1. Clinician Setup Manual
Lindsay Raymond
PAMS HDRSU
10/5/2017

2. What to expect in your training
Once you start the training process you will be provided:
Clinician Setup Manual
Product Training Manual
Dream Station Device and Accessories
You will be given access to Sling (our scheduling tool)
You will then be asked to add unavailability to it
You will need to test the phone system and make sure you are able to place calls
Please view page 5 for more information
You will complete an Observation Call
You will listen to one of Philips RT’s do a setup with an actual patient
You will then conduct TWO Mock Setups of your own
During both of these setups a Philips RT will be the patient and you will be the one setting them up
You will Complete an Assisted Setup
You will setup a real patient with one of Philips RT’s on the line to assist if you need help or get stuck

3. Sling
Website and App that will be used to track individual availability and appointments
You will be sent an invitation to join Sling via
We ask that you sign up and add your unavailability to this
Features include:
Allows you to add time you are unavailable
View setups you are scheduled
Receive reminders when you have an up coming setup
Be able to send direct messages to RT’s

4. Adding Unavailability to Sling
1. Select the Shifts tab
2. Select Unavailability
4. Select a date range and frequency of this unavailability
3. Slide bars to block out any time you are NOT available to do setups

5. Placing Calls Key Point: Required Components: How To:
Be advised the following method will use up minutes on any cell phone, however, it will allow you to still place calls on other phones such as a landline.
Required Components:
Respira-Net RT’s will be setup to make outbound calls from one primary number and one optional number. These numbers will be setup in the Philips phone system during the training process. If these numbers change, you will be required to notify Natalie Alexander at Philips via at, Be advised that these changes may take several days to implement.
How To:
First call the following number:  
You will then be prompted to enter the 10 digit phone number of the patient you are calling, followed by the # key. (Ex: #) 
Upon connecting with your patient be sure to advise them that the call may be recorded for quality and training purposes.
Please make a minimum of two practice calls to friends or family prior to calling patients. Ensure the call quality is good and the caller ID shows
If you receive an error messages preventing you from placing calls please contact Philips.

6. Patient Setup Form Helpful Tips
Form should be filled out and sent back for every setup
Up to three call attempts should be made to reach the patient
At the time of the appointment, 5 minutes post appointment and 15 minutes post appointment
Its okay to try more than one phone number if there are several available
Review all information in blue prior to the setup call
Pressure, tubing type, accessories and mask are listed here
If you are not familiar with the mask listed for the patient take time before the setup to review the mask

7. Accepting Appointments
Appointments will be added to your Sling schedule
You must accept or decline each setup
Please DO NOT leave time on your schedule if you unable to complete setups that day
After you accept the setup appointment you will be sent a setup form for that patient via
You will receive a separate setup form for each setup you are scheduled
Form will require excel to open and be password protected
The password will be unique to you and protect every setup form you receive
The password should be your first and last initial (lower case), the last four digits of your primary phone number and the # symbol (Example: la1979#)
After the form is filled out and complete save it and send it back to us
Do not change the name the form is saved as
Enter the password here to open the document

8. Setting up the Patient

9. Introduction
Introduce yourself and verify you are speaking with the patient
Advise the patient put you on speaker phone if they are able
Ask the patient how much they have completed prior to this call
Did they open the box?..
Watch the videos?...
Plug the device in?...
Set a goal for this call
“The goal for this call is to make sure you’re comfortable getting started with your therapy. We will be following up again in a few days to see how you’re doing.”

10. Complete a modem manual upload
This step will download the patients RX setting onto their device
Helpful Tips
The only action you need to take to download the patients RX is resetting the modem
There is no need to go into the “My Setup” menu and discuss the “Modem” icon for this reset to work
If the modem does not connect properly, the patient may see:
Try unplugging the device, plugging it back in and doing the modem manual upload again
If the modem manual upload still fails, please continue the setup and notify the Philips contact at the bottom of the setup form.

11. Pressure Verification
After doing a manual up load of the modem you will need to check the pressure on the patients device is correct
Have the patient turn the device on so the air is blowing
The starting pressure in the blue circle should match the starting pressure on the setup form
Helpful Tips
Avoid telling the patient what their pressure should be, instead ask them what they see on the screen
EX: CPAP 12.0 cmh2o on the setup form -- verify device starts at 12.0 cmh2o
You only need to verify the starting pressure is correct – you will be unable to verify max pressure when pressure settings are a range
EX: AutoCPAP 5-20 cmh2o -- verify device starts at 5.0 cmh2o

