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

Topic: C Hospital data entry.

Contributor Name: Jerry David, STEMI Team, Coimbatore

Reviewed by: Nancy Varkey, Spoken Tutorial Project, IIT Bombay

Keywords: STEMI, STEMI App, C Hospital data entry on STEMI App

Visual Cue	Narration
Show title slide C Hospital Data Entry	Hello (or any preferred greeting) and welcome to this tutorial on C 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 C 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.
In – Hospital Summary	In the C Hospital Data Entry, the App will take us to the next page which is In – Hospital Summary.
Under In hospital Summary we have Medication in Hospital Nitroglycerine if Yes Route: Oral Dosage: 2.5 mg Date: 21/1/2016 Time: 9:30 am Dopamine if Yes Route: IV Dosage: 5ml in 45ml of 0.9% NS Date: 21/1/2016 Time: 9:32 am Dobutamine if Yes Route: IV Dosage: 5ml in 45ml of 0.9% NS Date: 21/1/2016 Time: 9:34 am Adrenaline if Yes Route: IV Dosage: 4ml in 46ml of 0.9% NS Date: 21/1/2016 Time: 9:36 am Nor – Adrenaline if Yes Route: IV Dosage: 2ml in 48ml of 0.9% NS Date: 21/1/2016 Time: 9:38 am Other Drugs Name: Vasopressin if Yes Route: IV Dosage: 1ml in 19ml of 0.9% NS Date: 21/1/2016 Time: 9:40 am	Here, we have Medication in hospital Nitroglycerine if Yes Route: Oral Dosage: 2.5 mg 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 46ml of 0.9% NS Date: and Time: Nor – Adrenaline if Yes Route: IV Dosage: 2ml in 48ml of 0.9% NS Date: and Time: Other Drugs if Yes Name: Vasopressin Route: IV Dosage: 1ml in 19ml of 0.9% NS Date: and Time:
Blue Box - Narration	Note that the above doses and selection of medications are an example meant for demo purposes. Administer drugs as per 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.
“Saved Successfully” message appears	Immediately the page gets saved and “Saved Successfully” message appears at the bottom.
Next page ADVERSE REACTION	The App now takes us to the next page that is ADVERSE EVENTS.
Adverse Events	Under Adverse Events, we have to either select Yes or No. On choosing Yes in each field, we will be prompted to enter some additional information.
Re - infarction if Yes Location of Infarction; Inferior, Posterior, RV, Anterior, Lateral, Select Lateral, Enter Date: Time: Repeat PCI if Yes Date : Time: CABG if Yes Date Time: Stroke if Yes Date Time: Cardiogenic Shock if Yes Date: Time: Access Site Hemorrhage if Yes Date: Time: Major Bleed if Yes Date: Time: Minor Bleed if Yes Date: Time:	So, let’s start. Reinfarction: If Yes, then we have to enter the following- Location of Reinfarction: The options are Inferior, Posterior, RV, Anterior, Lateral; Then enter Date: and Time: Repeat PCI: if Yes, then enter Date: and Time: CABG if Yes, then enter Date: and Time: Stroke if Yes, then enter Date: and Time: Cardiogenic Shock if Yes, then enter Date: and Time: Access Site Hemorrhage: if Yes, then enter Date: and Time: Major Bleed If Yes then enter Date: and Time: Minor Bleed If Yes then enter Date: and Time:
For now I’ll select all as’No	Select Adverse Events from the above if any, and enter Date: and Time: of its occurence. For now I’ll select all as ’No’.
Select the Save & Continue button at the bottom of the page	Then select the Save & Continue button at the bottom of the page.
Please wait if buffering sign is seen	Please wait if buffering sign is seen.
“Saved Successfully” message appears	Immediately this page will get saved. And the success message will appear at the bottom.
Discharge Summary	The App will now take us to the next page, that is Discharge Summary.
Under Discharge Summary we have Death	Under Discharge Summary, we have Death.
Mark as Yes Highlight the dropdowns *Reason for death *Others	If the patient dies, this is marked as “Yes” and we get a dropdown - Reason of death and Others.
Reason for death >>Cardiac >> Non Cardiac	Under Reason of death we have options- Cardiac and Non Cardiac.
