Difference between revisions of "STEMI-2017/C3/EMRI-to-AB-Hospital/English"

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(Created page with "<div style="margin-left:-0.035cm;margin-right:0cm;">Topic: EMRI Ambulance to AB Hospital data entry <div style="margin-left:-0.035cm;margin-right:0cm;">Contributor Name: Jerr...")
 
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|| Then comes the '''Diagnosis '''section.
 
|| Then comes the '''Diagnosis '''section.
 
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|| '''Chest Discomfort''': '''Aches''' selected
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|| '''Chest Discomfort''': '''Pain''' selected
  
 
'''Location of Pain''': '''Retrosternal '''selected
 
'''Location of Pain''': '''Retrosternal '''selected
  
 
'''Pain Severity ''': '''8'''
 
'''Pain Severity ''': '''8'''
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|| '''Chest Discomfort: '''I’ll select '''Aches'''
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|| '''Chest Discomfort: '''I’ll select '''Pain'''
  
 
'''Location of Pain: '''I’ll select '''Retrosternal'''
 
'''Location of Pain: '''I’ll select '''Retrosternal'''
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'''Date:''' 21/1/2016''' Time: '''10:10 am
 
'''Date:''' 21/1/2016''' Time: '''10:10 am
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|| Under '''Discharge Summary, '''there is a mandatory field named''' Death'''.  
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|| Under '''Discharge Summary, '''''' Death''' is a mandatory field .  
  
 
Check this as “'''No'''”.
 
Check this as “'''No'''”.
  
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Next we have to enter '''Discharge from EMRI''' '''Date: '''and '''Time:'''
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Then fill out '''Discharge from EMRI''' '''Date: '''and '''Time:'''
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|| '''Transport To: '''
 
|| '''Transport To: '''
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* <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 Name: '''
 
* <div style="color:#000000;margin-left:1.27cm;margin-right:0cm;">'''Transfer to Hospital Address: '''
 
* <div style="color:#000000;margin-left:1.27cm;margin-right:0cm;">'''Transfer to Hospital Address: '''
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|| We are now moved to the next page – '''Basic Details.'''
 
|| We are now moved to the next page – '''Basic Details.'''
 
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|| Here, all the details filled in the '''EMRI Ambulance''' are displayed.
 
|| Here, all the details filled in the '''EMRI Ambulance''' are displayed.
 
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|| '''Fibrinolytic Checklist'''
 
|| '''Fibrinolytic Checklist'''
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|| The '''App '''will skip the '''Fibrinolytic Checklist '''page.
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|| We will skip the '''Fibrinolytic Checklist '''page.
 
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|| '''Blue box '''on  
 
|| '''Blue box '''on  
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|| And take us to the '''Cardiac History '''page.
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|| And move to the '''Cardiac History '''page.
 
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|| Here we will enter the relevant details related to the patient's history.
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|| First we will enter the relevant details related to the patient's history.
 
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|| '''Clinical Examination'''
 
|| '''Clinical Examination'''
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|| Under '''Clinical Examination '''section''', '''enter the details for that particular patient.
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|| Then under '''Clinical Examination '''section''', '''enter the details for that particular patient.
 
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|| We are moved to the '''Co-Morbid Conditions '''page.
 
|| We are moved to the '''Co-Morbid Conditions '''page.
 
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|| Here we will be prompted to enter some current medical conditions pertaining to the patient.
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|| Here we are prompted to enter the medicines that the patient is on, as per his medical conditions.
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Pls make the relevant entries for that patient.
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Please make the relevant entries for that patient.
 
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|| '''Name, Relation Type, Address, City '''and '''Mobile no.'''
 
|| '''Name, Relation Type, Address, City '''and '''Mobile no.'''
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|| Enter the '''Name, Relation Type, Address, City '''and '''Mobile no.''' of the patient's relative here.
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|| Here we have to enter the '''Name, Relation Type, Address, City '''and '''Mobile no.''' of the patient's relative here.
 
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|| '''Occupation'''
 
|| '''Occupation'''
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|| Pls upload and then select the '''Save and Continue '''button at the bottom.
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|| Select the '''Save and Continue '''button at the bottom.
  
 
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|| We are moved to the '''Medications prior to Thrombolysis '''page.
 
|| We are moved to the '''Medications prior to Thrombolysis '''page.
 
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| style="color:#0000ff;" | Blue text box on screen
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|| Blue text box on screen
 
|| Here, enter the details of the medications administered to the patient prior to '''Thrombolysis'''.
 
|| Here, enter the details of the medications administered to the patient prior to '''Thrombolysis'''.
 
