Difference between revisions of "STEMI-2017/C2/C-Hospital-data-entry/English"

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* <div style="margin-left:1.058cm;margin-right:0cm;">'''Re - infarction '''if''' Yes'''</div>
 
* <div style="margin-left:1.058cm;margin-right:0cm;">'''Re - infarction '''if''' Yes'''</div>
 
  
  
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Select '''Lateral, '''
 
Select '''Lateral, '''
  
'''Enter Date: Time:'''* <div style="margin-left:1.058cm;margin-right:0cm;">'''Repeat PCI''' if''' Yes'''</div>
+
'''Enter Date: Time:'''
  
 +
* <div style="margin-left:1.058cm;margin-right:0cm;">'''Repeat PCI''' if''' Yes'''</div>
  
 +
'''Date : Time:'''
  
'''Date : Time:'''* <div style="margin-left:1.058cm;margin-right:0cm;">'''CABG '''if''' Yes'''</div>
+
* <div style="margin-left:1.058cm;margin-right:0cm;">'''CABG '''if''' Yes'''</div>
 +
'''Date Time:'''
  
 +
* <div style="margin-left:1.058cm;margin-right:0cm;">'''Stroke '''if''' Yes'''</div>
 +
'''Date Time:'''
  
 +
* <div style="margin-left:1.058cm;margin-right:0cm;">'''Cardiogenic Shock '''if''' Yes'''</div>
 +
'''Date: Time:'''
  
'''Date Time:'''* <div style="margin-left:1.058cm;margin-right:0cm;">'''Stroke '''if''' Yes'''</div>
+
* <div style="margin-left:1.058cm;margin-right:0cm;">'''Access Site Hemorrhage '''if''' Yes'''</div>
 
+
'''Date: Time:'''
 
+
 
+
'''Date Time:'''* <div style="margin-left:1.058cm;margin-right:0cm;">'''Cardiogenic Shock '''if''' Yes'''</div>
+
 
+
 
+
 
+
'''Date: Time:'''* <div style="margin-left:1.058cm;margin-right:0cm;">'''Access Site Hemorrhage '''if''' Yes'''</div>
+
 
+
 
+
 
+
'''Date: Time:'''* <div style="margin-left:1.058cm;margin-right:0cm;">'''Major Bleed '''if''' Yes'''</div>
+
 
+
 
+
 
+
'''Date: Time:'''* <div style="margin-left:1.058cm;margin-right:0cm;">'''Minor Bleed '''if''' Yes'''</div>
+
 
+
  
 +
* <div style="margin-left:1.058cm;margin-right:0cm;">'''Major Bleed '''if''' Yes'''</div>
 +
'''Date: Time:'''
  
 +
* <div style="margin-left:1.058cm;margin-right:0cm;">'''Minor Bleed '''if''' Yes'''</div>
 
'''Date: Time:'''
 
'''Date: Time:'''
  
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The options are '''Inferior, Posterior, RV, Anterior, Lateral;'''  
 
The options are '''Inferior, Posterior, RV, Anterior, Lateral;'''  
 +
Then enter '''Date:''' and '''Time:'''
  
  
Then enter '''Date:''' and '''Time:'''* <div style="margin-left:1.058cm;margin-right:0cm;">'''Repeat PCI:''' if '''Yes,''' then enter '''Date:''' and '''Time:'''</div>
+
* <div style="margin-left:1.058cm;margin-right:0cm;">'''Repeat PCI:''' if '''Yes,''' then enter '''Date:''' and '''Time:'''</div>
 
* <div style="margin-left:1.058cm;margin-right:0cm;">'''CABG''' if '''Yes,''' then enter '''Date:''' and '''Time:'''</div>
 
* <div style="margin-left:1.058cm;margin-right:0cm;">'''CABG''' if '''Yes,''' then enter '''Date:''' and '''Time:'''</div>
 
* <div style="margin-left:1.058cm;margin-right:0cm;">'''Stroke''' if '''Yes,''' then enter '''Date:''' and '''Time:'''</div>
 
* <div style="margin-left:1.058cm;margin-right:0cm;">'''Stroke''' if '''Yes,''' then enter '''Date:''' and '''Time:'''</div>
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* <div style="margin-left:1.27cm;margin-right:0cm;">'''Remarks '''field, where we can add our remarks, if any.</div>
 
* <div style="margin-left:1.27cm;margin-right:0cm;">'''Remarks '''field, where we can add our remarks, if any.</div>
 
* <div style="margin-left:1.27cm;margin-right:0cm;">Then '''Transfer to Hospital Name: '''I will put '''Kovai Medical Center and Hospital'''</div>
 
* <div style="margin-left:1.27cm;margin-right:0cm;">Then '''Transfer to Hospital Name: '''I will put '''Kovai Medical Center and Hospital'''</div>
* <div style="margin-left:1.27cm;margin-right:0cm;">'''Transfer to Hospital Address: '''3209, Avinashi Road, Sitra, </div>
+
* <div style="margin-left:1.27cm;margin-right:0cm;">'''Transfer to Hospital Address: '''3209, Avinashi Road, Sitra, Coimbatore, Tamil Nadu - 641 014 </div>
 
+
Coimbatore, Tamil Nadu - 641 014
+
 
|-  
 
|-  
 
|| '''Blue text box on screen'''
 
|| '''Blue text box on screen'''
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|-  
 
|-  
 
|| Show STEMI INDIA slide
 
|| Show STEMI INDIA slide
|| STEMI INDIA* <div style="margin-left:1.058cm;margin-right:0cm;">was set up as a ‘not for profit’ organisation</div>
+
|| STEMI INDIA
 +
* <div style="margin-left:1.058cm;margin-right:0cm;">was set up as a ‘not for profit’ organisation</div>
 
* <div style="margin-left:1.058cm;margin-right:0cm;">primarily to reduce delays in accessing appropriate care for heart attack patients </div>
 
* <div style="margin-left:1.058cm;margin-right:0cm;">primarily to reduce delays in accessing appropriate care for heart attack patients </div>
 
* <div style="margin-left:1.058cm;margin-right:0cm;">and reducing deaths due to heart attacks.</div>
 
* <div style="margin-left:1.058cm;margin-right:0cm;">and reducing deaths due to heart attacks.</div>

Latest revision as of 16:18, 29 June 2020

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 –
  1. An Android tablet with STEMI App installed on it and
  2. 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 -
  1. 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

PoojaMoolya