STEMI-2017/C3/Non-STEMI-C-to-STEMI-AB-Hospital/English
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 -
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Switch to STEMI device interface | We are in the STEMI Homepage. |
Blue box on stemiAuser | Notice here.
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Select New Patient | Select New Patient tab. |
Let’s assume a patient and enter the following data. | |
Type the following details
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
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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.
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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.
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.
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Enter the Non-STEMI Hospital Arrival Date & Time. | Next, we have to enter the Non-STEMI Hospital Arrival Date & Time. |
Enter
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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.
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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.
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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
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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.
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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.
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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
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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 -
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Show STEMI INDIA slide | STEMI INDIA
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Show Spoken Tutorial Project Slide | Spoken Tutorial Project, IIT Bombay is funded by NMEICT, MHRD, Govt. of India.
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Show THANK YOU slide | This tutorial has been contributed by
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