Providence Home Services CPAP/BiPAP
Contents
1. e Wash your humidifier reservoir if you use one Rinse out your dark spongy pollen filter with water Do not use soap on your spongy filter Please note The spongy pollen filter needs to be completely dry before you put it back into your CPAP BiPAP unit Monthly if used e Replace the disposable white micron pollen filter e Use a slightly damp cloth to wipe off your CPAP BiPAP unit CAUTION To avoid possible electric shock unplug your CPAP BiPAP unit before wiping it down CPAP BiPAP Patient Education Guide Replacement of supplies and parts We recommend the following replacement schedule Monthly e White disposable micron pollen filter Every three to six months e Mask or nasal pillows e Headgear Pollen Ultra fine Yearly Filters Filter e Tubing e Humidifier chamber if you use a humidifier e Dark spongy pollen filters To order supplies please contact customer service If you call in your order one to two days ahead of time we can have your supplies ready for you to pick up at one of our locations Medicare will allow you to replace the following e Pillows or cushions two per month e Nasal mask or full face mask one per three months e Headgear chinstrap one per six months Providence CPAP BiPAP clinics locations Due to staffing limitations we can assist customers on a walk in basis only at the Halsey location Appointments are required at all other sites Please call2. Smart Card Scan Disk in the mail You will then need to send your old card back to us If you have any questions or concerns not addressed in this booklet please don t hesitate to contact your respiratory therapist The therapist who initially set up your CPAP BiPAP unit may not be available at the time you call In this case you will be asked if you would like to leave a message for this therapist or if you would like to speak with another therapist CPAP BiPAP Patient Education Guide Patient rights and responsibilities Patient rights In keeping with the Providence core values of respect compassion justice excellence and stewardship we are committed to your rights as a patient You have the right to Receive considerate and respectful care Have your pain appropriately assessed and managed as needed Know the doctor who is coordinating your care Be informed of the services offered by Providence Home Services Know the name of the person supervising your care and how to contact this person Obtain complete information oral or written about your continuing health care requirements from your doctor or Providence Home Services staff Share in decision making and care planning Refuse treatment and to be informed of the medical consequences of your refusal Receive coordinated care and be informed when services are provided by another agency Be assured of privacy and confidentiality regarding discussion and provision
3. determine the proper style and size of mask to use with the CPAP or BiPAP and they will follow your progress and help you make your CPAP therapy work for you A respiratory therapist will also work with your physician to obtain everything you need for successful therapy If you are having trouble with your CPAP unit please call our Respiratory Therapy Department The information in this packet is not intended to replace any advice given to you by your physician or care provider You may also refer to your CPAP or BiPAP user s manual for information We hope that you will enjoy better sleep and health once you begin using your CPAP BiPAP unit How to reach us Providence Home Services phone numbers Respiratory therapy department va asian 503 215 0419 CPAP BIPAP voice mails sseasosnaachantuiaonncthe 503 215 0187 CSCO MICS 1G nn re in irr ie ei reri ie 503 215 4663 Outside the Portland metro area ss 800 762 1253 Providence Home Services business hours Monday through Friday 8 30 a m to 5 p m Websites to assist you www cpap com WWW respironics com www sleepapnea com www sleep com CPAP BiPAP Patient Education Guide What to expect At the initial set up time a respiratory therapist will program your CPAP BiPAP unit with the therapeutic pressure prescribed by your physician Any changes in pressure must be prescribed by your provider and made by a respiratory therapist Here is some helpful information when beginni
4. for an appointment so that staff will be available to answer your questions and help with your CPAP BiPAP equipment needs Providence Halsey Business Center Storefront only no patient appointments 6410 NE Halsey St Portland Monday Friday 503 215 4663 Providence St Vincent Medical Center 9155 SW Barnes Road Suite 410 Portland By appointment only e Monday Friday 503 215 0491 Home Services at The Oregon Clinic 1111 NE 99th Ave Suite 200 Portland By appointment only e Monday Friday 503 215 0419 Providence Hood River Service Center 1151 May St Hood River By appointment only e Monday Friday 541 387 8923 Salem Service Center 2508 Pringle Road SE Salem By appointment only e Monday Friday 503 585 4027 Vancouver Service Center 7723 NE Fourth Plain Blvd Vancouver By appointment only e Monday Friday 360 816 7373 Appointments for all locations except Hood River are made through our main office at Halsey Business Center CPAP BiPAP Patient Education Guide Commonly asked questions Q Why is air blowing in my face and or eyes Why are my eyes dry A Q Why does my face feel sore Why do I have facial redness or skin A and or sore Your mask does not fit well It could be too loose too big or too small Try repositioning the mask on your face and adjusting the straps on the headgear You may also try soaking the mask in one part white vinegar to two parts warm water for 20 minut