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|| Here we have '''Drugs before PCI tab.'''
 
|| Here we have '''Drugs before PCI tab.'''
 
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| | Make entries in PCI
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|| Make entries in PCI
 
|| Enter the details of the drug administered to the patient before '''PCI, '''with '''Date '''and '''Time '''details.
 
|| Enter the details of the drug administered to the patient before '''PCI, '''with '''Date '''and '''Time '''details.
 
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|| '''Cath Lab Activation '''and '''Cath Lab Arrival '''
 
|| '''Cath Lab Activation '''and '''Cath Lab Arrival '''
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|| The '''Cath Lab details '''such as
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|| The details in this page have to be enter only by the '''Cath Lab technicians '''or a '''cardiologist.''' Under '''Cath Lab''' details we have
 
* <div style="margin-left:1.27cm;margin-right:0cm;">'''Cath Lab Activation '''and
 
* <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 '''
 
* <div style="margin-left:1.27cm;margin-right:0cm;">'''Cath Lab Arrival '''
  
  
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have to be entered only by the '''Cath Lab technicians '''or a '''cardiologist.'''
 
 
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|| '''Vascular access'''
 
|| '''Vascular access'''
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|| After this, we have to specify any one '''Culprit Vessel '''from the options provided.
 
|| After this, we have to specify any one '''Culprit Vessel '''from the options provided.
 
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|| Then enter all the details relevant to that '''Culprit Vessel'''.
 
|| Then enter all the details relevant to that '''Culprit Vessel'''.
 
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|| Here I will fill in the details related to '''2b3a Inhibitors'''.
 
|| Here I will fill in the details related to '''2b3a Inhibitors'''.
 
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|| I’ll check '''Unfractionated Heparin as Yes, '''then enter '''Dosage, Date '''and '''Time'''.
 
|| I’ll check '''Unfractionated Heparin as Yes, '''then enter '''Dosage, Date '''and '''Time'''.
 
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|| Select the '''Save and Continue '''button at the bottom.
 
|| Select the '''Save and Continue '''button at the bottom.
 
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|| Once again, the '''App''' skips the pages related to '''In-Hospital Summary'''.
 
|| Once again, the '''App''' skips the pages related to '''In-Hospital Summary'''.
 
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Revision as of 14:41, 1 July 2020

Topic: EMRI Ambulance to AB Hospital data entry
Contributor Name: Jerry David, STEMI Team, Coimbatore
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


VISUAL CUE NARRATION
Show TITLE slide


EMRI or Ambulance data Entry

Hello and welcome to this tutorial on transfer of patient from EMRI ambulance to AB Hospital.
Show Learning Objectives Slide In this tutorial, we will learn to -
  • Enter data of a new patient on the STEMI App from an EMRI ambulance.
  • Enter further data for the same patient on the STEMI App in an A/B Hospital.


Switch to STEMI device interface We are in the STEMI Homepage.
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


  • Name:
  • Age:
  • Gender:
  • Phone:
  • 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, 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.


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’ll 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 which is Co-Morbid Conditions.
Here we will fill the details of History And Co-Morbid Conditions.
Check the following

Under Co – Morbid Conditions


Diabetes Mellitus: Yes

Hypertension: Yes

Dyslipidemia: Yes



I’ll check a few as ‘Yes’

Diagnosis Then comes the Diagnosis section.
Chest Discomfort: Pain selected

Location of Pain: Retrosternal selected

Pain Severity : 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.
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 Arrival

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 -


  • Symptom Onset Date: and Time:
  • Ambulance Call Date: and Time:
  • Ambulance Arrival Date: and Time:
  • Ambulance Departure Date: and Time:


Transport to STEMI Cluster

Yes: No:



if Yes is selected


Google maps

Contacts


Medications during Transport*
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

Next is Transport to STEMI Cluster Yes/No.


if Yes is selected, it further opens into

  • Google maps- to locate and select the Hospital on the Google Maps for directions
  • Contacts - to call or get contact details of the Hospital to which the patient is being shifted



Under Medications during Transportation:, we have to enter the details of the medications administered to the patient in the EMRI ambulance.


Select the Finish button And select the Finish button at the bottom of the page.
Go back to Transport to STEMI Cluster field


Select No

If ‘No’ is selected under Transportation to STEMI cluster then
  • Save and Continue button appears below the field
  • and data entry for the particular page ends here.


