Difference between revisions of "STEMI-2017/C3/Non-STEMI-D-to-STEMI-AB-Hospital/English"
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|| '''Show Learning Objectives Slide''' | || '''Show Learning Objectives Slide''' | ||
|| In this tutorial, we will learn to - | || 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 D Hospital.''' |
| − | + | ||
|- | |- | ||
| Line 29: | Line 28: | ||
|| We are in the '''STEMI Homepage.''' | || We are in the '''STEMI Homepage.''' | ||
|- | |- | ||
| − | || | + | || Blue box on '''stemiAuser''' |
|| Notice here. | || Notice here. | ||
| − | It says '''stemiAuser - '''that means the '''A/B Hospital '''staff | + | It says '''stemiAuser - '''that means the '''A/B Hospital '''staff is making these entries. |
|- | |- | ||
|| Select New Patient | || Select New Patient | ||
| Line 43: | Line 42: | ||
|| Type the following details | || 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''' | + | * '''Age:''' |
| − | '''Gender''' | + | * '''Gender: ''' |
| − | '''Phone''' | + | * '''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. | || Next, we have to select the '''Payment''' details from the options provided in the drop-down menu. | ||
|- | |- | ||
| Line 72: | Line 70: | ||
|- | |- | ||
|| '''Admission >> choose Non-STEMI.''' | || '''Admission >> choose Non-STEMI.''' | ||
| + | |||
| + | |||
| + | |||
| + | |||
| + | Blue box with text regarding Non-stemi and Stemi hospital transfer protocols | ||
|| In '''Admission''', we will choose '''Non-STEMI. ''' | || In '''Admission''', we will choose '''Non-STEMI. ''' | ||
| Line 82: | Line 85: | ||
This is because '''Non STEMI Hospitals '''are outside the '''STEMI programme. ''' | This is because '''Non STEMI Hospitals '''are outside the '''STEMI programme. ''' | ||
| − | The data flow only takes place between the | + | The data flow only takes place between the hospitals linked within the '''STEMI programme. ''' |
|- | |- | ||
|| Enter the '''Hospital Name '''and''' Address.''' | || Enter the '''Hospital Name '''and''' Address.''' | ||
| Line 131: | Line 134: | ||
|- | |- | ||
| − | || | + | || Blue box on '''Cardiac History''' |
|| The '''App''' moves us to '''Cardiac History '''page. | || The '''App''' moves us to '''Cardiac History '''page. | ||
|- | |- | ||
| Line 137: | Line 140: | ||
|| Here we have to enter the relevant details related to the patient's history. | || Here we have to enter the relevant details related to the patient's history. | ||
|- | |- | ||
| − | || | + | || Mark as '''No''' |
|| I’ll mark these as '''No'''. | || I’ll mark these as '''No'''. | ||
|- | |- | ||
| − | || | + | || Blue box on '''Diagnosis''' |
|| Then under '''Diagnosis, '''enter the details for that particular patient. | || Then under '''Diagnosis, '''enter the details for that particular patient. | ||
|- | |- | ||
| − | || '''Chest Discomfort''': options '''Pain, Pressure, | + | || '''Chest Discomfort''': options '''Pain, Pressure, Aches''' >> selected '''Aches''' |
| − | '''Location of Pain''': options '''Retrosternal, Jaw, L arm, R arm, Back | + | '''Location of Pain''': options '''Retrosternal, Jaw, L arm, R arm, Back''' >> selected '''Retrosternal''' |
| − | '''Pain Severity '''( a mandatory field) – type from 1 -10 | + | '''Pain Severity '''( a mandatory field) – type from 1 -10''' >> selected '''8''' |
|| '''Chest Discomfort: '''I’ll select '''Pain''' | || '''Chest Discomfort: '''I’ll select '''Pain''' | ||
| Line 168: | Line 171: | ||
|| After this, I'll select '''YES '''for some of the remaining items. | || 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. | || Then under '''Clinical Examination, '''enter the details for that particular patient. | ||
|- | |- | ||
| Line 179: | Line 182: | ||
|- | |- | ||
| − | || | + | || Only narration |
|| Here we will be prompted to enter the medicines that the patient is on, as per his medical condition. | || Here we will be prompted to enter the medicines that the patient is on, as per his medical condition. | ||
| Line 200: | Line 203: | ||
|- | |- | ||
| − | || | + | || Blue box on '''Contact Details''' |
