Remote CPAP setups ResMed guidebook
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ResMed guidebook
Remote CPAP setups
1
Table of
contents
Helpful tools for getting started................................... Page 3
Home delivery & remote setup checklist..................... Page 4
Download PDF
Key payer requirements to keep in mind..................... Page 5
Patient touchpoints map.............................................. Page 6
Key steps and resources
Intake........................................................................... Page 7 Download PDF
ResMed MaskSelector & resources............................ Page 8 Download PDF
Pack, ship & deliver..................................................... Page 13 Download PDF
Boarding & prescription............................................... Page 15 Download PDF
Scheduling & resources............................................... Page 16 Download PDF
Setup........................................................................... Page 18 Download PDF
Compliance support..................................................... Page 25 Download PDF
Note: throughout this document you may click on the color-coded tabs at the top to skip to each section.
2
Helpful tools
for getting started
Email Video/web conferencing
Obtain patient email address and use a Set up your patients virtually using
secure platform to communicate on communication platforms such as
equipment delivery, setup and support. Zoom™, Apple® FaceTime® or Skype™.*
Electronic signature ResMed videos
Collect intake paperwork and credit Visit ResMed.com/SleepApneaBasics
card authorizations electronically with for patient education and support
platforms such as DocuSign®. videos to optimize setups.
*Effective 3/17/2020, the HHS Office for Civil Rights (OCR) will exercise enforcement discretion and waive penalties for HIPAA violations against healthcare providers that serve patients in good faith through everyday
communication technologies, such as FaceTime or Skype, during the COVID-19 nationwide public health emergency. Under this notice, however, Facebook™ Live, Twitch™, TikTok™ and similar video communication applications
are public-facing, and should not be used in the provision of telehealth by covered healthcare providers. Guidance is subject to change without notice. For further details, visit https://www.hhs.gov/hipaa/for-professionals/
special-topics/emergency-preparedness/notification-enforcement-discretion-telehealth/index.html 3
Home delivery &
remote setup checklist
Ensure you have everything you
need for successful home delivery
and remote setup by downloading
a copy of our printable checklist.
Ho m e y & re m ot e sesetup ecklist* *
tup chchecklist
Download PDF Home
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Key payer requirements
to keep in mind
All coding, coverage policies and reimbursement information is subject to change without notice. Verification is always the responsibility of the provider/supplier.
Instructions for use1
• The beneficiary and/or their caregiver has received instruction from the supplier of the device in the proper use and
care of the equipment.
Proof of delivery/date of service 2 See Pack, ship & deliver module for CMS guidance related to COVID-19.
Proof of delivery (POD)
• POD documentation, as well as claims documentation, must be maintained in the supplier’s files for seven (7) years
1. Be sure to check with payers for any
(starting from the date of service).
• For delivery via shipping or delivery service directly to a beneficiary: specific guidance that may differ
• If the supplier utilizes a shipping service or mail order, the POD documentation must be a complete record from CMS.
tracking the item(s) from the durable medical equipment, prosthetics, orthotics and supplies (DMEPOS)
supplier to the beneficiary. 2. We suggest that you ask the patient
• An example of acceptable POD would include both the supplier’s own detailed shipping invoice and the for permission to record the setup
delivery service’s tracking information.
session for billing purposes.
• The supplier’s record must be linked to the delivery service record by some clear method like the delivery
service’s package identification number or supplier’s invoice number for the package sent to the beneficiary. WARNING:
• The POD document must include: many states prohibit recording phone
• Beneficiary’s name. calls without permission of all parties.
• Delivery address.
• Delivery service’s package identification number, supplier invoice number or alternative method that
links the supplier’s delivery documents with the delivery service’s records.
• A description of the item(s) being delivered. The description can be either a narrative description (e.g.
full face mask), a Healthcare Common Procedure Coding System (HCPCS) code, the long description of
an HCPCS code or a brand name/model number.
• Quantity delivered.
• Date delivered.