5. PROVIDENCE Home Services Providence Home Services CPAP BiPAP Patient Education Guide CPAP BiPAP Patient Education Guide Table of contents An introduction to your CPAP BIPAP therapy 2 How to reach US ca tates nn nina nn tn 2 What 8 9 gt Gee epee emer SE ere eee ee cree eee 3 Insurance and billing aa on 4 Your individualized prescription 225 ameameneanns 5 About your CPAP BIPAP ssssssssssssesnnnssnsrrnnssrrrrrnssrnnnnnnnnnnnssrrnrnneennne 6 Safety D CAULIONS ss ns me os 7 Cleaning the CPAP BiPAP unit and accessories 8 Replacement of supplies and parts ce essecsseeeeesseeeeesseeeesseeeees 9 Providence CPAP BIPAP Iles 10 Commonly asked AUS IDNSEssS Essaie 11 Patient rights and reponsibiliti s s4sscssssssis eninsenseistins 15 An introduction to your CPAP BiPAP therapy Welcome to Providence Home Services We appreciate the opportunity to serve you and we look forward to giving you excellent care Your physician has prescribed either a continuous positive airway pressure CPAP or bi level positive airway pressure BiPAP machine to treat obstructive sleep apnea or central sleep apnea Therapeutic pressure is the pressure determined by the sleep lab that should best resolve your apnea periods and allow you to enter the restful stage of sleep known as rapid eye movement REM sleep Everyone requires some REM sleep in order to feel renewed or rested Our respiratory therapists will
6. a symptoms right away It may take some time to notice the benefits of CPAP BiPAP therapy Most importantly do not hesitate to call us at 503 215 0419 if you have any questions or problems with your CPAP BiPAP We are here to help you succeed with your prescribed treatment Periodically you may receive a replacement Smart Card Scan Disk that keeps track of usage of your CPAP BiPAP unit You may have a unit that doesn t have this capability A postage paid envelope will be provided for returning the card to us You may also have a modem on your unit that will communicate to a web based program You may have a unit that doesn t have this capability To order replacement supplies mask headgear tubing or filters please call customer service Supplies can be shipped directly to you or you can pick them up from one of our offices Providence Halsey Business Center Providence Salem Service Center 6410 NE Halsey Portland 2508 Pringle Road SE Salem 503 215 4663 503 585 4027 Providence Hood River Service Center Providence Vancouver Service Center 1151 May St Hood River 7723 NE Fourth Plain Blvd Vancouver 541 387 8923 360 816 7333 Providence St Vincent Medical Center 9155 SW Barnes Road Suite 736 Portland 503 215 4663 Call ahead to ensure your items are in stock Our respiratory therapy team will work closely with you to ensure you have a positive experience Please don t hesitate to call us with any questions o
7. closed If you can t tolerate the pressure contact your respiratory therapist for additional recommendations Q Why is my mask leaking A Your mask does not fit well Common causes include the position of the mask over your nose the fit of the headgear or the size of the mask Q Why does my mask make odd vibration noises on my face A Your mask may be loose or in need of cleaning Your respiratory therapist can also check for any defect in the mask material Q Air from the CPAP BiPAP unit seems warm and or smells musty What can I do A Replace the white micron pollen filter if you use one and or clean the spongy pollen filter Move the unit away from the bed or curtains to prevent the air flow from being blocked At night turn down the heat on the humidifier and the room temperature Place the unit on a stool near the floor where the air may be cooler Q I was told I would feel like a whole new person after a few nights with the CPAP BiPAP Why don t I feel that way yet A This isa common myth It takes weeks to months to notice a significant difference in energy Watch for small changes in your daily activities Note how often you fall asleep during the day or while watching TV How do I care for my CPAP BiPAP and supplies Keep your mask and tubing clean Prevent the growth of bacteria which may cause facial skin infections If you use a humidifier keep your tubing and water chamber clean to prevent growth of bac