Highlight Death Date and Time:	If we choose either, we get a drop-down Death Date and Time:
Highlight Others >> enter the Death Date and Time.	In Others: we have to enter other reasons for the patient’s death. Then enter the Death Date and Time.
End of data entry Highlight Death Bar on top and Save and Continue button in Blue box at the same time.	Once we choose any one option, there ends the data entry.
if not mark as ‘No’ and move on to Discharge Medications I’ll select Death as ‘No’ for now	If the patient did not die, then mark as “No” and move on to Discharge Medications. I’ll 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.
“Saved Successfully” message appears	Immediately the page gets saved and the success message appears.
Next page Discharge Medications	The App now takes us to the next page, that is Discharge Medications.
Aspirin: Yes Clopidogrel: Yes Prasugrel Ticagrelor ACEI ARB Beta Blocker: Yes Nitrate Statin: Yes Others	Aspirin: Clopidogrel: Prasugrel Ticagrelor ACEI ARB Beta Blocker: Nitrate Statin: Others
Mark a few of them as Yes	The medications prescribed to the patient during discharge should be marked as Yes. For this demo, I’ll mark a few as ‘Yes’.
Select the Save & Continue button at the bottom of the page	Then select the Save & Continue button at the bottom.
“Saved Successfully” message appears	Immediately the page is saved and the success message appears.
The App now takes us to the next page Discharge/ Transfer	The App now takes us to the next page that is Discharge/ Transfer.
*Discharge from C hospital Date: 21/1/2016 Time: 9:45 am	Discharge from C hospital. Fill out the Date: and Time:
*Discharge To Highlight Stemi Cluster Hospital Non Stemi Cluster Hospital Home	*Discharge To field, select any one option, that is- Stemi Cluster Hospital Non-Stemi Cluster Hospital or Home
Select Home	If we select Home, we get no further drop-down.
Select Non STEMI Cluster Hospital	If Non STEMI Cluster Hospitalis selected, then we have to manually enter the Transfer to Hospital Name and the Transfer to Hospital Address The details of Non-STEMI Hospital are not available in the database.
Select Stemi Cluster Hospital.	I’m going to select Stemi Cluster Hospital.
Highlight Remarks field, Transfer to Hospital Name:, Transfer to Hospital Address:	On selecting STEMI Cluster Hospital, it further opens into- Remarks field, where we can add our remarks, if any. Then Transfer to Hospital Name: I will put Kovai Medical Center and Hospital Transfer to Hospital Address: 3209, Avinashi Road, Sitra, Coimbatore, Tamil Nadu - 641 014
Blue text box on screen	When we select the hospital name, the hospital address gets auto-populated. This is because this hospital is already part of the STEMI programme.
Transport Vehicle Choose from - Private Ambulance I’ll select Private	In Transport Vehicle field, we can choose Private Vehicle or Ambulance I’m going to choose Private Vehicle.
Select the Save & Continue button at the bottom of the page	Select the Save & Continue button at the bottom.
Saved Successfully” message appears	The page gets saved and the success message appears at the bottom.
The App now takes us to the next page Follow Up	The App now takes us to the next page which is Follow up.
Under Follow up Details Duration of Follow - Up Visit: 1 month 6 month 1 year 2 years 3 years 4 years 5 years Based on the type of follow up select from the options I’ll select 1 month	Under Follow up Details we have Duration of Follow - Up visit: 1 month 6 month 1 year 2 years 3 years 4 years 5 years Based on the type of follow-up, select from one of these options. I will select 1 month
Follow- Up Date: 21/2/2016	Then fill the Follow- Up Date:
Mode of Follow-Up: Hospital Telephonic Lost to Follow Up Based on the mode of follow up select from the options	Next is Mode of Follow-Up: Hospital Telephonic Lost to Follow Up Based on the mode of follow-up, select one of these options.
