STEMI-2017/C2/D-Hospital-data-entry/English

Topic: D Hospital data entry.

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

Visual Cue	Narration
Show title slide D Hospital Data Entry	Hello and welcome to this tutorial on D Hospital data entry.
Show learning Objectives Slide	In this tutorial, we will learn to – Complete the data entry of a new patient on the STEMI App at the time of direct admission to a D Hospital.
Show System Requirements Slide	To practice this tutorial, you will need – An Android tablet with STEMI App installed on it and A working Internet connection
Pre-requisite slide	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.
Next page Contact Details	Earlier, We learnt how to complete the data entry till the Contact Details page.
Next page In – Thrombolysis	In a D Hospital data entry, the App will now take us to the next page which is Thrombolysis.
Under Thrombolysis first we have Medication Prior to Thrombolysis – Based on Medications administered check the following Asprin Clopidogrel Unfractionated Heparin LMW Heparin Ticagrelor	Under Thrombolysis, first we have Medication Prior to Thrombolysis. 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
only Narration	Note that the Doses and selection of medications are an example meant for demo purposes
only Narration	Administer drugs as per the patient's condition and treatment modalities
Select the Save & Continue button at the bottom of the page.	Select the Save & Continue button at the bottom of the page. Please wait if buffering sign is seen
	The page gets saved and “Saved Successfully” message appears at the bottom
	The App now take us to next page Thrombolysis
Under Thrombolysis details 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.	Next, under Thrombolysis, we have a mandatory field. *Select any one type of Thrombolytic Agent* Streptokinase Tenecteplase Reteplase I'll select Streptokinase Once we select one of the Thrombolytic Agent, we have drop-downs* Dosage: Start Date/ Time: End Date/ Time: After this, we have the 90 MINS ECG DATE / TIME and* Successful Lysis Yes/ No I will select YES Successful Lysis is based on the 90 mins ECG Make appropriate entries in these fields on your device.
Select the Save & Continue button at the bottom of the page.	Select the Save & Continue button at the bottom of the page. Please wait if buffering sign is seen
	Immediately the page gets saved and “Saved Successfully” message appears at the bottom
	The App now takes us to the next page In- Hospital Summary
Nitroglycerine Dopamine Dobutamine Adrenaline Nor – Adrenaline Other Drugs Check few as Yes	Here, we have Medication in hospital 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
	Note that the above Doses and selection of medications are an example meant for demo purposes Administer the drugs as per the patients's conditions and treatment moderlities
Select the Save & Continue button at the bottom of the page	Select the Save & Continue button at the bottom of the page.
“Saved Successfully” message appears	Immediately the page gets saved and “Saved Successfully” message appears.
Next page ADVERSE EVENTS	The App now takes us to the next page, that is, ADVERSE EVENTSpage.
	Under ADVERSE EVENTS page, we have to select either Yes or No. On choosing Yes in each field, we will have to enter some additional information. So, let’s start.
Adverse Reaction* Re - infarction if Yes 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:
	Select ADVERSE EVENTS, if any and enter the Date and Time of its occurence. For now I will select all as NO
Select the Save & Continue button at the bottom of the page	Select the Save & Continue button at the bottom of the page.
“Saved Successfully” message appears	Immediately the page gets saved and “Saved Successfully” message appears.
Discharge Summary	Next, the App will take us to the next page Discharge Summary.
Discharge Summary >> Death Mark as Yes In the dropdown, select any one Reason for death Cardiac, Non Cardiac, Others	Under Discharge Summary, we have Death. 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.
	Choose the options Others to enter other reasons for the patient's death. Then enter the death Date and time. Once we choose any one options there ends the data entry.
Mark as ‘No’ and move on to Discharge / Transfer	But If the patient did not die, then mark as No and move on to Discharge/Transfer. I will select death as No for now.
Select the Save & Continue button at the bottom of the page	Select the Save & Continue button at the bottom of the page.
“Saved Successfully” message appears	Immediately the page gets saved and “Saved Successfully” message appears.
Next page Discharge and transfer	The App now takes us to the next page Discharge and Transfer.
Discharge from D Hospital fill out the Date and Time. In Discharge To field select one options STEMI Cluster hospital Non STEMI Cluster Hospital Home	Discharge from D Hospital fill out the Date and Time. In Discharge To field select one options Stemi Cluster hospital Non Stemi Cluster Hospital Home
Select Home	If we Select Home no further drop downs.
Select Non Stemi Cluster Hospital	If Non Stemi Cluster Hospital then we have to manually enter this details Remarks Transfer to Hospital Name Transfer to Hospital Address This is because Non Stemi hospitals are not available in the database
Select STEMI Cluster Hospital 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	I am going to select STEMI Cluster Hospital 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
	When we select the Hospital name the hospital address gets autopopulated
	When we select the Hospital name the hospital address gets autopopulated
Transport Vehicle Field : Choose Private Vehicle	In Transport Vehicle Field we have to choose between Private Vehicle and Ambulance
Select the Save & Continue button at the bottom of the page	Select the Save & Continue button at the bottom of the page. Please wait if buffering sign is seen
“Saved Successfully” message appears	The page gets saved and “Saved Successfully” message appears.
Next page Follow up	The App now takes us to the next page which is Follow Up
Duration of Follow up visit 1mnth,6 mnths,1yr,2yr,3yr,4yr,5yr Select 1 mnth	Under Follow up we have the following 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
Enter Follow up date	Then, fill the Follow up date
Mode of Follow – Hospital, Telephonic, Loss to follow up	And Then select the Mode of Follow up– Hospital, Telephonic, Lost to follow up We have to select from this options based on the mode of follow up
Select Loss to follow up	If Lost to Follow up is selected we get No further drop downs
Select Hospital or Telephonic 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	If Hospital or Telephonic is selected, type of Follow up Hospital comes 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
Select the Save & Continue button at the bottom of the page	Select the Save & Continue button at the bottom of the page. Please wait if buffering sign is seen
“Saved Successfully” message appears	Immediately the page gets saved and “Saved Successfully” message appears.
Medication Aspirin Clopidogrel Prasugrel Nitrate Beta blocker ACEI AFB Statins OHA Insulin Select few medications	The App will now takes us to the next page 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
Select the Save & Continue button at the bottom of the page	Select the Save & Continue button at the bottom of the page.
“Saved Successfully” message appears	Immediately the page gets saved and “Saved Successfully” message appears at the bottom
Events at I mnth 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	The App will take us to the next page EVENTS. 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
Click on the Finish button	Finally click on the Finish button at the bottom of the page to save D Hospital data entry.
	This completes the data entry when the patient comes directly to a D Hospital.
	Let us summarize.
Show Summary Slide	In this tutorial, we have learnt to - Complete the data entry of a new patient on the STEMI App at the time of admission to a D 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 is Jerry David from STEMI INDIA along with the Spoken Tutorial Team, IIT Bombay, signing off. Thanks for joining.

Contributors and Content Editors

Nancyvarkey, PoojaMoolya