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

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

Latest revision as of 12:23, 15 July 2020

Topic: Transfer from Non-STEMI C to STEMI A/B Hospital
Contributor Name: Jerry David, STEMI Team, Coimbatore
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


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 -
  • Enter data of a new patient on the STEMI App in an A/B Hospital
  • 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
  • Name:
  • Age:
  • Gender:
  • Phone: 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 with text about Non-STEMI hospital protocols.

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
  • Manual ECG Taken
  • 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.

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 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 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.
Mark as NO Here we have to enter the relevant details related to the patient's history.
Mark as NO 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 >> Retrosternal 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.
On Co-Morbid Conditions page >> make some entries for dosage 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 with text on doses and medications 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.
Next page >> PCI The App now takes us to the next page i.e. PCI.
Here we have Drugs before PCI.
Make entries in Drugs before 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.
Blue Box for Cath Lab Activation and Cath Lab Arrival

Show details to be entered either by a cardiologist or Cath 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

  • Cath Lab Activation and
  • 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
  • Start Date and Time
  • 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.
Enter the details for 2b3a Inhibitors I will enter the details for 2b3a Inhibitors.
Entry for Unfractionated Heparin Unfractionated Heparin, Dosage, Date and Time.
Narration - Blue Box with text for doses and medications 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.
Make entries for some medications by selecting Yes or No 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 -
  • Enter data of a new patient on the STEMI App in an A/B Hospital
  • when a patient is transferred from a Non-STEMI C 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.

Contributors and Content Editors

Nancyvarkey, PoojaMoolya

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