Select Lost to Follow Up	If Lost to Follow Up mode is selected, we have no further drop-down.
Select Telephonic	If Hospital/ Telephonic mode is selected, we get the drop-down Type of follow-up Hospital.
Type of follow- Up Hospital: STEMI Non STEMI No Follow Up	In Type of follow- Up Hospital: we have STEMI Non STEMI and No Follow Up
Select No follow-up >> highlight the Save & Continue button	If “No Follow- Up” is done, then go to next page by selecting the Save & Continue button at the bottom.
Select Non STEMI >> enter the Name of the Follow- Up Hospital and Follow- Up Hospital Address	If ‘Non STEMI’ is selected, we will have to enter the following details manually- Name of the Follow- Up Hospital Follow- Up Hospital Address
Select “STEMI” Drop downs appear Name of the Cluster Name of the Follow -Up Hospital Follow- Up Hospital Address Name of the Cluster: KMCH Name of the Follow -Up Hospital: Coimbatore Medical College Hospital Follow- Up Hospital Address: Trichy Road, Gopalapuram, Coimbatore, Tamil Nadu -641018, India	Once again, I’m going to select STEMI If “STEMI” is selected, we have drop-downs. We have to fill Name of the Cluster: KMCH Name of the Follow -Up Hospital: Coimbatore Medical College Hospital Follow- Up Hospital Address: Trichy Road, Gopalapuram, Coimbatore, Tamil Nadu -641018, India This address is auto-populated.
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.	Wait for buffering sign, if seen. Immediately the page gets saved and “Saved Successfully” message appears at the bottom.
The App then takes us to the next page Medication.	The App then takes us to the next page that is Medication.
Under Medication Aspirin Clopidogrel Prasugrel Nitrate Beta Blocker ACEI ARB Statins OHA Insulin	Under Medication, we have the options Aspirin: Clopidogrel Prasugrel Nitrate Beta Blocker: ACEI ARB Statins: OHA Insulin:
Select few of these as ‘Yes’ Blue Box Highlight and Narration Please note that the entries mentioned here are meant for demo purposes only Please select medications as advised by Cardiologist.	Select ‘Yes’ for those medications that the patient is on, at the time of follow-up. I’ll select a few as ‘Yes’.
Select the Save & Continue button at the bottom of the page	Then 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.	Please wait if buffering sign is seen. Immediately the page gets saved and “Saved Successful” message appears at the bottom.
The App then takes us to the next page Events.	The App now takes us to the next page - Events.
Events till the time of follow-up Recurrence of Angina: Yes/No TMT whether: +ve/ -ve 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	This page provide details of events that occurred till the time of follow-up. Recurrence of Angina: we have to check this if Yes TMT whether: +ve/ -ve; depending on whether TMT was done Echo LVEF: enter details Re CART if ‘Yes’, then the Date: Restenosis if ‘Yes’, then the Date: Re - MI if ‘Yes’, enter the Date: Re- Intervention if ‘Yes’ TLR PCI : Yes/ No TVR PCI : Yes/ No Non TVR PCI : Yes/ No CABG if ‘Yes’, then the Date: Death if ‘Yes’, Death Date: Reason of Death: Cardiac/ Non Cardiac Select ‘Yes’ for those events that took place till the date of follow-up.
Check all as ‘No’	I’m going to select all as ‘No’ for now.
Select Finish button	Select the Finish button at the bottom of the page.
Please wait if buffering sign is seen Immediately the page gets saved and “Saved Successfully” message appears.	Please wait if buffering sign is seen. Immediately the page gets saved and “Saved Successfully” message appears at the bottom.
	This completes the data entry when a patient comes directly to a C 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 direct admission to a 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 brought to you by STEMI INDIA and Spoken Tutorial Project, IIT Bombay.
Show THANK YOU slide	This is Nancy Varkey signing off. Thanks for joining.

Contributors and Content Editors

Nancyvarkey, PoojaMoolya