Difference between revisions of "STEMI-2017/C2/D-Hospital-data-entry/English"

D Hospital Data Entry

• Complete the data entry of a new patient on the STEMI App at the time of direct admission to a D Hospital.

1. An Android tablet with STEMI App installed on it and
2. A working Internet connection

• You will also need to have working knowledge of the STEMI device and the STEMI App.
• If not, please refer to the STEMI tutorial series on this website.

Contact Details

In – Thrombolysis

Based on Medications administered check the following

Asprin

Clopidogrel

Unfractionated Heparin

LMW Heparin

Ticagrelor

Based on the medications administered to the patient in the hosptital, check Yes for the following-

• Asprin If Yes Dosage Date and Time
• Clopidogrel If Yes Dosage Date and Time
• Unfractionated Heparin If Yes Dosage Date and Time
• LMW Heparin If Yes Dosage Date and Time
• Ticagrelor If Yes Dosage Date and Time

Please wait if buffering sign is seen

We hve a mandatory field

*Select any one type of thrombolytic Agent

*Streptokinase

*Tenecteplase

*Reteplase

Once we select

*Dosage

*Start Date/ Time

*End Date/ Time

After which we have the 90 MINS ECG DATE / TIME

and Successful Lysis Yes/ No.

• Tenecteplase
• Reteplase

I'll select Streptokinase

• Start Date/ Time:
• End Date/ Time:

After this, we have the

• 90 MINS ECG DATE / TIME

I will select YES

Successful Lysis is based on the 90 mins ECG

Make appropriate entries in these fields on your device.

Please wait if buffering sign is seen

• Nitroglycerine
• Dopamine
• Dobutamine
• Adrenaline
• Nor – Adrenaline
• Other Drugs

Check few as Yes

• Nitroglycerine If YES ROUTE:Oral Dosage:2.5mg Date and Time
• Dopamine If YES ROUTE IV Dosage 5ml in 45ml of 0.9% ns Date and Time
• Dobutamine If YES ROUTE IV Dosage 5ml in 45ml of 0.9% ns Date and Time
• Adrenaline If YES ROUTE IV Dosage 4ml in 45ml of 0.9% ns Date and Time
• Nor – Adrenaline If YES ROUTE IV Dosage 2ml in 45ml of 0.9% ns Date and Time
• Other Drugs If YES NAme for exameple Vasopressin ROUTE IV Dosage 19ml in 45ml of 0.9% ns Date and Time

Administer the drugs as per the patients's conditions and treatment moderlities

On choosing Yes in each field, we will have to enter some additional information.

So, let’s start.

• Location of Infarction: Inferior, Posterior, RV, Anterior, Lateral

Date: Time:

• Repeat PCI: Choose Yes and enter

Date : Time:

• CABG: Choose Yes and enter

Date : Time:

• Stroke Choose Yes and enter

Date : Time:

• Cardiogenic Shock Choose Yes and enter Date : Time:

• Access Site Hemorrhage Choose Yes and enter Date : Time:

• Major Bleed If Yes then enter

Date : Time:

• Minor Bleed If Yes then enter

Date: Time:

• Re-infarction: If Yes, then we have to enter the following-
• Location of Infarction:

The options are Inferior, Posterior, RV, Anterior, Lateral

I will chooses Inferior and then enter the Date: Time:

• Repeat PCI: If Yes then enter

Date : Time:

• CABG: If Yes then enter

Date : Time:

• Stroke IF Yes then enter

Date : Time:

• Cardiogenic Shock If Yes then enter Date : Time:

• Access Site Hemorrhage If Yes and enter Date : Time:

• Major Bleed If Yes then enter

Date : Time:

• Minor Bleed If Yes then enter

Date: Time:

For now I will select all as NO

Mark as Yes

In the dropdown, select any one Reason for death

Cardiac, Non Cardiac, Others

If the patient dies, this is marked as Yes and we get a dropdown Reason for death. and Others

Under reasons of Death we have options- Cardiac, Non Cardiac

If we choose either we will get a drop down Date and time.

Then enter the death Date and time.

Once we choose any one options there ends the data entry.

I will select death as No for now.