• Evidence of delivery. 1 CMS LCD: PAP Devices for the Treatment of OSA (L33718). Eff 01.01.20
• Suppliers may also utilize a return postage-paid delivery invoice from the beneficiary or designee as POD.
This type of POD document must contain the information specified above. 2 CMS LCA: Standard Documentation Requirements for All Claims
Submitted to DME MACs (A55426). Eff 04.06.20
Date of service
• As a general Medicare rule, the date of service shall be the date of delivery.
• If a supplier utilizes a shipping service or mail order, they may also use the shipping date as the date of service.
5
Patient
touchpoints map
MaskSelector Pack, ship Boarding Scheduling Compliance
Intake Setup
tool & resources & deliver & prescription & resources support
Mask selection
Intake call /
& therapy As-needed
Calls MaskSelector Scheduling call Setup call
education call interactions
invitation (only if using Option 2)
Setup appointment,
Emails Therapy Setup
myAir™ invite tracking info
resources email follow-up email
& resources email
6
MaskSelector tool Boarding Scheduling
Table of contents Intake & resources Pack, ship & deliver & prescription Setup Compliance support
& resources
Intake
1 If you use a billing management system, such as Brightree™, create a profile for the patient using the
information from the referral source, following your standard process.
2 Call the patient to confirm patient qualification:
• Phone required, recommend a video-enabled device. • Internet access for online support materials. 1. You can easily obtain patient consent remotely.
• Patient willingness. • Any other internal requirements. There are companies that allow you to e-sign
documents, forms and agreements online through
3 If the patient is qualified, confirm the shipping address and email. a secure platform. They allow you to add your
• Update patient record, including contact information, as needed. existing forms and utilize their tools to create
• If the patient does not qualify for home delivery and remote setup, follow standard processes. entry fields for inputting information such as name,
A mask assessment will need to be completed if the mask is not prescribed. signature, etc. You’ll need the patient’s name and
4
• If not prescribed, there are two options you can use to determine the right mask: email address to send documents or request an
e-signature.
Option 1
The ResMed MaskSelector tool will automate your mask selection and sizing process. Note: Some companies may offer free trials.
Please remember to always enable security
• Send the patient a unique link to have them complete this process.
features when using these technologies.
• See the ResMed MaskSelector module for more information.
Option 2 2. Shipping & device setup task template:
Transfer to a clinician after the intake call OR schedule a follow-up call with a clinician to determine Hello,
the mask. Please place an order for the following:
• You may have the scheduler collect initial mask information and transfer to a clinician for ________ ResMed Air10™ with air tubing
further assessment. ________ Mask
• Guidance for remote selection/fitting is in the MaskSelector tool and resources module. ________ Cushion
________ Other materials
5 Documentation: Please reference the PO #_____________
• Patients need to sign all of your standard consents, as well as provide approval for outreach via additional Please set the device to the following
modalities such as video, email and/or text message, if applicable. Many patients are being extra vigilant settings from the prescription:
about scams. It’s best practice to send emails while while you’re on the phone with the patient, so they can ________ Therapy mode
open them, as well as to confirm the sender, what information will be requested and what actions will be ________ cm H20 (CPAP mode only)
recommended. ________ Min cm H20 (AutoSet™ mode only)
• Obtain credit card authorization for co-pays. ________ Max cm H20 (AutoSet mode only)
• When you receive these documents, file them in your patient records per your standard practice. ________ Response (AutoSet mode only)
________ EPR™
6 Once the proper mask is determined and consent is received, let your team know the mask and ________ Ramp Time
device requirements.
Steps 1-5 MUST be completed before moving to step 6. 7
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Option 1: Mask selection
1 Select a mask that’s suited for the patient and provide that information to your team.
2 Provide therapy education and highlight available pre-therapy resources such as the
HelloSleep™ app, and encourage the patient to review and create a list of questions before ResMed MaskSelector is not a medical
the setup appointment. device. It’s designed to provide a
recommendation for a ResMed mask.