|| We are moved to the '''Contact Details '''page. | || 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. | || 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'''. | || 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. | || Next is the '''ID''' proof section - '''Aadhar Card No.''' and the upload of the soft-copy. | ||
|- | |- | ||
| Line 218: | Line 221: | ||
|- style="border:0.75pt solid #000000;padding:0.176cm;" | |- style="border:0.75pt solid #000000;padding:0.176cm;" | ||
| − | || | + | || Blue box on '''Thrombolysis''' |
|| The '''App''' will now move us to the next tab, which is '''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. | || Here we have to specify some details in the '''Medications prior to Thrombolysis '''page. | ||
|- | |- | ||
| − | || | + | || Blue box on '''Medicines''' |
|| A list of medications is displayed on this page. | || A list of medications is displayed on this page. | ||
| Line 237: | Line 240: | ||
|- | |- | ||
| − | || | + | || Next page >> '''PCI''' |
|| The '''App''' now takes us to the next page i.e. '''PCI'''. | || The '''App''' now takes us to the next page i.e. '''PCI'''. | ||
|- | |- | ||
| − | || | + | || '''Drugs before PCI''' |
|| Here we have '''Drugs before PCI.''' | || Here we have '''Drugs before PCI.''' | ||
|- | |- | ||
| − | || Make entries in PCI | + | || Make entries in '''PCI''' |
|| Enter the details of the drugs administered to the patient before '''PCI, '''with '''Date '''and '''Time '''details. | || Enter the details of the drugs administered to the patient before '''PCI, '''with '''Date '''and '''Time '''details. | ||
|- | |- | ||
| − | || | + | || Narration - Blue Box with text on dosage and medications |
|| Please note. | || Please note. | ||
| Line 261: | Line 264: | ||
|| The next tab is '''PCI'''. | || 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. | + | || 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 | 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. ''' | || Next is '''Vascular access '''followed by '''Catheter access. ''' | ||
|- | |- | ||
| − | || | + | || Blue box on '''CART, Start & End Date and Time''' |
|| Then fill the '''CART '''details such as | || 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. | || After this, we have to specify any one '''Culprit Vessel '''from the options provided. | ||
| Line 295: | Line 296: | ||
|- | |- | ||
| − | || | + | || Blue box on '''Management''' |
|| Now, make the entries under '''Management''' for that patient. | || Now, make the entries under '''Management''' for that patient. | ||
|- | |- | ||
| − | || | + | || Blue box on '''Intervention''' |
|| Lastly on this page, we have '''Intervention'''. | || Lastly on this page, we have '''Intervention'''. | ||
| Line 314: | Line 315: | ||
|- | |- | ||
| − | || | + | || Blue box on '''Medications in Cath Lab''' |
|| We are in the '''Medications in Cath Lab tab'''. | || We are in the '''Medications in Cath Lab tab'''. | ||
| Line 330: | Line 331: | ||
|- | |- | ||
| − | || | + | || Narration - Blue Box with text on dosage and medications. |
|| Please note. | || Please note. | ||
| Line 342: | Line 343: | ||
|- | |- | ||
| − | || | + | || Blue box on '''Discharge Summary >> Death''' |
|| We will skip the '''In-Hospital Summary''' page. | || We will skip the '''In-Hospital Summary''' page. | ||
| Line 356: | Line 357: | ||
|- | |- | ||
| − | || | + | || Blue box on '''Discharge Medications'''. |
|| Next comes '''Discharge Medications'''. | || Next comes '''Discharge Medications'''. | ||
|- | |- | ||
| Line 369: | Line 370: | ||
|- | |- | ||
| − | || | + | || Blue box on '''Discharge/Transfer''' |
|| Now we are in the '''Discharge '''or '''Transfer''' page. | || 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'''. | || Here, we need to enter the details related to the discharge from the '''A/B Hospital'''. | ||
| Line 400: | Line 401: | ||
|| Show Summary Slide | || Show Summary Slide | ||
|| In this tutorial, we have learnt to - | || 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 D Hospital.''' |
| − | + | ||
|- | |- | ||
|| Show STEMI INDIA slide | || Show STEMI INDIA slide | ||
|| '''STEMI INDIA''' | || '''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. |