Discharge and transfer

In Discharge To field select one options

• STEMI Cluster hospital
• Non STEMI Cluster Hospital
• Home

In Discharge To field select one options

• Stemi Cluster hospital
• Non Stemi Cluster Hospital
• Home

• Remarks
• Transfer to Hospital Name
• Transfer to Hospital Address

This is because Non Stemi hospitals are not available in the database

• Remarks : If any
• Transfer to Hospital name : Select Kovai Medical Centre and Hospital
• Transfer to Hospital Address: 3209, Avinashi road, Sitra, Coimbatore, Tamil Nadu 641014

If Stemi Cluster Hospital is selected it further opens into Remarks field where we can addour remarks if any

Transfer to Hospital name : I will select Kovai Medical Centre and Hospital

Transfer to Hospital Address: I will Select 3209, Avinashi road, Sitra, Coimbatore, Tamil Nadu 641014

Please wait if buffering sign is seen

Follow up

Duration of Follow up visit

1mnth,6 mnths,1yr,2yr,3yr,4yr,5yr

Select 1 mnth

Duration of Follow up visit

1mnth,6 mnths,1yr,2yr,3yr,4yr,5yr

Based on the types of follow up select from this drop-down

I’ll select 1 mnth

We have to select from this options based on the mode of follow up

Type of Follow-up Hospital appears

STEMI, Non STEMI, No follow up

• If STEMI is selected

Name of Cluster &

Name of Follow-up Hospital

shows up

• If Non-STEMI is selected

Name of Follow-up Hospital &

Follow–up Hospital address

shows up

Under Types of Follow up Hospital we get STEMI, Non STEMI, No follow up

• If If No Follow up is done

Then go to the Next page by selecting the Save & Continue button at the bottom

• If Non-STEMI is selected

We have to select

Name of Follow-up Hospital &

Follow–up Hospital address

This is because tpart of this hospital is not part of the STEMI programme

I am going to select STEMI

• If STEMI is selected we get dropdowns

Name of Cluster &  : I will choose KMCH

Name of Follow-up Hospital  : I will select Coimbatore medical college hospital

Follow up Hospital address: Triy Road, Gopalapuram, Coimbatore, Tamil Nadu 641018, India

Notice that this address get auto populated. This is because this hospital is part of STEMI programme

Please wait if buffering sign is seen

• Aspirin
• Clopidogrel
• Prasugrel
• Nitrate
• Beta blocker
• ACEI
• AFB
• Statins
• OHA
• Insulin

Select few medications

In this page we have options:

• Aspirin
• Clopidogrel
• Prasugrel
• Nitrate
• Beta blocker
• ACEI
• AFB
• Statins
• OHA
• Insulin

Select YES for those medications that the patient is on at the time of follow up.

I will select a few as Yes

Recurrence of Angina Yes/No

• TMT +ve / -ve
• Echo LVEF
• Re CART Yes/No

If Yes, Re CART Date

• Re stenosis Yes/No

If Yes, Re – stenosis Date

• Re – MI Yes/No

If Yes, Re- MI Date

• Re – Intervention Yes/ No

• TLR PCI Yes/No

If Yes, Date

• TVR PCI Yes/No

If Yes, Date

• Non TVR PCI Yes/No

If Yes, Date

• CABG Yes/No

If Yes, Date

• Death, Yes/No

If Yes, Death Date and

Reason of Death – Cardiac or Non - Cardiac

This page provide details of Events occurred till the time of follow-up.

• Recurrence of Angina: Check if Yes
• TMT whether: +ve/ -ve; If TMT was done
• Echo LVEF: enter details
• Re CART if ‘Yes’

Date:

• Restenosis if ‘Yes’

Date:

• Re - MI if ‘Yes’

Date:

• Re- Intervention if ‘Yes’

TLR PCI : Yes/ No

TVR PCI : Yes/ No

Non TVR PCI : Yes/ No

• CABG if ‘Yes’

Date:

• Death if ‘Yes’

Death Date:

Reason of Death: Cardiac/ Non Cardiac

Select ‘Yes’ to which of these events took place till the date of Follow-Up.

I’ll check all as ‘No’ for now

1. Complete the data entry of a new patient on the STEMI App at the time of admission to a D Hospital.

• 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.

For more details, please visit http://spoken-tutorial.org

Thanks for joining.