Difference between revisions of "STEMI-2017/C3/STEMI-D-to-STEMI-AB-Hospital/English"
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| − | <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;">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;">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;">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 | + | <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 |
| Line 15: | Line 15: | ||
|- | |- | ||
| Title slide | | 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 | | Opening Slide - can be graphic from the PPT | ||
|| In this scenario, a patient is | || In this scenario, a patient is | ||
| − | * | + | * brought to a '''STEMI D Hospital''' first |
| − | * | + | * and is later transferred to a '''STEMI A/B Hospital.''' |
| − | + | ||
|- | |- | ||
| Line 60: | Line 59: | ||
|- | |- | ||
|| Blue box on '''Manual ECG Taken''' | || Blue box on '''Manual ECG Taken''' | ||
| − | || I’ll check '''Manual ECG Taken''' as '''Yes''' and then enter the | + | || I’ll check '''Manual ECG Taken''' as '''Yes''' and then enter the '''Date '''and''' Time.''' |
|- | |- | ||
|| Blue box on '''STEMI Confirmed''' | || Blue box on '''STEMI Confirmed''' | ||
| Line 67: | Line 66: | ||
This''' '''is confirmed based on the '''ECG''' taken. | This''' '''is confirmed based on the '''ECG''' taken. | ||
| − | I’ll check '''STEMI Confirmed''' as '''Yes''', along with | + | I’ll check '''STEMI Confirmed''' as '''Yes''', along with '''Date '''and''' Time.''' |
|- | |- | ||
|| Blue box on '''Transport Details''' | || Blue box on '''Transport Details''' | ||
| Line 113: | Line 112: | ||
|| Select a few as per narration | || Select a few as per narration | ||
|| For symptoms I will check | || For symptoms I will check | ||
| − | * | + | * '''Palpitation, ''' |
| − | * | + | * '''Diaphoresis, ''' |
| − | * | + | * '''Shortness of breath, ''' |
| − | * | + | * '''Nausea/vomiting, ''' |
| − | * | + | * '''Dizziness ''' |
as '''Yes'''. | as '''Yes'''. | ||
| Line 160: | Line 159: | ||
|- | |- | ||
|| Show filled details | || Show filled details | ||
| − | || Then comes | + | || Then comes ID proof section - '''Aadhar Card No.''' and the upload of the soft-copy. |
|- | |- | ||
|| '''Save and Continue''' button. | || '''Save and Continue''' button. | ||
| Line 173: | Line 172: | ||
|- | |- | ||
|| Show filled details | || Show filled details | ||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
| − | |||
| Line 186: | Line 177: | ||
|| A list of medications is displayed on this page. | || A list of medications is displayed on this page. | ||
| − | Enter the details of the medication administered to the patient along with | + | 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. | Please note that the dosage of medications is an example meant for demo purposes. | ||
| Line 275: | Line 266: | ||
|- | |- | ||
|| Blue box on '''Transport Vehicle''' | || Blue box on '''Transport Vehicle''' | ||
| − | || In '''Transport Vehicle''' field, choose '''Private | + | || 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. | If '''Ambulance '''or '''GVK Ambulance''' is selected, we will be prompted to enter further details. | ||
| Line 357: | Line 348: | ||
|| '''Cath Lab Activation '''and''' Cath Lab Arrival''' | || '''Cath Lab Activation '''and''' Cath Lab Arrival''' | ||
| − | + | || Data under '''PCI details '''should be filled either by the '''cardiologist''' or the '''Cath Lab Technician.''' | |
| − | + | ||
| − | + | ||
| − | || Data under '''PCI details '''should be filled either by the cardiologist or the '''Cath Lab Technician.''' | + | |
| Line 372: | Line 360: | ||
|| Blue box on '''CART, Start & End Date and Time''' | || Blue box on '''CART, Start & End Date and Time''' | ||
|| Then fill the '''CART''' details such as | || Then fill the '''CART''' details such as | ||
| − | * | + | * '''Start Date and Time''' |
| − | * | + | * '''End Date and Time''' |
| − | + | ||
|- | |- | ||
| Line 407: | Line 394: | ||
|| | || | ||
| + | Blue box narration | ||
| − | |||
|| I will enter the details for '''2b3a Inhibitors.''' | || I will enter the details for '''2b3a Inhibitors.''' | ||
| Line 468: | Line 455: | ||
|| Show Summary Slide | || Show Summary Slide | ||
|| In this tutorial, we have learnt to - | || 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 | || Show STEMI INDIA slide | ||
|| '''STEMI INDIA''' | || '''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. |
|- | |- | ||
| Line 488: | Line 474: | ||
|| This tutorial has been contributed by | || This tutorial has been contributed by | ||
| − | * | + | * '''STEMI INDIA''' |
| − | * | + | * and the '''Spoken Tutorial Project, IIT Bombay.''' |
This is Nancy Varkey signing off. Thanks for joining. | This is Nancy Varkey signing off. Thanks for joining. | ||
|- | |- | ||
|} | |} | ||
Latest revision as of 13:58, 15 July 2020
Topic: Transfer from STEMI D Hospital to STEMI AB Hospital.
Contributor Name: Jerry David, STEMI Team, Coimbatore
Reviewed by: Nancy Varkey, Spoken Tutorial Project, IIT Bombay
Keywords: STEMI, STEMI App, D Hospital data entry on STEMI App, A/B Hospital data entry on STEMI App
| 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
|
| 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
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
|
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 Homepage 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.
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.
| |
| 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.
|
| 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
|
| 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 -
|
| Show STEMI INDIA slide | STEMI INDIA
|
| 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
This is Nancy Varkey signing off. Thanks for joining. |