* ResMed MaskSelector offers
recommendations for the following
What is it? ResMed masks: AirFit™ F20, AirTouch™ F20,
ResMed MaskSelector is an online portal that makes mask selection and sizing easier and more AirFit N30i, AirFit N20 and AirFit P10.
effective by creating personalized mask recommendations based on a patient’s health, sleep attributes If you are not using this tool, please refer
and facial measurements. So, whether you’re doing remote, face-to-face, curbside, or a combination of to pages 9 and 10 for guidance on mask
these setup methods, MaskSelector is here to help. selection and sizing.
How does it work?
Your staff will access the MaskSelector portal, which hosts specific mask recommendations Clinical staff portal:
for each remote setup patient. To begin the process for a new patient, your staff sends a
unique invitation to the patient via the portal. ResMed MaskSelector will then prompt
the patient to:
• Answer a questionnaire
• Take three facial measurements
Based on each patient’s questionnaire and measurements, a recommended mask and size will be
shown in the portal. There will also be recommended sizes for other masks in the ResMed portfolio.
How do I get more information and/or sign up?
Reach out to your ResMed Solutions Consultant or Sales Representative to get started.
Patient identity and data are fictional
* There is no charge for the ResMed MaskSelector during the COVID-19 public emergency
8
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Option 2: Mask selection
This option can be used for those who do not sign up for ResMed MaskSelector.
Use the decision tree on this page to determine the mask type and the sizing instructions
on page 10 to determine the correct size. While we are recommending the
mask types suited for a remote setup,
While there are plenty of mask options for patients to use, we recommend the following ResMed the decision-making ultimately lies
masks because they are designed to offer a broad fit range for a majority of patients. with the clinician.
• ResMed AirFit F20: universal mask with a broad fit range, easy to put on and take off.
• ResMed AirFit N20: the Medium cushion is designed to fit the vast majority of patients.
• ResMed AirFit P10: comes in a starter pack, therefore remote sizing is not necessary.
Do you know if you breathe through your nose or mouth?
Patient breathes Patient breathes through their
through their mouth nose and/or doesn’t know
Yes
Do you have a Do you have arthritis or any
deviated septum? dexterity issues?
Do you have trouble Do you have any active Are you an active sleeper?
Yes breathing through No implantable medical devices? No
your nose at night? [Internal]: Is the patient on
Do you have sensitive skin? a high pressure?
Do you wake up with Are you claustrophobic?
a sore throat and/or
dry mouth?
Yes
Do you experience a clammy/
sticky feeling in your mouth
when you wake up?
9
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Option 2 continued: Mask selection
Sizing for AirFit F20 Sizing for AirFit N20 Sizing for AirFit P10
Option 1: Option 1: AirFit P10 comes in a starter pack
Clinician determines based on Clinician determines based on so pre-shipment sizing is
facial structure facial structure not necessary.
• If the follow-up call is conducted • If the follow-up call is conducted We recommend that the sizing
with video, the clinician can use with video, the clinician can use instructions (tape measure or
their best judgment to size the patient. their best judgment to size the patient. printing template at home)
Option 2: Option 2: are sent to the patient prior
Patient uses a tape measure at home Patient uses a tape measure at home F to this call. These resources
• The patient uses a tape measure at • The patient uses a tape measure at
Female patients are available at
home to size themselves. home to size themselves.
should be sent the
• Instructions for how to do this can • Instructions for how to do this can AirFit P10 for Her ResMed.com/SizingAtHome.
be found on our website: be found on our website: starter pack.
ResMed.com/SizingAtHome ResMed.com/SizingAtHome
Instructions could be for the
Option 3: Option 3: patient to locate a tape measure/
Patient prints the sizing template at home Patient prints the sizing template at home
• The sizing template and instructions • The sizing template and instructions ruler or print both AirFit F20
can be found on our website: can be found on our website: and AirFit N20 sizing templates
ResMed.com/SizingAtHome ResMed.com/SizingAtHome at home (pending which mask
the patient qualifies for). The
If you’re unable to size the patient: clinician can then instruct the
M patient over the phone which
F M If you’re unable to size the patient: measurement/template to use.