12. Device Inspection

13. Left side of device
Power Supply

14. Right side of device
Humidifier disconnect button

15. Filter Installation 1 2 Pollen & Dust filter Fine particle filter
(Image one)
Comes installed in the device
Must use this filter anytime device is in use
Clean once a week by rinsing with warm water
Replace every six months
Fine particle filter
(Image two)
Comes in a bag, near the manual, marked “filter kit”
This filter is optional
Do not clean this filter
Replace monthly
If the patient can not locate this filter and feels it was not in the box, please document this on setup form. 2
Helpful Tips
Filters only fit together in one direction
“Philips Respironics” will be face down on the fine particle filter when assembled properly

16. Top of device Tubing Connection Power Button Ramp Button
Humidifier Latch

17. Humidifier Helpful Tips All devices come with a heated humidifier
Water tank is removable and should be removed when filling with water
Humidifier should be filled each night with distilled water and emptied each morning
Helpful Tips
To make setting adjustments to the humidifier and heated tubing:
the device must be turned on (air blowing)
Humidifier only
Turn dial to change setting and push dial in to save
Humidifier symbol will only appear when humidifier is plugged in
HT and humidifier
Turn the dial to highlight the setting you are trying to change
Push the dial in to allow for adjustments
Turn the dial to adjust setting
Push the dial in to save
Heated tube symbol will only appear when heated tube is plugged in

18. Tubing Options Standard tubing Both ends will be the same 6’ in length
15 mm in diameter
Heated tubing
Will have a power connection on one end
6’ in length
15 mm diameter

19. Masks
The following are some of the most common masks we send to patients and the contents of the “fit packs” they receive. For more information about these, and other masks, please refer to your product training manual.

20. Dream Wear fit pack Fit Pack Includes
Fully assembled mask – Headgear, medium frame and small cushion
Three additional cushions – medium, large & medium wide
Two fabric wraps – Can be used to wrap around the sides of the frame
Size guide – Recommend using this sizing guide to help the patient find the right size cushion for their mask
Instruction booklet

21. Dream Wear Gel Pillow Fit Pack
Fit Pack Includes
Fully assembled mask – Headgear, medium frame and small pillows
Two additional pillows – medium & large
Two fabric wraps – Can be used to wrap around the sides of the frame
Instruction booklet

22. Dream Wear Full Face Fit Pack
Fit Pack Includes
Fully assembled mask – Headgear, medium frame and small cushion
Three additional cushions – medium, large & medium wide
Size guide – Recommend using this sizing guide to help the patient find the right size cushion for their mask
Instruction booklet

23. Nuance & Nuance Pro Fit pack
Fit Pack Includes
Fully assembled mask -- Headgear, frame, 18” hose and medium cushion
Two additional cushions – Small & Large
Instruction booklet
Nuance has a frame entirely made of fabric
Nuance Pro includes gel cheek pads on the frame

24. Wisp Fit Pack Fit Pack Includes
Fully assembled mask -- Headgear, frame, 18” hose and S/M cushion
Two additional cushions -- Large and XL
Size guide – Recommend using this sizing guide to help the patient find the right size cushion for their mask
Instruction booklet

25. Amara View Fit Pack Fit Pack Includes
Fully assembled mask – Headgear, frame, 18” hose and medium cushion
Two extra cushions – Small & Large
Size guide – Recommend using this sizing guide to help the patient find the right size cushion for their mask
Instruction booklet

26. Cleaning Instructions
Daily Cleaning
Remove and clean the cushion portion of the mask daily
Remove any water remaining in humidifier from previous night, rise and let dry
Weekly Cleaning
Mask frame
Mask cushion
Headgear
All tubing
Water tank
Pollen filter
This item should only be rinsed with warm water
DreamStation
Wipe device off with a damp cloth
Monthly Cleaning
Remove and replace disposable filter
Unless other wise stated, clean equipment with a mild dish soap and warm water. Rise equipment well and let air dry.

27. Frequently Asked Questions
How do I get supplies?
Supplies can be addressed with your sleep coach when they follow up with the patient. Patient can also call the local branch of the DME for more information.
Can I travel with my DreamStation?
The DreamStation is approved to fly and its recommended to be taken on the plane as a carryon.
Do I have to use distilled water?
Distilled water is recommended by the manufacture. Alternate types of water can be used in the device and will not hurt you, but can cause mineral build up in the device over time.
Do I have to unplug the device everyday?
The Dream Station is designed to be left plugged in. It is not necessary to unplug the device daily.
Can I use an extension cord?
Manufacturer recommends the device be plugged directly into an outlet that is not controlled by a wall switch.
Someone told me to use baby wipes/So Clean/vinegar to clean my equipment. What should I do?
Manufacturer recommends using mild dish soap and water to keep equipment clean. Following the cleaning schedule (shown on previous page) will be enough to take care of the equipment. If the local branch of the DME recommends alternate cleaning options, let the patient know it is okay to follow their instructions in addition to the instructions on the cleaning schedule.