8. d prescribed by your physician only Date mask changed replaced New mask type About your CPAP BIPAP Providence Home Services primarily uses Respironics products The following may not depict the exact model you have so please refer to your users manual e On standby off button This button turns your unit on and off The Respironics units will automatically turn on once you have your mask on and are breathing through the system Heat button or turn knob Turn on your heated humidifier base if applicable Your physician must order the equipment If you have the Respironics heated humidifier and a CPAP BiPAP unit with the C flex version you must turn on the heat before turning on the unit If you don t do this the heat may turn off in the middle of the night If your model does not have this feature it will require an independent heated humidifier system C Flex A Flex Bi Flex C Flex is a comfort feature on a CPAP that provides pressure relief during exhalation if activated A Flex is a comfort feature on an Auto CPAP that provides pressure relief at the end of inhalation and the start of exhalation if activated Bi Flex is a comfort feature on a BiPAP that provides pressure relief at the end of inhalation and the start of exhalation if activated Ramp button When you first turn on your CPAP BiPAP the pressure will be at the full therapeutic level prescribed by your doctor It may take you some time
9. es to ease mask stiffness If these remedies do not work please call respiratory therapy to have a staff member check the size of the mask irritation from contact with the mask or nasal pillows The forehead pads and tightly pulled headgear straps can cause tenderness AJN on the forehead or around the cheekbone area Try re adjusting the mask and repositioning the headgear Experiment with a barrier such as 3M s Micropore tape or Squibb s Duoderm between your skin and the mask to ease skin irritation Call your respiratory therapist to check the fit of your mask Q Why am I getting nasal ear or sinus pain A You may need to be checked for a sinus or middle ear infection Stop using the CPAP BiPAP unit and contact your primary care physician Q Why am I occasionally experiencing nosebleeds and or sneezing since using my CPAP BiPAP Why am I getting a stuffy dry nose or a burning sensation in my throat The pressure may be irritating and or drying out your nasal passages and sinuses Try using a nasal saline spray or an aloe vera gel Products such as Ocean Spray Nasal Moist Gel Nature Care Gel and Nose Better are available without a prescription If the nose bleeds or sneezing persists contact your respiratory therapist to discuss obtaining a chinstrap or possibly obtaining a humidifier to use with your CPAP BiPAP If you are currently using a humidifier try increasing the setting Q Wh
10. fit a pressure change or an alternative therapy Also not using the equipment as prescribed could lead to these problems Contact your respiratory therapist or physician to evaluate the therapy Q Why do I sometimes wake up with air in my stomach and or with the feeling of gas A You may be swallowing air This is a very common experience when you first begin to use the CPAP BiPAP This usually goes away once you are used to the pressure If the problem persists notify your respiratory therapist or your physician Use only one pillow Use a pillow that allows your head to tilt back slightly You may try raising head of bed 20 degrees unless your doctor states otherwise Q Why do I have air coming out of my eye ducts when I use my CPAP BiPAP A In most people the eye ducts are not open to the sinuses In rare instances some people do have ducts that are connected to the sinuses If you have problems with your eye ducts please contact your physician for advice Sometimes nothing needs to be done at all CPAP BiPAP Patient Education Guide Q I don t remember the pressure being this strong in the sleep lab Why does the pressure feel so strong A In the sleep lab the technician increased the pressure to your therapeutic level after you fell asleep It takes time to get used to the pressure Allow yourself several weeks to get used to the prescribed pressure Practice taking slow breaths through your nose while keeping your mouth
11. ng CPAP BiPAP therapy Please allow two to four weeks or even longer to get used to the mask and pressure It is very important that you allow yourself time to get used to the system and allow the system time to work for you Most people find that they need to use the interface nasal mask nasal pillow or full mask regularly for at least two weeks before determining if it will work or not Your physician would like you to use your CPAP or BiPAP all night every night It may take time to work up to being able to use it all night Be patient with yourself and with the system Even though it may seem frustrating in the beginning it is important to keep working with it It does get better Ifyou go to bed with good intentions of using your CPAP or BiPAP all night but you wake up after a few hours and feel you have to take it off it is OK to take it off and go the rest of the night without it The next night you need to use it longer before taking it off In this way you can train yourself to become accustomed to it o Two to four weeks is a good getting used to it period CPAP and BiPAP are most effective if you are able to sleep with them on for four hours or more each night Most insurance companies require a minimum of four hours of usage per night However in the first few weeks it is important to concentrate on getting used to it Chances are you are not going to see a drastic improvement in your obstructive sleep apne