Male patients should
The majority of Males have more be sent the AirFit P10
females will fit on an variability in their face.
S or M cushion.
F M starter pack.
If the patient is unable
If the patient is unable to size themselves
to size themselves at home, we suggest The majority of males and females will
at home, we suggest sending an M cushion, fit on a Medium cushion. We suggest
sending an M cushion in addition to both sending an M cushion only.
and an S cushion. S and L sizes.
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Mask selection & resources
We recognize the importance of educating patients on why they should treat their sleep apnea,
and how it contributes to short-term and long-term health benefits.
• If you’re already on the phone with the patient for mask selection, we suggest a brief
conversation during this phone call to discuss the importance of treating sleep apnea.
• Once the phone call is finished, we suggest sending a follow-up email
reinforcing pre-reading/educational material before the scheduling/pre-equipment
education (see email template on page 12).
• If you’re not setting up a separate call to run through initial mask selection, we suggest sending
the patient a follow-up email (template on page 12) offering pre-reading and educational material.
Topics to cover:
Sleep apnea overview Importance of treatment
myAir app education Support & education resources
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Mask selection email
Hello [Patient Name],
I enjoyed speaking with you today about preparing for your journey to better sleep and better health!
Now that we’ve selected a mask that will work best for you, I wanted to recommend some helpful Did you know that more patients are
education and support resources available to you: compliant with myAir and AirView?
• Visit ResMed.com/SleepApneaBasics to learn about the importance and benefits of treating
your sleep apnea, along with some tips for getting started with CPAP therapy. Online self-monitoring tools that
engage patients may significantly
• Download the myAir for Air10 by ResMed app through the app store on your phone and
™ ™ improve compliance and adherence
create an account to track your therapy progress and receive personalized coaching to help to treatment. An observational study
you adjust to therapy. We encourage you to read the app’s terms and privacy policy, of 128,000 new PAP users found 87%
available at ResMed.com/myAir. were compliant when using myAir and
monitored with ResMed AirView™ vs. 70%
One of our representatives will be in touch with you once your CPAP equipment has shipped to schedule when monitored with AirView alone.1
your remote setup appointment.
If you have any questions or need assistance, please contact [CONTACT] at [XXX-XXX-XXXX] or
87
via email at [EMAIL ADDRESS]. We are available during the following times: [DAYS AND HOURS].
We look forward to helping you get started on your sleep therapy journey! %
Sincerely,
of PAP users
[YOUR ORGANIZATION / PERSON SENDING EMAIL] were compliant 1
1 Crocker M et al. CHEST 2016.
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What to include in an optimal remote setup kit
• With a variety of device and mask choices available to patients, we recommend including the following components for a remote setup to help optimize the
patient experience and adjustment to therapy.
• Auto-adjusting positive airway devices help adjust the pressure in response to changes in your patient’s upper airway patency, especially as pressure needs
can vary and change over time. Clinical studies1-3 support the clinical outcomes of the AutoSet algorithm – citing the therapy, compliance and quality-of-life
benefits associated with using AutoSet devices.
Device Mask Alt. size cushions Supporting info
For full face mask users
If you’re unable to guide
patients to size themselves
remotely, include supplemental
PN 63401 (Medium)
size cushions to help ensure
HME contact info
OR a broader fit range.
PN 37207/37208
PN 62900/62910 (for Her)
S
Patient education
OR PN 63467 materials
(Males & females)
• AirFit F20 remote setup guide (PN 10111957)
• AirFit P10 remote setup guide (PN 10111959)
L • AirFit N20 remote setup guide (PN 10111958)
• Living with CPAP brochure (PN 1019759)
PN 63469 • myAir registration brochure (PN 10111223)
PN 37211/37212 PN 63501 (Medium) (Males only) • Stay on track resupply brochure (PN 1016061)
1 Massie CA et al. “Comparison between automatic and fixed positive airway pressure therapy in the home.” Am J Respir Crit Care Med 2003;167:20-23.