| Line 420: | Line 420: | ||
|| Show THANK YOU slide | || Show THANK YOU slide | ||
|| This tutorial has been contributed by | || This tutorial has been contributed by | ||
| − | * | + | * '''STEMI INDIA''' |
| − | * | + | * and the '''Spoken Tutorial Project, IIT Bombay.''' |
This is Nancy Varkey signing off. Thanks for joining. | This is Nancy Varkey signing off. Thanks for joining. | ||
|- | |- | ||
|} | |} | ||
Latest revision as of 12:22, 15 July 2020
Topic: Transfer from Non-STEMI D 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 D Hospital
| VISUAL CUE | NARRATION |
| Show TITLE slide -
Transfer from Non-STEMI D to AB Hospital. |
Hello and welcome to this tutorial on transfer of patient from Non-STEMI D Hospital to AB Hospital. |
| Show Learning Objectives Slide | In this tutorial, we will learn to -
|
| Switch to STEMI device interface | We are in the STEMI Homepage. |
| Blue box on stemiAuser | Notice here.
|
| Select New Patient | Select New Patient tab. |
| Let’s assume a patient and enter the following data. | |
Type the following details
|
Under Basic Details, let us enter the patient's
|
| 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.
|
In Admission, we will choose Non-STEMI.
This is because the patient is transferred 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 details. |
| 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.
The Thrombolytic agent, Dosage, Start date and time, End date and time. |
| Successful Lysis Yes/No. | Now, we have Successful Lysis Yes/No.
Choose either one. |
| Transportation Details >> choose Private | Lastly on this page, we have the Transport Details.
|
| Select the Save & Continue button at the bottom of the page. | 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.
|
| Check all of the following as NO | I’ll will be checking all the 12 points as “No” for now. |
| Select the Save & Continue button at the bottom of the page. | Now select the Save & Continue button to save the current page. |
| Blue box on Cardiac History | The App moves us to Cardiac History page. |
| 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 >> selected Aches
Location of Pain: options Retrosternal, Jaw, L arm, R arm, Back >> selected Retrosternal Pain Severity ( a mandatory field) – type from 1 -10 >> selected 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. |
| Only narration | Here we will be prompted to enter the medicines that the patient is on, as per his medical condition.
|
| 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 Medicines | A list of medications is displayed on this page.
|
| Mark all as No | I’ll mark all as No for now. |
| 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. |
| Drugs before PCI | Here we have Drugs before PCI. |
| Make entries in PCI | Enter the details of the drugs administered to the patient before PCI, with Date and Time details. |
| Narration - Blue Box with text on dosage and medications | Please note.
The above mentioned doses and selection of medications, are meant for demo purposes only.
|
| 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
|
The details in this page have to be entered either by a cardiologist or a Cath Lab Technician only.
|
| 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
|
| 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 | Then 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. |
| I will enter the details for 2b3a Inhibitors. | |
| Entry for Unfractionated Heparin | Unfractionated Heparin, Dosage, Date and Time. |
| Narration - Blue Box with text on dosage 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 Discharge Summary >> Death | We will skip the In-Hospital Summary page.
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. |
| 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. |
| Since A/B Hospital is the Hub Hospital, the discharge option from the Hospital is always Home. | |
| 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 -
|
| Show STEMI INDIA slide | STEMI INDIA
|
| 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
This is Nancy Varkey signing off. Thanks for joining. |
