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 325mg 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 325mg If Yes, Dosage: 325mg 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. Buffering sign is seen	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 Thrombolysis.	The App now take us to next page Thrombolysis.
Under Thrombolysis details We have 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 Thrombolysis, we have the 90 MINS ECG DATE / TIME and Successful Lysis Yes/ No I will mark as YES. This is based on the 90 mins ECG. Make appropriate entries in these fields on your device.
Select the Save & Continue button. Buffering sign is seen	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 at the bottom
App takes us to In- Hospital Summary	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 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 for example Vasopressin ROUTE IV Dosage 1ml in 19ml 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 modalities.
Select the Save & Continue button Buffering sign is seen	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 ADVERSE EVENTS	The App now takes us to the next page, ADVERSE EVENTS.
	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 Re-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 Re-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 : 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 and enter Date : and Time: Major Bleed If Yes then enter Date : and Time: Minor Bleed If Yes then enter Date: and Time:
Select all as 'NO	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 Buffering sign is seen	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.
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 Death date and time.
Point to Others	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	Select the Save & Continue button at the bottom of the page.
“Saved Successfully” message appears	The page gets saved and “Saved Successfully” 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	Here we have Aspirin: Clopidogrel: Prasugrel Ticagrelor ACEI ARB Beta Blocker: Nitrate Statin: and Others
Mark a few of them as Yes	The medications prescribed to the patient during discharge should be marked as Yes. So, I’m going to mark a few of them as ‘Yes’.
Select the Save & Continue button	Then select the Save & Continue button at the bottom.
“Saved Successfully” message appears	The page is saved and the success message will appear.
Next page Discharge and transfer	The App will now proceed to take us to the next page, which is 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, we get no further drop downs.
Select Non STEMI Cluster Hospital	If Non STEMI Cluster Hospital then we have to manually enter these details. Remarks Transfer to Hospital Name Transfer to Hospital Address This is because details of 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 add our 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 auto-populated.
Transport Vehicle : Choose Private Vehicle	In Transport Vehicle field we have to choose between Private Vehicle and Ambulance. I'm going to choose Private Vehicle.
Select the Save & Continue button Buffering sign is seen.	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 these options. 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 mode is selected, we get the drop down - Type of Follow up Hospital . Under Type of Follow up Hospital we get STEMI, Non STEMI, No follow up. 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 enter the following details manually Name of Follow-up Hospital and Follow–up Hospital address This is because this hospital is not part of the STEMI programme. I am going to select STEMI. If STEMI is selected we get drop downs. Name of Cluster : I will choose KMCH Name of Follow-up Hospital  : I will select Coimbatore medical college hospital Follow up Hospital address: Trichy 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 Buffering sign is seen.	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 take us to the next page that isMedications. 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	Select the Save & Continue button at the bottom of the page.
“Saved Successfully” message appears.	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 provides details of Events 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 the details. Re CART if ‘Yes’, enter theDate: Restenosis if ‘Yes’, enter the Date: Re - MI if ‘Yes’, enter theDate: Re- Intervention if ‘Yes’ TLR PCI : Yes/ No TVR PCI : Yes/ No Non TVR PCI : Yes/ No CABG if ‘Yes’, enter the 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	Lastly, select the Finish button at the bottom of the page. Please wait if the buffering sign is seen.
Saved Successfully message appears	The page gets saved and Saved Successfully message appears at the bottom. This completes the data entry at 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 direct 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