2 Netzel T et al. “APAP device technology and correlation with patient compliance.” Somnologie 2014;18(2):113-120.
3 Armistead JP et al. “Study of an auto-adjusting CPAP algorithm for the treatment of obstructive sleep apnoea.” Am J Respir Crit Care Med 2009;179:A3570. 13MaskSelector tool Boarding Scheduling
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Pack, ship & deliver
Ensure the device is configured with the patient’s prescription and comfort settings prior to delivery.
This can be accomplished in one of two ways:
1. Unbox the device, plug it in and apply the settings before placing it in the shipping box.
2. Use AirView to remotely apply the settings. Provide device number and serial number to your
team to board the patient into your patient management system and apply the settings
via AirView. Note that some device settings are not available to be set remotely using AirView.
Important note for ResMed AirCurve™ 10 ST and AirCurve 10 ST-A bilevel devices: require at
least one therapy session to be run before they can accept a new prescription from AirView,
therefore we recommend only applying settings directly to the device.
• Select a plain box that fits the sleep therapy contents snugly to minimize the 1. Example box dimensions 16” x 16” x 8”.
Pack potential for any shipping damage.
• Avoid labeling or marking on the shipping box that indicates its contents to protect
patient privacy.
• If shipping via a carrier, choose delivery confirmation to track and confirm the shipment
Ship is delivered.
• Provide shipping information, including delivery expectations and the tracking number
to your team, so they can schedule the patient’s setup. 2. Use void fill (if possible) to help protect
contents during shipping.
• You may opt to deliver directly to the patient’s doorstep or offer a curbside
3. Include HME contact information in the
Deliver pick-up option.
shipping box to help patients know who
• Obtain recipient’s signature for secure delivery (if required) and applicable proof of sent their therapy equipment and how to
delivery documentation for payer requirements.1 reach out for questions and support.
• If shipping via a carrier, confirm the setup kit was delivered using the tracking number.
1 During the COVID-19 public health emergency (PHE), CMS will not be enforcing the signature requirement. During the PHE,
suppliers should document the appropriate date of delivery and that a signature was not able to be obtained because of COVID-19.
Learn more at CMS Provider Burden Relief FAQs. 14MaskSelector tool Boarding Scheduling
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Boarding & prescription
Boarding all remote setup patients into
a unique location or by a dedicated
clinical user can enable you to track your
remote setup patients for easy sorting in
Boarding Update prescription Action Groups and compliance reporting.
Board the patient into ResMed AirView ™ per your If your workflow is to update the prescription
Download our Remote location setup fact
standard process utilizing the device number and using AirView, input it at this time. The device
sheet and learn how to create a remote
serial number provided by your team. will automatically update once the patient
location.
1. We recommend using the delivery date as the powers the device On.
setup date.
If you would like to minimize handling
• The setup date can be set as a future date.
and unboxing of the device, you can use
2. For U-Sleep™ customers, if using the delivery
AirView to apply settings remotely.
date for the setup date, we recommend
boarding the patient upon delivery.
3. Based on the patient’s interest, enter the
patient’s email address to send a myAir invite.
• Note: if you utilize a Brightree™ integration,
this may automatically go out per the
normal process.
In U-Sleep, the setup date cannot be
4. Associate the patient’s physician.
updated if the delivery date or setup
appointment changes. You may prefer to
board the patient right before the setup to
give the patient the full compliance period.
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Scheduling & resources
Schedule the setup appointment
• Once the delivery time is known, contact the patient to set up their appointment.
Note: if your organization is confident in shipping timelines, this can be done during the
The goal is to perform the remote
intake call.
setup as close to the delivery date
• Send a calendar invite to the patient with details on how to connect for the setup appointment.
as possible.