12. of your health care Expect confidentiality regarding your records and communications Refuse to participate in research projects or procedures Be advised of expected charges and payment requirements Examine your bill and have it explained regardless of the payment sources Be cared for by professionals who respect you your family and your property Seek assistance in finding another agency to serve you and in having the services transferred to the agency Receive a list of written rights and responsibilities in advance of treatment Expect Providence Home Services to respond in a timely manner when possible to your request for services Voice any complaints or grievances about services provided by staff and expect complete follow up Access the Department of Health directory of licensed agencies Be told who owns and operates Providence Home Services Access your own medical record information and have questions and concerns addressed clearly and honestly 15 16 Patient responsibilities We believe that you and your family share with us in the responsibility for your care We ask that you keep an open line of communication with staff so that we can provide the best care for you You have the responsibility to Participate actively in decisions about your health care Work with our staff to assess and manage any pain you may have Be as accurate and complete as possible regarding your medical history and treatment Notify
13. r concerns Insurance and billing Providence Home Services will bill your insurance company The CPAP BiPAP units are monthly rentals Depending on your insurance plan you may be responsible for a co payment on the monthly rental of the unit The supplies you will need to use with your unit include a mask headgear tubing and filters You ll need to purchase these supplies Depending on your insurance plan you may be responsible for a co payment for the purchase of the supplies In some cases the insurance company will purchase the unit after a period of use Usually the monthly rental fee is applied to the purchase price of the unit Most insurance plans will pay for a new mask every three to six months You may be required to sign a financial waiver form accepting responsibility for payment if insurance denies the claim due to Medical necessity not met CPAP BiPAP Patient Education Guide e CPAP BiPAP masks are non returnable and non refundable once the package has been opened We cannot credit your account for the cost of the mask once you have opened the package e If you have any questions about billing or your account please call customer service Your individualized prescription Pressure prescribed by your physician cmH20 Ordering physician Phone CPAP BiPAP unit Mask type Humidifier prescribed by your physician Cool Heated Model Date of set up Respiratory therapist Phone Email Date pressure change
14. rd disk allows the respiratory therapist and your doctor to monitor usage of the unit The Smart Card Scan Disk also allows the respiratory therapist to change your settings such as pressure prescribed by your doctor and ramp time without the need for an appointment Please refer to your users manual for more detailed information If you are unable to locate your users manual please contact respiratory therapy Safety precautions Do not immerse your CPAP BiPAP in water Unplug your CPAP BiPAP from the outlet before cleaning the outside of the unit Always make sure your CPAP BiPAP unit is clean before plugging it in Do not take your CPAP BiPAP unit apart for any reason Instead please call respiratory therapy for assistance Do not plug your CPAP BiPAP unit into the same outlet being used for other appliances Cleaning the CPAP BIPAP unit and accessories e Wash all supplies in warm soapy water Use liquid hand soap or regular dish soap You may also use alcohol free baby wipes e Do not use scented soaps if you are bothered by fragrances or smells e Do not use any alcohol or chlorine bleach Alcohol may wear down the material of your mask or nasal pillows faster The smell of chlorine may irritate your airways Daily e Wash the mask or nasal pillows with soap and water or baby wipes e Replace the water in your humidifier if you use one Weekly e Wash your tubing mask and headgear
