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

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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 –
  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.
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

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 If Yes Dosage 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 at the bottom of the page. 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 next page Thrombolysis
Under Thrombolysis details

We hve 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 this, we have the

  • 90 MINS ECG DATE / TIME
and*
Successful Lysis Yes/ No

I will select YES

Successful Lysis is based on the 90 mins ECG

Make appropriate entries in these fields on your device.

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 at the bottom


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 45ml of 0.9% ns Date and Time
  • Nor – Adrenaline If YES ROUTE IV Dosage 2ml in 45ml of 0.9% ns Date and Time
  • Other Drugs If YES NAme for exameple Vasopressin ROUTE IV Dosage 19ml in 45ml 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 moderlities


Select the Save & Continue button at the bottom of the page Select the Save & Continue button at the bottom of the page.
“Saved Successfully” message appears Immediately the page gets saved and “Saved Successfully” message appears.
Next page ADVERSE EVENTS The App now takes us to the next page, that is, ADVERSE EVENTSpage.
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 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 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 : Time:

  • CABG: If Yes then enter

Date : Time:


  • Stroke IF Yes then enter

Date : Time:

  • Cardiogenic Shock If Yes then enter Date : Time:
  • Access Site Hemorrhage If Yes and enter Date : Time:
  • Major Bleed If Yes then enter

Date : Time:

  • Minor Bleed If Yes then enter

Date: Time:

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 at the bottom of the page Select the Save & Continue button at the bottom of the page.
“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 Date and time.


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 at the bottom of the page Select the Save & Continue button at the bottom of the page.
“Saved Successfully” message appears Immediately the page gets saved and “Saved Successfully” message appears.
Next page

Discharge and transfer

The App now takes us to the next page 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 no further drop downs.
Select Non Stemi Cluster Hospital If Non Stemi Cluster Hospital then we have to manually enter this details
  • Remarks
  • Transfer to Hospital Name
  • Transfer to Hospital Address

This is because 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 addour 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 autopopulated


When we select the Hospital name the hospital address gets autopopulated
Transport Vehicle Field : Choose Private Vehicle In Transport Vehicle Field we have to choose between Private Vehicle and Ambulance
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 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 this drop-down


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 upHospital, 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 is selected, type of Follow up Hospital comes up.

Under Types of Follow up Hospital we get STEMI, Non STEMI, No follow up

  • If 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 select

Name of Follow-up Hospital &

Follow–up Hospital address

This is because tpart of this hospital is not part of the STEMI programme


I am going to select STEMI

  • If STEMI is selected we get dropdowns


Name of Cluster &  : I will choose KMCH

Name of Follow-up Hospital  : I will select Coimbatore medical college hospital

Follow up Hospital address: Triy 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 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.
Medication


  • Aspirin
  • Clopidogrel
  • Prasugrel
  • Nitrate
  • Beta blocker
  • ACEI
  • AFB
  • Statins
  • OHA
  • Insulin



Select few medications

The App will now takes us to the next page Medications.

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 at the bottom of the page Select the Save & Continue button at the bottom of the page.
“Saved Successfully” message appears Immediately 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 provide details of Events occurred till the time of follow-up.


  • Recurrence of Angina: Check if Yes
  • TMT whether: +ve/ -ve; If TMT was done
  • 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


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 Finally click on the Finish button at the bottom of the page to save D Hospital data entry.
This completes the data entry when the patient comes directly to a D 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 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