• Encourage the patient to register for myAir. • We recommend scheduling the
setup two to three days after the
Appointment via video conference expected delivery to avoid having to
reschedule if the delivery is delayed.
• We recommend setting up a secure video conference with the patient to facilitate a good
• Pay close attention to delivery
teaching environment where your team member and the patient are able to watch, mimic and schedules as carriers may be
troubleshoot through the appointment. experiencing delays.
Email supplemental information For patients who are unable to
get to a store, many grocery delivery
• Email supplemental product information to the patient in advance of the remote setup appointment services allow distilled* water to be
that includes your contact information so they know who to contact for support: ordered and delivered. Fees may
• Encourage myAir registration. apply and services vary by geography.
• Include your contact information so the patient knows who to contact for support.
• Include delivery timeline and shipping details, such as a tracking number.
• Setup appointment details should include: the date, time, how to connect (i.e. link for
video conference, phone number, etc.), and who the appointment is with.
• Actions for the patient to complete prior to the setup: purchase distilled* water.
• Include resources.
See next page for templates.
* As stated in our clinical and user guides, only distilled water should be used with a PAP humidifier for optimal operation. Distilled water has had most/all minerals removed from the
water which would otherwise cause a mineral buildup in the humidifier tub. While the use of tap or bottled water may require more rigorous humidifier cleaning in the short term and
excess mineral buildup in the tub over the long term, the use of tap or bottled water will not harm the therapy device or pose a risk to patients. 16MaskSelector tool Boarding Scheduling
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Pre-setup email
Hello [Patient Name],
It was a pleasure speaking with you today! Your sleep products have been ordered and should be arriving by
[DELIVERY DATE]. Here is your tracking number: [TRACKING NUMBER].
Your sleep apnea therapy setup appointment is scheduled for: Video conference tools can be
• [DATE AND TIME OF APPOINTMENT)
downloaded onto computers,
• With [SETUP APPOINTMENT PERSONNEL], [ROLE]
smartphones or tablets. Security
During your call, you will speak with a sleep coach who will walk you through setting up and getting features on these tools, when
comfortable with using your machine. They are here to answer any questions you may have regarding your
appropriately enabled, can help
therapy, the machine, the mask and how to adjust to starting therapy. Our goal is to make sure you’re
comfortable with using your therapy and are ready to use your machine that night. protect patient privacy. You and your
patients will benefit from using these
Here’s how to get ready for your setup appointment:
tools during setup appointments.
1. Purchase distilled water.* This can be found at most major grocery stores or pharmacies.
2. [DOWNLOAD APPS / SOFTWARE NEEDED TO CONNECT TO THE SETUP APPOINTMENT]
3. You should have received an email invitation to register for ResMed myAir™. Consider registering for myAir The NIH referenced data1 indicates that
using your smartphone, tablet or computer. COVID-19 is stable for up to 24 hours
• This app will help you track your own progress on therapy and will provide personalized coaching to on cardboard and 2-3 days on plastic
help you adjust to therapy. and stainless steel. In an abundance of
• Please let us know if you did not receive this invitation, and we will happily resend the invite or help
caution, you may opt to recommend a
you register during your setup appointment.
4. Review the pre-setup resources available on these helpful website pages: [INSERT APPLICABLE delay in patient handling after delivery.
RESOURCE LINKS]
5. Make a list of questions, concerns and goals for sleep therapy to discuss with your sleep coach. Resources
It’s important to complete these prior to your scheduled appointment as they will assist with your success on therapy. Resource links are outlined on page 22.
On [DATE AND TIME OF APPOINTMENT], please [ACTION TO CONNECT TO SETUP APPOINTMENT]
for your setup appointment with [NAME]:
• For your setup call, choose an area with a large flat surface (dining room table or other large area) to set up
all of the different items in your therapy equipment and be able to have them within reach.
• You will need to have a power outlet near your setup area to plug in the device.
