown in a blue box'''
|| 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="color:#000000;margin-left:1.27cm;margin-right:0cm;">
* <div style="margin-left:1.27cm;margin-right:0cm;">'''Cath Lab Activation '''and
* <div style="margin-left:1.27cm;margin-right:0cm;">'''Cath Lab Arrival '''

|-
||'''Blue box '''on '''Vascular access'''

'''Blue box '''on '''Catheter access.'''
|| Next is '''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:0cm;">'''Start Date '''and''' Time'''
* <div style="margin-left:1.27cm;margin-right:0cm;">'''End Date '''and''' Time'''

|-
||'''Blue box '''on '''Culprit Vessel'''
|| After this, we have to specify any one '''Culprit Vessel '''from the options provided.
|-
| Entry of details
|| Then enter all the details relevant to that '''Culprit Vessel'''.
|-
||'''Blue box '''on '''Management'''
|| Now, make the 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.
|-
| Entry of details
|| 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 tab'''.
|-
| Entry for medications
|| Enter the details of the medications administered to the patient in the '''Cath Lab'''.
|-
|
|| I will enter the details for '''2b3a Inhibitors'''.
|-
||Entry for '''Unfractionated Heparin'''
|| '''Unfractionated Heparin, Dosage, Date '''and '''Time'''.
|-
|| '''Narration - Blue Box '''
|| Please note.

The above mentioned doses and selection of medications are meant for demo purposes only.

Administer drugs as per the patient’s condition and treatment modalities.
|-
||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'''
|| And move on to '''Discharge Summary'''.
|-
||Select '''No'''.
|| Here we have the '''tab Death,''' which I will select as '''No'''.
|-
||Select '''Save and Continue'''
|| Then select the '''Save and Continue '''button at the bottom.

|-
||'''Blue box '''on '''Discharge Medications'''.
|| Next comes '''Discharge Medications'''.
|-
|
|| There are some options displayed on this page.

Once again, enter the relevant ones advised for that patient at the time of discharge.
|-
||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.
|-
||'''Blue box '''on '''Discharge from the A/B Hospital'''
|| Here, we need to enter the details related to the discharge from the '''A/B Hospital'''.
|-
||Select '''Home.'''
|| So, let's select '''Home '''here.
|-
| '''Transport Vehicle >> Private.'''
|| Then in '''Transport Vehicle''', choose '''Private.'''
|-
||Select '''Finish.'''
|| Lastly, select the '''Finish '''button.
|-
|
|| This completes the data entry in the '''A/B Hospital.'''

|-
|
| 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 '''in an '''A/B Hospital'''
* <div style="margin-left:1.27cm;margin-right:0cm;">when a patient is transferred from a '''Non-STEMI C Hospital.'''

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

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

@@ Line 158: / Line 158: @@
 ||'''Chest Discomfort''': options '''Pain, Pressure, Aches''' >> '''Aches''' selected
-'''Location of Pain''': options '''Retrosternal, Jaw, L arm, R arm, Back''' >> '''L arm '''selected
+'''Location of Pain''': options '''Retrosternal, Jaw, L arm, R arm, Back''' >> '''Retrosternal''' selected
 '''Pain Severity '''( a mandatory field) – type from 1 -10 :''' >> '''8'''

STEMI-2017/C3/Non-STEMI-C-to-STEMI-AB-Hospital/English - Revision history

Nancyvarkey at 06:53, 15 July 2020

Nancyvarkey at 06:22, 15 July 2020

PoojaMoolya: Created page with " Topic: Transfer..."

PoojaMoolya: Created page with "

Topic: Transfer..."