15. teria and mildew rr gt 0 How often can I get new supplies gt Most insurance plans cover the purchase of a new mask and headgear every six months and new tubing once a year Medicare authorizes a new mask every three months and new headgear every six months 13 14 Q The mask alarm repeatedly goes off What is happening A Your mask may need to be repositioned and your headgear re adjusted Also check the connection between the tubing and the unit and check for holes and cracks in the tubing Turn off the mask alarm until the problem has been addressed Q Why does the CPAP BiPAP unit alarm shut off and display an error message A There may be a malfunction of the motor rotor or main PCA board Please note the error code number and contact respiratory therapy as soon as possible Never try to repair the unit yourself The CPAP BiPAP unit is considered medical equipment and must be repaired by a professional Q The unit is hot to the touch What does that mean A The motor may be suffocating or malfunctioning Replace the white micron pollen filter if you use one and clean or replace the spongy pollen filter If the problem persists unplug the unit and contact respiratory therapy Q When will I receive another Smart Card Scan Disk A The Smart Card Scan Disk records data on usage of your unit We will check the data from time to time Throughout the year you ll receive a new
16. to get used to this pressure especially if you require higher pressures The ramp feature allows you to slowly get used to the pressure This feature gradually builds up the pressure over a preset amount of time until it has reached the therapeutic level You may activate the ramp feature as many times as you wish To deactivate the ramp you must first turn off the CPAP BiPAP unit The respiratory therapist programs the ramp time during the initial set up If you would like the ramp time changed please contact your respiratory therapist You may change the minimum ramp pressure yourself Please refer to the user patient menu in your users manual CPAP BiPAP Patient Education Guide Left and right scroll buttons These allow you to scroll through the user patient menu Please refer to your users manual Display window This window allows you to see your pressure whether the blower is on or off and the patient menu items You may see any error codes or alarms here as well Please refer to your users manual If you use an M series model lift the lid to see the display window Hose connection Connect the tubing hose to the unit If you are using the heated humidifier by Respironics you will connect the chamber here Smart Card Scan Disk Your CPAP BiPAP unit may have a Smart Card Scan Disk feature The Smart Card Scan Disk is a small plastic card the size of a credit card embedded with a computer chip The ca
17. y am I getting headaches A Early morning headaches may be caused by a need for more oxygen in your blood Your doctor may order an increase in CPAP BiPAP pressure or may order supplemental oxygen Other possible causes include high air pressure or cold air temperature Pulling headgear too tight may cause headaches Contact your respiratory therapist to evaluate your situation 11 12 Q Sometimes I feel like I can t breathe or that Pm suffocating Why is this happening A The pressure may be set too low Occasionally the mask makes some people feel claustrophobic Contact your respiratory therapist for advice Q My nose is cold due to the room temperature What should I do A Place the tubing under the bed covers to reduce heat loss and or turn up the room temperature Q Why does water collect in my mask and tubing A In cool bedrooms moisture from your breath may cause condensation in your mask and tubing If you use a heated humidifier the cooling moist air in your tubing will cool down and become liquid Try decreasing the temperature on your heater or insulating your CPAP BiPAP tubing Another solution is to put your CPAP BiPAP and heated humidifier closer to but not directly on the floor This will allow gravity to pull some of the moisture back into the water chamber Q I ve noticed the return of loud snoring drowsiness and sleepiness or apnea periods What could be the cause A You may need a mask re
18. your doctor or a Providence Home Services professional if you are concerned about a treatment if you do not understand a treatment or if you cannot or will not follow a certain treatment plan Inform Providence Home Services promptly of any changes in your doctor caregiver insurance or other payer sources Use Providence Home Services property and equipment only for its intended purposes Examine your bill and ask any questions you may have regarding charges or method of payment Work with staff to handle your financial obligations to Providence Home Services in a timely manner Be considerate of Providence Home Services staff but be sure to call us when you need assistance Inform Providence Home Services if you enter a hospital or any other care facility Keep weapons and or animals in appropriately secured areas Please refrain from smoking while staff is providing care in your home OUR MISSION As people of Providence we reveal God s love for all especially the poor and vulnerable through our compassionate service OUR CORE VALUES Respect Compassion Justice Excellence Stewardship www providence org homehealth PROVIDENCE Home Services Providence Health amp Services a not for profit health system is an equal opportunity organization in the provision of health care services and employment opportunities 13 00795 TPR 4 13
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