• If possible, have a family member or support with you, in person or remotely, during the setup to ask questions
and learn with you.
If you have any questions or need assistance, please contact [CONTACT] at [XXX-XXX-XXXX] or via email at
[EMAIL ADDRESS]. We are available during the following times: [DAYS AND HOURS]. We look forward to helping
you get started on your sleep therapy journey!
Sincerely, * Per the user guide, only distilled water should be used with your PAP machine
[YOUR ORGANIZATION / PERSON SENDING EMAIL] 1 https://www.nih.gov/news-events/news-releases/new-coronavirus-stable-hours-surfaces 17MaskSelector tool Boarding Scheduling
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Setup
Recommendations
Block enough time Establish WHY patients are on therapy
We recommend blocking a few minutes on either end It’s very important to explain to patients why they are using
of each appointment for technology setup and wrap up. therapy. Ensure they understand why it’s important to their
health. The “why” is key to building this new habit.
Ensure you have the patient’s phone number
Some patients may struggle to follow instructions and Keep it simple
connect remotely, so ensure you have their phone number Because the patient is going to be working to build a new
available to call them in case they need additional support. habit, try to simplify information as much as possible.
• When troubleshooting any connection issues, learn what
device (i.e. computer, tablet or phone) is being used, Support is crucial
including the manufacturer/operating system and browser Make sure the patient knows where they can find support
as each technology may experience unique issues. if and when they need it. Whether it’s online, phone, text
Understanding the process for each can enable patient message or email support, they’ll appreciate knowing where
support when needed. to find it.
Have equipment & be prepared to demonstrate
Have equipment with you mirroring what the patient will have
during the setup and demonstrate how to use each piece.
• For instance, take time to assemble and put on the mask
so the patient has a clear understanding of what they need
to accomplish. Then allow the patient time to complete
the action themselves. If they struggle or experience
confusion, it may help to re-demonstrate the
specific action.
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Setup
Call outline
Introduction
• Confirm the patient’s identity by verifying data elements such as their name, date of birth, medical/health record identifier and phone number.
• If recording, obtain consent from the patient before the recording starts.
• Why we are here: A sleep study identified the need for CPAP therapy due to obstructive sleep apnea (OSA).
• Goal for today: Getting comfortable with therapy. Learn the patient’s goals and motivation for therapy.
• To ensure you’re teaching effectively, ask them to repeat the information and demonstrate. If anything is unclear, review it again.
• Share the agenda.
• What questions does the patient have?
Sleep apnea education
• Sleep apnea definition: What are the common symptoms? Ensure the patient understands what it is and why treatment is important.
• Explain the impact of comorbidities.
• Explain how the device and mask work, and how they treat sleep apnea.
Getting started
• Resources to help them achieve their goals:
• myAir: If they haven’t registered, explain the benefits, privacy notice and how to register.
• Review resources sent in pre-setup emails.
• Have them gather items (device, mask, etc).
Equipment overview
• ResMed device: APAP (auto-adjusting positive airway pressure) is our recommended sleep apnea treatment.
• 2 modes: CPAP + APAP adjusts based on their upper airways requirement to be best splinted open.
• Equipment received: mask and equipment start guide.
• Travel bag: Includes water chamber, power supply, air tubing and device.
• Device: black (AirSense™) or gray (AirCurve) depending on which model they received.
• Air filter: Disposable white square on the left side of the device. Filter door has holes.
• Water tub: Clear tub, measurement lines in front. Insert on the right side of the device. Fresh distilled water daily.*
Empty after each use. Be sure not to overfill.
• Power supply: Provides power to the device. There should be two pieces in the bag.
• Air tubing: Connects the mask to the device. The heated hose warms the air.
• On the back side of device: The serial number (SN) is 11 digits and the device number (DN) is 3 digits. This information is needed to register for myAir.
Navigating comfort settings
• These are settings patients are able to change to have a more comfortable experience using therapy.
• Ramp: Device is pre-set to AutoRamp, which is the suggested setting. It detects snoring, patterns of consecutive breathing or apneas.
