Telemonitoring System Competency

Name: ______Date: ______

Demonstrates Competency in: / Competency Level
Date / Init / N/A
General:
Equipment Policies and Procedures
Client Assessment (Exclusion Criteria)
Admitting Patients Process
Patient Care Management
Equipment Set-Up
Identifying Telemonitoring System and Peripherals
Contents of Accessory Kits
Total System Connection and Placement
Set-up Wizard/Bluetooth Peripheral Pairing
Landline, Cellular or GPRS Connection (if applicable)
Telemonitor Programming based on Patient Assessment
LifeStream Remote Programming based on Patient Assessment
Transmission of Vital Sign Packets
Verification of Successful Transmission
Patient Instruction:
Instructing Patient on Benefits of Telemonitor System
Instructing Patient on Proper Placement of Telemonitor System
Instructing Patient on Obtaining Accurate Vital Sign Readings
Instructing Patient on Scheduled vs. Manual vs. Retest Readings
Instructing Patient on Use of Blood Pressure Cuff (If Applicable)
Instructing Patient on Use of Wired Scale (If Applicable)
Instructing Patient on Use of Wireless Scale (If applicable)
Instructing Patient on Use of Pulse Oximeter (if applicable)
Instructing Patient on Additional Peripherals: (if applicable)
Thermometer or Manual Entry Temperature
Glucose Meter
Peak Flow Meter
PT/INR Monitor
ECG Unit
MedPartner Unit
Observation of Patient completing Vital Sign Reading
Instructing Patient on Telemonitoring System Documentation
Post Monitoring & De-Install of Equipment
De-Installation Policy and Procedure
Removal and Storage of Used Equipment
Equipment Management Policy and Procedure
Clean & Dirty Areas for Equipment Management
Approved Cleaning Agents for Telemonitor Equipment
Infestation Policy and Procedure
Proper Communication to Telehealth Team
Troubleshooting:
Assess & Identify Causes of Inaccurate Blood Pressure Readings
Assess & Identify Causes of Inaccurate Weight Readings
Assess & Identify Causes of Inaccurate Pulse Oximeter Readings
Assess & Identify Causes of Inaccurate Peripheral Readings
Honeywell HomMed Customer Service Communication
Policy and Procedure for Equipment Return (if necessary)
Vital Sign Manual Retest after correcting problems
Misc. Topics
Genesis DM/Genesis Touch Manual
Telemonitor Patient Instruction Guide
Telemonitor Programming/Troubleshooting Guide
Honeywell HomMed Customer Service

Customer Signature: ______Date______

Telehealth Clinician Signature: ______Date______

C3001.02 10/2012 1