This will save the current page.
On Discharge Summary page And we are moved to the next page – Discharge Summary.
Under Discharge Summary

Death: check as “No”



Discharge from EMRI

Date: 21/1/2016 Time: 10:10 am

Under Discharge Summary, ' Death' is a mandatory field .

Check this as “No”.

Next we have to enter Discharge from EMRI Date: and Time:

Transport To:

Select Stemi Cluster Hospital

In Transport To: field, 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-


  • Remarks: if any
  • Transfer to Hospital Name:
  • 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.

If this hospital was not part of the STEMI programme, then we would have to manually enter -
  • the hospital name
  • 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.
The patient is once again transferred via EMRI ambulance to an A/B 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.
stemiAuser 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 and select the Search button at the bottom of the page.
Select the particular patient from the displayed list.
Basic Details We are now moved to the next page – Basic Details.
Here, all the details filled in the EMRI Ambulance are displayed.
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.
Manual ECG Taken Yes/No.

Select Yes.

After that, is Manual ECG Taken Yes/No.


I'll select this as Yes.

ECG Date and Time And fill the Date and Time of the ECG.
STEMI Confirmed Yes/No.

Select Yes.

Next is STEMI Confirmed Yes/No.


I'll select Yes here.

STEMI Confirmed Date and Time. And then fill the Date and Time.
Select the Save and Continue button at the bottom.
Fibrinolytic Checklist We will skip the Fibrinolytic Checklist page.
Blue box on And move to the Cardiac History page.
First we will enter the relevant details related to the patient's history.
Clinical Examination Then under Clinical Examination section, enter the details for that particular patient.
Then select the Save and Continue button at the bottom.
Co-Morbid Conditions We are moved to the Co-Morbid Conditions page.
Here we are prompted to enter the medicines that the patient is on, as per his medical conditions.

Please make the relevant entries for that patient.

Then select the Save and Continue button at the bottom.
Contact Details We are moved to the Contact Details page.
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 here.
Occupation Then enter the Occupation.
Aadhar Card No. After, this comes the Aadhar Card No.
Upload Aadhar card. On doing so, we will prompted to upload a copy of the Aadhar card.
Select the Save and Continue button at the bottom.
Medications prior to Thrombolysis We are moved to the Medications prior to Thrombolysis page.
Blue text box on screen Here, enter the details of the medications administered to the patient prior to Thrombolysis.
Select the Save and Continue button at the bottom.
Thrombolysis We are moved to the Thrombolysis page.
Select any one Thrombolytic agent


Select Streptokinase.

Here, select any one Thrombolytic agent. I'll select Streptokinase.
Dosage, Date and Time. Then enter the Dosage, Date and Time.
90 min ECG, Date and Time. 90 min ECG, Date and Time.
Successful Lysis Yes/No. Successful Lysis Yes/No.
Select the Save and Continue button at the bottom.
PCI We have moved directly to the PCI page.
Drugs before PCI Here we have Drugs before PCI tab.
Make entries in PCI Enter the details of the drug administered to the patient before PCI, with Date and Time details.
Select the Save and Continue button at the bottom.
On PCI page The next page is PCI.
Cath Lab Activation and Cath Lab Arrival The details in this page have to be enter only by the Cath Lab technicians or a cardiologist. Under Cath Lab details we have
  • Cath Lab Activation and
  • Cath Lab Arrival


Vascular access

Catheter access.

Next is Vascular access followed by Catheter access.
CART, Start & End Date and Time Then fill the CART details such as
  • Start Date and Time
  • End Date and Time


Culprit Vessel After this, we have to specify any one Culprit Vessel from the options provided.
Then enter all the details relevant to that Culprit Vessel.
Management Now, make the entries under Management for that patient.
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 the Save and Continue button at the bottom.
Medications in Cath Lab We are now in the Medications in Cath Lab tab.
Blue box

Enter the details of the medications administered to the patient in the Cath Lab.

Here I will fill in the details related to 2b3a Inhibitors.
I’ll check Unfractionated Heparin as Yes, then enter Dosage, Date and Time.
Select the Save and Continue button at the bottom.
Once again, the App skips the pages related to In-Hospital Summary.
Discharge Summary >> Death We are moved to the next page that is Discharge Summary.


Here we have the tab Death.

Select No. Select the option No.
Then select the Save and Continue button at the bottom.
Discharge Medications. Next comes Discharge Medications.
Once again, enter the relevant ones from the options displayed on this page.
Select the Save and Continue button at the bottom.
Discharge/Transfer Now we are in the Discharge or Transfer page.
Discharge from the A/B Hospital Here, 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 from an EMRI ambulance.
  • 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.