• Humidity level: Allows the patient to modify the humidity settings to their environment and preference.
• Mask: If the patient has a full face mask, have them set their mask setting to full face.
* As stated in our clinical and user guides, only distilled water should be used with the PAP humidifier for optimal operation. Distilled water has had most/all minerals removed from the water which
would otherwise cause a mineral buildup in the humidifier tub. While the use of tap or bottled water may require more rigorous humidifier cleaning in the short term and excess mineral buildup in the tub
over the long term, the use of tap or bottled water will not harm the therapy device or pose a risk to patients. 19MaskSelector tool Boarding Scheduling
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Setup
Call outline
Other key settings to review
• Prescription pressure & Expiratory Pressure Relief (EPR): can be adjusted if the patient needs changes between
inspiratory and expiratory pressure. Many therapy and comfort settings
• Climate Control: Pre-set to Auto if the ResMed ClimateLineAir™ heated tube is connected to the device. It can be set to Manual. can be adjusted remotely for patients
• Tube temperature: Controls the air temperature. The suggested setting is Auto. This may be changed to Manual to within the AirView Prescription tab.
increase the temperature up to 86° F if necessary.
Mask setup and sizing
Full face mask Nasal mask Pillows mask
• Remove mask from the box and bag it was shipped • Remove mask from the box and bag it was shipped • Remove mask from the box it was shipped in.
in. Be prepared to guide patients on how to separate in. Be prepared to guide patients on how to separate
the mask from the support packaging. the mask from the support packaging. • Mask cushion: The plastic edge and translucent
silicone material sit at the nasal opening (one-piece).
• Mask cushion: The plastic exterior and translucent • Mask cushion: The plastic exterior and translucent
silicone that covers the edge (one piece). The narrow silicone that covers the edge (one piece). The narrow • Size marker: Located on the bottom of the cushion.
part of the cushion sits on the bridge of the nose and part of the cushion sits on the bridge of the nose and The top of the cushion says ResMed.
the bottom fits between the lower lip and chin. the bottom sits just under the nose.
• Removing the cushion: Hold the top of the mask
• Size marker: Located on the bottom front. Use large • Size marker: Located on the bottom of the cushion
tubing, squeeze and pull the cushion away from the
size if medium hits the lip, use small size if medium (if multiple cushions were provided).
mask frame. To reattach, push until you hear an
hits the chin (if multiple cushions were provided). • Removing the cushion: Hold frame by placing your audible click sound and ensure the ResMed logo
• Removing the cushion: Squeeze both sides of hard thumb over the side slot. Pull cushion away from faces up.
plastic and remove. When reattaching, push until you frame. When reattaching, push until you hear an
hear an audible click sound. audible click sound. • Mask frame: Features short tubing and attaches to
• Mask elbow: Attach the elbow to the air tube then • Mask elbow: Features short tubing and attaches to the air tube. Explain venting purpose.
connect the elbow to the mask. Explain venting purpose. the air tube. • Mask headgear: Straps will fit on the head and attach
• Mask headgear: Straps will fit on the head and attach • Mask headgear: Straps will fit on the head and attach to the mask frame. The headgear consists of a single
to the mask frame. The top strap sits across the crown to the mask frame. The top strap sits across the crown strap with a split in the middle. The lower strap sits
of the head and the lower strap on the base of the of the head and the lower strap on the base of the across the nape of the neck, the top strap sits at the
neck. The magnetic clips allow for easy connection or neck. The magnetic clips allow for easy connection or top of the head.
removal without having to readjust the straps. removal without having to readjust the straps.
• Demonstrate putting on the mask: Fit the cushion.
• Demonstrate putting on the mask: Fit the cushion. • Demonstrate putting on the mask: Fit the cushion.
Adjust the straps. Start the device and run mask fit. Adjust the straps. Start the device and run mask fit. Adjust the straps. Start the device and run mask fit.
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