STEMI-2017/C3/Non-STEMI-C-to-STEMI-AB-Hospital/English

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